Tiopronin and/or NSAID? A Case of Nephrotic Syndrome and Acute Interstitial Nephritis in a Young Woman with Cystinuria

Luka Vidović, Josipa Josipović, Petar Šenjug, Danica Galešić Ljubanović
2021 Acta Clinica Croatica  
Cystinuria is an autosomal recessive disease that leads to recurrent stone formation. Tiopronin, a glycine derivative with a free thiol similar to penicillamine, prevents stone formation and facilitates their dissolution. Nephrotic-range proteinuria is a serious and relatively uncommon adverse effect, reported in 6-10% of patients, most frequently during the first year of tiopronin use. Various patterns of morphologic kidney injury have been associated with tiopronin use, including MCD, MN, and
more » ... MPGN. Acute interstitial nephritis can be caused virtually by any drug. Non-steroidal anti-inflammatory drugs (NSAID s) may cause AIN , with or without nephrotic syndrome due to minimal change disease or membranous nephropathy.
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