“…3 Histologically, tubulointerstitial diseases are characterized by variable degrees of tubular degeneration, atrophy, interstitial inflammation, edema, and fibrosis. 1 Clinically, diseases affecting the tubulointerstitium can be identified by azotemia, a decrease in urine concentration (ie, isosthenuria), and an inability to properly process electrolytes or maintain acid-base hemostasis. 1,3 Numerous nephrotoxins originating from plants, medications, or heavy metals have been implicated as causative etiologies for tubular necrosis in equines.…”