A 14-year-old boy with tubulointerstitial nephritis and uveitis (TINU
syndrome) is described. Nephropathy improved without systemic cortison
e treatment, whereas uveitis relapsed and was treated with topical ste
roids. Blood cell immunological analysis and serum analysis revealed s
igns of cytotoxic T-cell, macrophage and granulocyte activation, which
declined as the clinical symptoms improved. This may be interpreted a
s an indication of their significance as markers in the pathogenesis o
f this syndrome or as part of a microbial-triggered immune response.