Can tubular injury lead to kidney atrophy?

Sep 04, 2024 Source: Cainiu Health
Disease description:

I was diagnosed with tubular injury at the hospital a few months ago. Today, during a follow-up examination, I was found to have kidney atrophy. I would like to ask whether tubular injury can lead to kidney atrophy?

Doctor's answer (1)
Dr. Yang Guang

Tubular injury may lead to kidney atrophy.

The renal tubules are important components of the kidneys, primarily responsible for functions such as urine concentration, regulation of acid-base balance, and reabsorption of electrolytes. When the renal tubules are injured, their functions may be impaired, potentially leading to a decline in overall kidney function. Long-term or severe tubular injury can cause localized or widespread damage to the renal parenchyma, including structural changes in glomeruli, interstitial tissue, and blood vessels, thereby affecting renal blood supply and filtration function.

Tubular injury may be classified as either acute or chronic. Acute injury may manifest as acute kidney injury, accompanied by symptoms such as nausea and vomiting; while chronic injury may present with increased nocturnal urination and foamy urine. These symptoms may all indicate a gradual decline in kidney function. Clinically, tubular injury mainly manifests as nausea, vomiting, joint pain, fatigue, increased nocturnal urination, electrolyte disturbances, and acid-base imbalance. As the condition worsens, patients may also develop symptoms such as chronic kidney insufficiency and kidney atrophy.

If symptoms worsen, prompt medical attention should be sought.