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. 2019 Sep 24;11:1758835919875549. doi: 10.1177/1758835919875549

Table 2.

Clinical presentation and characteristics of the inflammatory infiltrate in reported cases of ICI-associated AIN.

ICI administered AIN
n
Clinical presentation Histologic examination (inflammatory infiltrate)
Lymphocytes Plasma cells Eosinophils Macrophages Granuloma Reference
Anti-PD-1 2 Creatinine increase,
Hyperkaliemia.
metabolic acidosis
p p a a a *
Anti-PD-1 1 Creatinine increase,
microhematuria
no fever, rash, nor eosinophilia
p a p p a Wanchoo et al.14
Anti-CTLA-4 (5)
Anti-PD-1 (3)
Anti-CTLA-4+Anti-PD-1 (4)
12 Pyuria (7)
hematuria (2)
hypertension (2)
eosinophilia (1)
Oliguria (1)
p p p a p Cortazar et al.10
Anti-PD-1 6 Creatinine increase (6)
bilateral lower extremity edema (2)
eosinophilia (2)
pyuria (2)
Hypertension (2)
Rash, fever, oliguria (1)
p a p a a Shirali et al.26
Anti-CTLA-4 1 Creatinine increase,
Rash,
eosinophilia
p p p a p Thajudeen et al.35
Anti-CTLA-4 2 Creatinine increase (2)
pyuria (2)
rash, fatigue, anorexia, fever (1)
eosinophilia (1)
hematuria (1)
proteinuria (1)
p a a a p Izzedine et al.28
Anti-CTLA-4 1 Creatinine increase,
metabolic acidosis
oliguria
Kidney biopsy not completed Forde et al.27

a, absent; AIN, acute interstitial nephritis; ICI, immune checkpoint inhibitors; n, number; p, present.

*

personal cases from the Medical Oncology Unit of the University of Bari