Table 2.
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