Nephropathy and Establishment of a Renal Reservoir of HIV Type 1 during Primary Infection
Jonathan A. Winston, M.D., Leslie A. Bruggeman, Ph.D., Michael D. Ross, B.S., Jeffrey Jacobson, M.D., Leora Ross, M.D., Ph.D., Vivette D. D'Agati, M.D., Paul E. Klotman, M.D., and Mary E. Klotman, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Human immunodeficiency virus type 1 (HIV-1)associatednephropathy is the chief cause of chronic renal disease in patientswith HIV-1 infection and is now the third leading cause of end-stagerenal disease in blacks 20 to 64 years of age.1,2 These patientstypically have proteinuria followed by a reduction in the glomerularfiltration rate that progresses to end-stage renal disease ina few weeks or months. HIV-1associated nephropathy ischaracterized morphologically by focal segmental glomerulosclerosis,tubular microcysts, interstitial fibrosis, and inflammation.2,3,4,5
The pathogenesis of HIV-1associated nephropathy is poorlyunderstood, but increasing evidence suggests it is due to HIV-1infection of renal . . . [Full Text of this Article]
Case Report
Methods
In Situ Hybridization
Immunohistochemical Analysis
PCR for Circular Forms of Viral DNA
Results
Discussion
Source Information
From the Divisions of Nephrology (J.A.W., L.A.B., M.D.R., L.R., P.E.K.) and Infectious Diseases (J.J., M.E.K.), Mt. Sinai School of Medicine; and the Department of Pathology, Columbia Presbyterian Medical Center (V.D.D.) both in New York.
Address reprint requests to Dr. Mary E. Klotman at Box 1090, Mt. Sinai School of Medicine, 1 Gustave L. Levy Pl., New York, NY 10029, or at mary.klotman@mssm.edu.
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