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Related Experiment Videos

Human immunodeficiency virus-associated nephropathy: a primary care perspective.

Toyin Olatinwo1, Ross G Hewitt, Rocco C Venuto

  • 1Division of General Medicine, School of Medicine, State University of New York, Buffalo, NY 14215, USA.

Archives of Internal Medicine
|February 11, 2004
PubMed
Summary

Screening for HIV-associated nephropathy is crucial, especially in African Americans and those with a family history of kidney disease. Semiannual proteinuria screening and a clear evaluation algorithm are proposed for early detection and management.

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Public Health

Background:

  • Highly active antiretroviral therapy (HAART) has improved human immunodeficiency virus (HIV) care, but HIV-associated nephropathy (HIVAN) persists in at-risk groups.
  • Current guidelines lack recommendations for screening HIV-positive individuals for HIVAN.
  • Early detection of HIVAN is critical for preventing progressive renal disease.

Purpose of the Study:

  • To propose a screening strategy for HIV-associated nephropathy in high-risk HIV-positive populations.
  • To establish an evaluation algorithm for patients identified with potential HIVAN.
  • To address the gap in current clinical recommendations for HIVAN screening.

Main Methods:

  • Proposed semiannual screening for proteinuria.

Related Experiment Videos

  • Targeted screening in HIV-positive African Americans and individuals with a family history of renal disease.
  • Development of a diagnostic and evaluation algorithm for suspected HIVAN.

    • Main Results:

    • The study identifies specific populations at higher risk for HIVAN.
    • A practical screening and evaluation protocol is outlined.
    • The proposed method aims to facilitate earlier diagnosis of HIVAN.

    Conclusions:

    • Semiannual proteinuria screening is recommended for at-risk HIV-positive patients.
    • An evaluation algorithm can guide the diagnostic process for HIVAN.
    • Implementing this screening strategy may improve outcomes for HIVAN patients.