diagnosis
Last reviewed 01/2018
- pyuria is common, it may be sterile
- chronic pyelonephritis may cause hypertension (especially common in children)
- IVP:
- small, scarred kidneys
- blunting of the calyces
- cortical thinning over pelvo-calyceal lesions
- renal biopsy:
- plasma cell infiltration predominates - occurs between the tubules that are atrophic or ballooned
- periglomerular fibrosis
- glomeruli - variable appearance - may be normal or hyalanised
- other findings, such as uraemia, acidosis, hypocalcaemia and hyperphosphataemia are described under chronic renal failure