Interstitial nephritis and uveitis syndrome presenting with bilateral optic disk edema.
OBJECTIVE
To report a rare presentation of the tubulointerstitial nephritis and uveitis syndrome.


METHODS
Case report. A 34-year-old woman underwent extensive clinical and laboratory evaluation of bilateral intermediate uveitis and optic nerve edema.


RESULTS
Laboratory evaluation and nephrology consultation led to a diagnosis of tubulointerstitial nephritis. The condition resolved with the use of topical and systemic corticosteroids and the discontinuation of ibuprofen.


CONCLUSIONS
Tubulointerstitial nephritis and uveitis syndrome is uncommon. It may present with anterior or intermediate uveitis. Chronic intermediate uveitis can cause optic nerve and macular edema. A thorough medical evaluation of any patient presenting with uveitis and systemic disease is essential to the diagnosis and management of uveitis.
Sherman
M D
MD
Department of Ophthalmology, Southern California Permanente Medical Group, USA. mark.d.sherman@kp.org
Own
K H
KH
D000328:Adult; D005260:Female; D006801:Humans; D009395:Nephritis, Interstitial / Q000150:complications*; D009898:Optic Disk / Q000473:pathology; D010211:Papilledema / Q000209:etiology* / Q000473:pathology; D013577:Syndrome; D015867:Uveitis, Intermediate / Q000150:complications*