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Correspondence
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Volume 336:138-140 January 9, 1997 Number 2
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Indinavir Nephropathy

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 by Danner, S. A.
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To the Editor: The human immunodeficiency virus (HIV) encodes a protease needed for the production of infectious virions. Current therapeutic strategies employ new types of inhibitors of this protease.1 Their side effects are relatively minor, and the drugs have not been considered directly nephrotoxic. Indinavir differs from the other protease inhibitors in that a serious adverse effect, the occurrence of kidney stones, has been noted.2 We describe a patient in whom direct nephrotoxic effects of indinavir appeared to develop.

The patient was a 30-year-old white woman known to be HIV-positive for six years, who was infected heterosexually. Her CD4 count . . . [Full Text of this Article]

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