The prognosis of patients with interstitial nephritis is related to the cause of the disease, the timing of consultation and the degree of disease, according to the course of the disease can be divided into acute interstitial nephritis and chronic interstitial nephritis, acute interstitial nephritis patients with a clear cause of the disease and the timely diagnosis of patients with a better prognosis. The prognosis of patients with acute interstitial nephritis is better if the cause of the disease is clear and the patient is diagnosed in time.
1. Acute interstitial nephritis: the common causes are drugs and infections, acute interstitial nephritis generally has a better prognosis, after removing the cause of the disease, most of the renal function can be restored after active symptomatic supportive treatment, a few serious cases can appear tubulointerstitial fibrosis, atrophy, delayed development into chronic interstitial nephritis.
2. Chronic interstitial nephritis: clinical manifestations of abnormal renal tubular function and progressive chronic renal failure, pathological manifestations of different degrees of irreversible tubular atrophy, renal interstitial fibrosis.
Generally slow and insidious progression, often miss the best time for treatment. In advanced stage, interstitial fibrosis is obvious, glomerulosclerosis, the chance of reversal is slim, and eventually will develop to renal insufficiency, even uremia, so the prognosis is poor.
Therefore, the prognosis of patients with interstitial nephritis is closely related to the timeliness and standardization of treatment, so we suggest that patients should go to regular hospitals in time, and actively standardize the treatment under the guidance of doctors.