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HIV-Associated Nephropathy, End-Stage Renal Disease, Dialysis, and Kidney Transplant 

HIV-Associated Nephropathy, End-Stage Renal Disease, Dialysis, and Kidney Transplant
Chapter:
HIV-Associated Nephropathy, End-Stage Renal Disease, Dialysis, and Kidney Transplant
Author(s):

Jonathan Winston

, Etti Zeldis

, John A. Grimaldi

, and Esteban Martínez

DOI:
10.1093/med/9780199392742.003.0044
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date: 24 August 2019

Antiretroviral therapy has changed the phenotype of HIV-related kidney disease to a more chronic disease model. In addition to HIV-associated nephropathy (HIVAN), patients with HIV may experience kidney dysfunction related to other chronic illnesses, such as diabetes, hypertension, and hepatitis C. Patients with HIV should be monitored for the development of chronic kidney disease and the potential nephrotoxicity of antiretroviral therapy. For patients with HIV who progress to end-stage renal disease, the outcomes on dialysis and management of the dialysis procedure are similar to the outcomes of patients without HIV. Renal transplantation is a promising treatment option for HIV patients with end-stage renal disease, despite certain barriers inherent in the transplant evaluation process. Concomitant HIV and end-stage renal disease, with the stress of dialysis, can exacerbate psychiatric illness.

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