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Acute tubular necrosis (ATN) is injury to the tiny tube-shaped cells in the kidneys. ATN can lead to more serious kidney problems.
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ATN has many causes:
Your chances for ATN go up as you get older. Risk is also higher with:
ATN may cause:
The doctor will ask about your symptoms and health history. You may also have:
Care depends on what is causing problems. For example, if medicine you take is harming your kidneys, your doctor will make changes. Other care may involve:
To lower your chances of ATN, don’t take medicines you know cause kidney problems. Your doctor will find other medicines to help you.
National Institute of Diabetes and Digestive and Kidney Diseases
National Kidney Foundation
The Kidney Foundation of Canada
Acute tubular necrosis. EBSCO DynaMed website. Available at:http://www.ebscohost.com/dynamed. Updated April 26, 2018. Accessed June 1, 2018.
Acute tubular necrosis (ATN). Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/genitourinary-disorders/tubulointerstitial-diseases/acute-tubular-necrosis-atn. Updated July 2017. Accessed June 1, 2018.
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Esson ML, Schrier RW. Diagnosis and treatment of acute tubular necrosis. Ann Intern Med. 2002;137(9):744-52.
Gill N, Nally JV Jr, Fatica RA. Renal failure secondary to acute tubular necrosis: Epidemiology, diagnosis, and management. Chest. 2005;128(4):2847-2863.
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Tepel M, van der Giet M, Schwarzfeld C, Laufer U, Liermann D, Zidek W. Prevention of radiographic-contrast reductions in renal function by acetylcysteine. N Engl J Med. 2000;343(3):1448-1457.
Last reviewed May 2018 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 6/1/2018