HIV and renal disease: a contemporary review

Int J STD AIDS. 2018 Jun;29(7):714-719. doi: 10.1177/0956462417750710. Epub 2018 Jan 17.

Abstract

The presence of human immunodeficiency virus (HIV)-related kidney disease is an important cause of mortality and morbidity. HIV infection induces renal injury by direct cytotoxicity or immune complex-mediated glomerulonephritis in patients with genetic susceptibility factors. In the last decades, with the development and diffusion of combination antiretroviral therapy, which has prolonged patient survival, there has been a shift in the spectrum of renal diseases in HIV-infected patients, with the decrease of glomerular diseases and increase in the role of nephrotoxicity and co-morbidities. This review provides a contemporary and critical review on the main renal syndromes occurring in HIV-infected patients.

Keywords: HIV; renal disease.

Publication types

  • Review

MeSH terms

  • AIDS-Associated Nephropathy / etiology*
  • AIDS-Associated Nephropathy / pathology
  • Acute Kidney Injury / complications*
  • Acute Kidney Injury / physiopathology
  • Anti-Retroviral Agents / adverse effects*
  • Anti-Retroviral Agents / therapeutic use
  • Anti-Retroviral Agents / toxicity
  • HIV Infections / complications
  • HIV Infections / drug therapy*
  • HIV Infections / virology
  • Humans
  • Kidney / drug effects*
  • Kidney / pathology
  • Kidney Diseases / complications*
  • Kidney Diseases / physiopathology

Substances

  • Anti-Retroviral Agents