Kidney Disease in HIV-Infected Persons

被引:0
|
作者
Robert C. Kalayjian
机构
[1] MetroHealth Medical Center,Division of Infectious Diseases
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关键词
HIVAN; Kidney disease; Albuminuira; Proteinuria; Renal transplantation;
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摘要
Kidney disease is more prevalent among persons living with HIV, and may arise from a combination of comorbidities, co-infections, and medication-associated toxicities. Additional effects of HIV-1 viral replication, immunodeficiency and genetic factors also contribute to kidney disease. As is true in the general population, persons of African descent exhibit a disproportionate risk for severe kidney disease. Antiretroviral therapy (ART) modifies the natural history of HIV-associated nephropathy (HIVAN), and renal benefits of ART may not be limited to persons with HIVAN. Robust associations between proteinuria and cardiovascular disease imply that common mechanisms of vascular endothelial dysfunction may contribute to both processes.
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页码:83 / 90
页数:7
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