title: Mesalazine interstitial nephritis presenting as colitis ulcerosa exacerbation.
abstract: Mesalazine is the first line treatment in paediatric inflammatory bowel disease (IBD). There are several reports in the literature about nephrotoxicity (1/150 treated patients), from renal insufficiency to reversible nephritis. It is currently advised to follow creatinine in patients treated with mesalazine during the first 5 years of treatment; however this may reveal the problem too late. As demonstrated in this paediatric case, a high degree of clinical suspicion is needed to diagnose the side effects before irreversible kidney damage occurs. Since the treatment of IBD exacerbation and mesalazine induced interstitial nephritis is based upon steroids, delayed diagnosis of the latter is at risk.
authors.affiliation: Department Paediatric Gastroenterology, Ghent University Hospital, Ghent, Belgium. stephanie.vanbiervliet@ugent.ac.be
authors.forename: S
authors.initials: S
authors.lastname: Van Biervliet
authors.forename: A
authors.initials: A
authors.lastname: Raes
authors.forename: J
authors.initials: J
authors.lastname: Vande Walle
authors.forename: M
authors.initials: M
authors.lastname: Van Winckel
authors.forename: E
authors.initials: E
authors.lastname: Robberecht
authors.forename: M
authors.initials: M
authors.lastname: Praet
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D002648:Child; D003093:Colitis, Ulcerative / Q000188:drug therapy*; D005260:Female; D006801:Humans; D019804:Mesalamine / Q000009:adverse effects*; D011239:Prednisolone / Q000627:therapeutic use; D011704:Pyelonephritis / Q000139:chemically induced* / Q000188:drug therapy
chemical_list: D000893:Anti-Inflammatory Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D019804:Mesalamine; D011239:Prednisolone