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HIV Nephropathy
Alessandro Furlan, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • HIV-associated nephropathy (HIVAN)
              • Definitions

                • Progressive chronic renal disease in patients with HIV infection histologically characterized by focal and segmental glomerulosclerosis (collapsing glomerulopathy)

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Lucas GM et al: Clinical practice guideline for the management of chronic kidney disease in patients infected with HIV: 2014 update by the HIV Medicine Association of the Infectious Diseases Society of America. Clin Infect Dis. 59(9):e96-138, 2014
                                          2. Mallipattu SK et al: The changing epidemiology of HIV-related chronic kidney disease in the era of antiretroviral therapy. Kidney Int. 86(2):259-65, 2014
                                          3. Ross MJ: Advances in the pathogenesis of HIV-associated kidney diseases. Kidney Int. 86(2):266-74, 2014
                                          4. Tonolini M et al: Renal and urologic disorders in antiretroviral-treated patients with HIV infection or AIDS: spectrum of cross-sectional imaging findings. Curr Probl Diagn Radiol. 42(6):266-78, 2013
                                          5. Maggi P et al: Renal complications in HIV disease: between present and future. AIDS Rev. 14(1):37-53, 2012
                                          6. Mallipattu SK et al: The New Epidemiology of HIV-Related Kidney Disease. J AIDS Clin Res. Suppl 4:001, 2012
                                          7. Kalayjian RC: The treatment of HIV-associated nephropathy. Adv Chronic Kidney Dis. 17(1):59-71, 2010
                                          8. Post FA et al: Predictors of renal outcome in HIV-associated nephropathy. Clin Infect Dis. 46(8):1282-9, 2008
                                          9. Symeonidou C et al: Imaging and histopathologic features of HIV-related renal disease. RadioGraphics 28: 1339-1354; 2008
                                          10. Atta MG et al: Sonography as a predictor of human immunodeficiency virus-associated nephropathy. J Ultrasound Med. 23(5):603-10; quiz 612-3, 2004
                                          11. Herman ES et al: HIV-associated nephropathy: Epidemiology, pathogenesis, and treatment. Semin Nephrol. 23(2):200-8, 2003
                                          12. Di Fiori JL et al: Diagnostic sonography of HIV-associated nephropathy: new observations and clinical correlation. AJR Am J Roentgenol. 171(3):713-6, 1998
                                          13. Miller FH et al: Renal manifestations of AIDS. Radiographics. 13(3):587-96, 1993
                                          14. Kay CJ: Renal diseases in patients with AIDS: sonographic findings. AJR Am J Roentgenol. 159(3):551-4, 1992
                                          15. Kuhlman JE et al: Retroperitoneal and pelvic CT of patients with AIDS: primary and secondary involvement of the genitourinary tract. Radiographics. 11(3):473-83, 1991
                                          16. Rao TK et al: Associated focal and segmental glomerulosclerosis in the acquired immunodeficiency syndrome. N Engl J Med. 310(11):669-73, 1984
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • HIV-associated nephropathy (HIVAN)
                                                      • Definitions

                                                        • Progressive chronic renal disease in patients with HIV infection histologically characterized by focal and segmental glomerulosclerosis (collapsing glomerulopathy)

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Lucas GM et al: Clinical practice guideline for the management of chronic kidney disease in patients infected with HIV: 2014 update by the HIV Medicine Association of the Infectious Diseases Society of America. Clin Infect Dis. 59(9):e96-138, 2014
                                                                                  2. Mallipattu SK et al: The changing epidemiology of HIV-related chronic kidney disease in the era of antiretroviral therapy. Kidney Int. 86(2):259-65, 2014
                                                                                  3. Ross MJ: Advances in the pathogenesis of HIV-associated kidney diseases. Kidney Int. 86(2):266-74, 2014
                                                                                  4. Tonolini M et al: Renal and urologic disorders in antiretroviral-treated patients with HIV infection or AIDS: spectrum of cross-sectional imaging findings. Curr Probl Diagn Radiol. 42(6):266-78, 2013
                                                                                  5. Maggi P et al: Renal complications in HIV disease: between present and future. AIDS Rev. 14(1):37-53, 2012
                                                                                  6. Mallipattu SK et al: The New Epidemiology of HIV-Related Kidney Disease. J AIDS Clin Res. Suppl 4:001, 2012
                                                                                  7. Kalayjian RC: The treatment of HIV-associated nephropathy. Adv Chronic Kidney Dis. 17(1):59-71, 2010
                                                                                  8. Post FA et al: Predictors of renal outcome in HIV-associated nephropathy. Clin Infect Dis. 46(8):1282-9, 2008
                                                                                  9. Symeonidou C et al: Imaging and histopathologic features of HIV-related renal disease. RadioGraphics 28: 1339-1354; 2008
                                                                                  10. Atta MG et al: Sonography as a predictor of human immunodeficiency virus-associated nephropathy. J Ultrasound Med. 23(5):603-10; quiz 612-3, 2004
                                                                                  11. Herman ES et al: HIV-associated nephropathy: Epidemiology, pathogenesis, and treatment. Semin Nephrol. 23(2):200-8, 2003
                                                                                  12. Di Fiori JL et al: Diagnostic sonography of HIV-associated nephropathy: new observations and clinical correlation. AJR Am J Roentgenol. 171(3):713-6, 1998
                                                                                  13. Miller FH et al: Renal manifestations of AIDS. Radiographics. 13(3):587-96, 1993
                                                                                  14. Kay CJ: Renal diseases in patients with AIDS: sonographic findings. AJR Am J Roentgenol. 159(3):551-4, 1992
                                                                                  15. Kuhlman JE et al: Retroperitoneal and pelvic CT of patients with AIDS: primary and secondary involvement of the genitourinary tract. Radiographics. 11(3):473-83, 1991
                                                                                  16. Rao TK et al: Associated focal and segmental glomerulosclerosis in the acquired immunodeficiency syndrome. N Engl J Med. 310(11):669-73, 1984