Nephritis

Clinic

• Nephritis is inflammation of the kidneys and may involve the glomeruli, tubules, or interstitial tissue surrounding the glomeruli and tubules.
• It is one of several different types of nephropathy.

Types

• Glomerulonephritis is inflammation of the glomeruli. Glomerulonephritis is often implied when using the term "nephritis" without qualification.
• Interstitial nephritis (or tubulo-interstitial nephritis) is inflammation of the spaces between renal tubules.

Causes

• Pyelonephritis is inflammation that results from a urinary tract infection that reaches the renal pelvis of the kidney.
• Lupus nephritis is inflammation of the kidney caused by SLE.
• Athletic nephritis is nephritis resulting from strenuous exercise. Bloody urine after strenuous exercise may also result from march hemoglobinuria, which is caused by trauma to red blood cells, causing their rupture, which leads to the release of hemoglobin into the urine.

Mechanism

Renin–angiotensin system Nephritis can produce glomerular injury, by disturbing the glomerular structure with inflammatory cell proliferation. This can lead to reduced glomerular blood flow, leading to reduced urine output (oliguria) and retention of waste products (uremia). As a result, red blood cells may leak out of damaged glomeruli, causing blood to appear in the urine (hematuria).

Low renal blood flow activates the renin–angiotensin–aldosterone system (RAAS), causing fluid retention and mild hypertension. As the kidneys inflame, they begin to excrete needed protein from the affected individual's body into the urine stream. This condition is called proteinuria.

Loss of necessary protein due to nephritis can result in several life-threatening symptoms. The most serious complication of nephritis can occur if there is significant loss of the proteins that keep blood from clotting excessively. Loss of these proteins can result in blood clots, causing sudden stroke.

Remedies

• Apis
• Canth
• Colch
• Lyc: Pain and inflammation of the kidneys, albuminous urine and red sediment in the urine
• Ter

Miasms

• HCV, HBV
• HFRS