Language
English
Publication Date
6-1-2025
Journal
Journal of Hospital Medicine
DOI
10.1002/jhm.70031
PMID
40097925
Abstract
A 55 year-old man with type 2 diabetes mellitus presented to the emergency department with subacute nausea, vomiting, and abdominal pain. He was found to have epididymitis and hyperglycemia that improved with antibiotics and supportive care. However, he was also discovered to have significant acute kidney injury and chronic, relapsing-remitting bouts of eye pain and redness, confirmed to be uveitis on ophthalmologic evaluation. Despite completing an appropriate course of antibiotics, his pyuria and kidney injury persisted. An extensive infectious, autoimmune, and malignancy work-up was negative. As such, renal biopsy was pursued and revealed findings consistent with tubulointerstitial nephritis. With a negative secondary work-up, he was diagnosed with tubulointerstitial nephritis and uveitis (TINU) syndrome.
Keywords
Humans, Male, Middle Aged, Nephritis, Interstitial, Uveitis, Diabetes Mellitus, Type 2, Diagnosis, Differential
Published Open-Access
yes
Recommended Citation
Rezigh, Alec B; Jagannath, Anand D; Rezigh, Austin C; et al., "Eye Catching" (2025). Faculty and Staff Publications. 4479.
https://digitalcommons.library.tmc.edu/baylor_docs/4479