[Renal involvement in ankylosing spondylitis: concerning 210 cases].
OBJECTIVE
To define the epidemiology, clinical, biological and histological features of renal diseases in ankylosing spondylitis, ginving special attention to unusual forms.


METHODS
We retrospectively reviewed the medical record of 28 cases with renal involvement among 210 cases of ankylosing spondylitis seen over a 27 year period who met the Amor criteria.


RESULTS
Twenty-eight of 210 patients (13,3%) presented one or more signs of renal involvement: macroscopic hematuria (4 patients), microscopic hematuria (8 patients), proteinuria (15 patients), nephrotic syndrome (6 patients), decreased renal function (13 patients). Secondary renal amyloidosis and nephrolithiasis (8 patients) were the most common cause of renal involvement in ankylosing spondylitis followed by IgA nephropathy (3 patients).


CONCLUSIONS
The funding of renal abnormalities in 13,3% of our patients suggests that in this illness evidence of renal involvement should be actively investigated in ankylosing spondylitis.
Ben Taarit
C
C
Unité de rhumatologie, laboratoire de pathologie rénale santé 02, service de médecine interne A, hôpital Charles-Nicolle, Tunis, Tunisie.
Ajlani
H
H
Ben Moussa
F
F
Ben Abdallah
T
T
Ben Maïz
H
H
Khedher
A
A
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000453:epidemiology* / Q000209:etiology*; D008297:Male; D012189:Retrospective Studies; D013167:Spondylitis, Ankylosing / Q000150:complications*