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J Clin Pathol 2009;62:505-515 doi:10.1136/jcp.2008.058271
  • Review

Renal toxicity of therapeutic drugs

  1. R John,
  2. A M Herzenberg
  1. Department of Pathology, University Health Network, and University of Toronto, Toronto, Ontario, Canada
  1. Dr Andrew Herzenberg, Department of Pathology, University Health Network, 11 Eaton, 200 Elizabeth St, Toronto, Ontario Canada M5G 2C4; andrew.herzenberg{at}uhn.on.ca
  • Accepted 12 January 2009

Abstract

A number of therapeutic agents can adversely affect the kidney, resulting in tubulointerstitial, glomerular or vascular disease. Drug-induced tubulointerstitial nephritis and acute tubular necrosis are common, and are often cause by antibiotics or non-steroidal anti-inflammatory drugs. Drug-induced glomerular and vascular disease is relatively rare. This review describes the morphological patterns of drug-induced disease in the kidney. The histopathological changes are often similar to disease that is idiopathic or due to other causes, so that awareness and clinical correlation are most helpful to arrive at the aetiology.

Footnotes

  • Competing interests: None.

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