19th May 2025

A 57-year-old male patient is referred to the renal clinic with unexplained gradual decline in renal function.

A 57-year-old male patient is referred to the renal clinic with unexplained gradual decline in renal function. He is diagnosed with acute interstitial nephritis secondary to chronic protein-pump inhibitor (PPI) use. Which of the following clinical findings is LEAST in keeping with this diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.