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Case Report
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Korean J Med. 2015;88(6):711-714. Published online June 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.6.711
- 판코니 증후군을 동반한 간질성 신염 포도막염 증후군 1예
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김미연1, 김현우1, 김지영1, 정진호2, 박은정1, 김진석1, 김소미1
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1제주대학교 의학전문대학원 제주대학교병원 내과
2제주대학교 의학전문대학원 제주대학교병원 안과
- A Case of Tubulointerstitial Nephritis and Uveitis with Fanconi Syndrome
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Miyeon Kim1, Hyun Woo Kim1, Ji Young Kim1, Jinho Jeong2, Eun-Jung Park1, Jinseok Kim1, So Mi Kim1
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1Department of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea
2Department of Ophthalmology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea
- Corresponding author: So Mi Kim ,Tel: +82-64-717-1400, Fax: +82-64-717-1402,, Email: zhidao79@naver.com
- Received: August 9, 2014; Revised: September 30, 2014 Accepted: October 15, 2014.
- 본 증례에서는 간질성 신염으로 진단되어 스테로이드 치료 후 호전된 중년여성에서 판코니 증후군 양상의 세뇨관 장애 및 포도막염이 발생하여 간질성 신염 포도막염 증후군으로 재진단하고, 스테로이드로 치료한 1예를 경험하여 문헌고찰과 함께 보고하는 바이다.
߽ɾ :간질성 신염; 포도막염; 판코니증후군
- Abstract
- Tubulointerstitial nephritis and uveitis (TINU) syndrome is a rare disease that comprises 4.7% of acute interstitial nephritis. With reno-ocular manifestations, TINU syndrome is accompanied by symptoms such as fever, fatigue, malaise, anorexia, vomiting, and arthralgia. TINU syndrome is reported mainly in children or adolescent girls, and it is rare in adults. Although TINU syndrome can present with multiple renal tubular defects, Fanconi syndrome characterized by generalized impairment of proximal tubular function, leading to renal glucosuria, hyperuricosuria, hyperphosphaturia, proximal renal tubular acidosis, and kaliuresis leading to hypokalemia, has rarely been described. We report a case of TINU syndrome with Fanconi syndrome in a 46-year-old HLA B27-positive Korean woman.
Keywords :Nephritis, Interstitial, Uveitis, Fanconi syndrome
