Table 1. Spectrum of renal lesions in HIV infection.
Kidney disorder | Associations/subtypes |
---|---|
Tubulo-interstitial disease | |
Acute kidney injury | Sepsis, toxins, drugs |
Proximal tubular injury | Tenofovir, adefovir, codofovir, didanosine |
Chronic tubular injury | Amphotericin, tenofovir, adefovir, cidofovir |
Crystal nephropathy | Indinavir, atazanavir, sulphadiazine, ciprofloxacin, acyclovir (IV) |
Interstitial nephritis | Infections (including HIV, BK virus), following ART, drugs |
Glomerular lesion | |
HIV-FSGS (focal segmental glomerulosclerosis) or “classic” HIVAN (HIV-associated nephropathy: FSGS with collapsing glomerulopathy, microcystic tubular dilatation, interstitial inflammation) | APOL1 risk variants |
HIV-ICD (HIV-immune complex disease) (this group may have co-infection with Hepatitis B or C) | Mesangial proliferative Membranoproliferative (types I and III) Lupus-like Exudative-proliferative Crescentic IgA Membranous |
Various glomerulonephropathies (this is a heterogeneous group with different etiologies) | Minimal change disease Membranous nephropathy Immunotactoid nephropathy Amyloidosis |
HIV-TTP/HUS | TTP: Thrombotic thrombocytopenic purpura HUS: Hemolytic uremic syndrome |