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- W2955097652 abstract "espanolResumen Las nefropatias tubulointersticiales (NTI) constituyen un grupo heterogeneo de enfermedades que tienen en comun la presencia de dano tubular y la aparicion en la histologia de signos inflamatorios a nivel del intersticio. Desde el punto de vista clinico, se han clasificado de un modo relativamente arbitrario en formas agudas (NTIA) y cronicas (NTIC). Su etiologia es muy diversa y, en ocasiones, una misma causa puede originar NTIA y NTIC. Las formas agudas cursan con fracaso renal agudo y las cronicas suelen dar lugar a enfermedad renal cronica progresiva. Los hallazgos histologicos suelen ser poco especificos. Las NTIA se caracterizan por la presencia de edema e infiltrado inflamatorio agudo a base de polinucleares neutrofilos y eosinofilos. En las NTIC destaca un infiltrado a expensas de linfocitos y monocitos y aparece fibrosis intersticial. El tratamiento esta orientado a revertir el proceso inflamatorio agudo si es posible. El tratamiento de las NTIC se basa en eliminar la causa que las ha originado y evitar la utilizacion de nefrotoxicos. EnglishTubulointerstitial kidney diseases (TKD) encompass a heterogeneous group of disorders characterizing by tubular damage and, pathologically, inflammatory signs in the renal interstitium. Clinical classification is arbitrary and distinguishes between acute (ATKD) and chronic (CTKD) patterns. Its etiology is diverse and, sometimes, the same cause can provoke ATKD and CTKD. Acute forms present acute renal failure, meanwhile chronic one causes progressive chronic kidney disease. Commonly, pathological findings are unspecific. Oedema and acute inflammatory infiltration (polynuclear neutrophils and eosinophils) characterize ATKD. Infiltration of lymphocytes and monocytes and interstitial fibrosis highlights in CTKD. If possible, the therapeutic goal is to reverse the acute inflammatory process. In CTKD treatment looks for to eliminate the cause and to avoid the use of nephrotoxic substances." @default.
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- W2955097652 date "2019-06-01" @default.
- W2955097652 modified "2023-10-01" @default.
- W2955097652 title "Enfermedades renales tubulointersticiales. Conceptos generales. Formas agudas" @default.
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- W2955097652 doi "https://doi.org/10.1016/j.med.2019.06.020" @default.
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