Skip to main content

Drug-Induced Nephritides

Immediate Hypersensitivity Mechanism

  • Chapter
Nephrotoxic Mechanisms of Drugs and Environmental Toxins
  • 202 Accesses

Abstract

Tubular injury in the form of acute interstitial nephritis (AIN) or acute renal failure is a well-recognized complication of the administration of a variety of drugs or diagnostic agents, such as radiocontrast dye (Linton et al., 1980). The acute onset of AIN as well as the frequently associated findings of fever, rash, eosinophilia, and elevated IgE levels have strongly suggested an allergic or hypersensitivity reaction. The underlying immunologic mechanism(s) of these reactions has not been established and it will be the purpose of this chapter to examine the possible role of immediate hypersensitivity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Andres, G. A., Albini, B., Brentjens, J., Milgrom, M., Noble, B., Ossi, E., and Szymanski, C., 1979, Immunologically mediated tubulointerstitial nephritis in experimental animals and in man, in: Immunopathology (F. Milgrom and B. Albini, eds.), Karger, Basel, p. 123.

    Google Scholar 

  • Chandra, R. K., Goglekar, S. A., and Tomas, E., 1980, Penicillin in allergy: Antipenicillin IgE antibodies and immediate hypersensitivity skin reactions employing major and minor determinants of penicillin, Arch. Dis. Child. 55:857.

    Article  CAS  Google Scholar 

  • Coombs, R. R. A., and Gell, P. G. H., 1975, Classification of allergic reactions responsible for clinical hypersensitivity and disease, in: Clinical Aspects of Immunology (P. G. H. Gell, R. R. A. Coombs, and P. J. Lachmann, eds.), Blackwell, London, p. 761.

    Google Scholar 

  • Ishizaka, K., and Ishizaka, T., 1978, Immunology of IgE-mediated hypersensitivity, in: Allergy, % Principles and Practice (E. Middleton, C. E. Reed, and E. F. Ellis, eds.), Mosby, St. Louis, Missouri, Volume 2, p. 52.

    Google Scholar 

  • Johansson, S. G. O., and Foucard, T., 1978, IgE in immunity and disease, in: Allergy, Principles andPractice (E. Middleton, C. E. Reed, and E. F. Ellis, eds.), Mosby, St. Louis, Missouri, Volume 2, p. 551.

    Google Scholar 

  • Linton, A. L., Clark, W. F., Driedger, A. A., Turnbull, D. I., and Lindsay, R. M., 1980, Acute interstitial nephritis due to drugs, Ann. Int. Med. 93:735.

    CAS  Google Scholar 

  • Ooi, B. S., Pesce, A. J., First, M. R., Pollak, V. E., Bernstein, I. L., and Wellington, J., 1979, IgE levels in interstitial nephritis, Lancet 1:1254.

    Google Scholar 

  • Till, G., Voigtländer, V., and Rother, U., 1980, Complement and pseudo-allergic reactions to drugs, in: Cytotoxic and Complement-Mediated Reactions (P. Dukor, P. Kallós, H. D. Schlumberger, and G. B. West, eds.), Karger, Basel, p. 105.

    Google Scholar 

  • Van Ypersele de Strihou, C., 1979, Acute oliguric interstitial nephritis, Kidney Int. 16:751.

    Article  Google Scholar 

  • Van Zwieten, M. J., Leber, P. D., Bhan, A. K.,and McCluskey, R. T., 1977, Experimental cell-mediated interstitial nephritis induced with exogenous antigens, J. Immunol. 118:589.

    Google Scholar 

  • Wells, J. V., 1978, Immune mechanisms in tissue damage, in: Basic and Clinical Immunology, 2nd ed. (H. H. Fudenberg, D. P. Stites, J. L. Caldwell, and J. V. Wells, eds.), Lange Medical Publications, Los Gatos, California, p. 267.

    Google Scholar 

  • Wiles, C. M., Assem, E. S. K., Cohen, S. L., and Fisher, C., 1979, Cephradine-induced interstitial nephritis, Clin. Exp. Immunol. 36:342.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1982 Springer Science+Business Media New York

About this chapter

Cite this chapter

Border, W.A. (1982). Drug-Induced Nephritides. In: Porter, G.A. (eds) Nephrotoxic Mechanisms of Drugs and Environmental Toxins. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4214-4_35

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-4214-4_35

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-4216-8

  • Online ISBN: 978-1-4684-4214-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics