RT Journal Article SR Electronic T1 Direct oral anticoagulant and AKI: apixaban-induced acute interstitial nephritis JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e230371 DO 10.1136/bcr-2019-230371 VO 12 IS 6 A1 Christina DiMaria A1 Wael Hanna A1 Julie Murone A1 James Reichart YR 2019 UL http://casereports.bmj.com/content/12/6/e230371.abstract AB Direct oral anticoagulants (DOACs)—dabigatran, rivaroxaban, apixaban and edoxaban—are changing the landscape of clinical practice for patients requiring short and long-term anticoagulation. We report a patient with no history of kidney disease developing acute interstitial nephritis (AIN) after starting a DOAC, apixaban. To date, this is the first biopsy proven case of apixaban-induced AIN.