Definition: a type of kidney injury that is triggered by crystal deposition and may lead to crystal-induced AKI, crystal-induced CKD, or urolithiasis

Epidemiology


Etiology

Drug-induced: e.g., acyclovir, indinavir, ciprofloxacin, methotrexate


Pathophysiology

Precipitation of minerals (crystallization) → phagocytosis of crystals → activation of the inflammasome → renal damage


Clinical features

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Diagnostics

Crystals may be seen on urine microscopy.


Treatment