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Volume 353:1072-1074 September 8, 2005 Number 10
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Viral Load and HIV-Associated Nephropathy

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To the Editor: Most often, nephropathy associated with human immunodeficiency virus type 1 (HIV-1) occurs after years of HIV-1 infection, although occasional cases of early onset have been described.1 Among patients with early-onset HIV-associated nephropathy, most if not all had associated AIDS.2 We describe a patient with HIV-1 infection and typical features of HIV-associated nephropathy yet no history of AIDS and an undetectable viral load in both blood and kidney tissue.

A 35-year-old African woman with known HIV-1 infection without coinfection with hepatitis B or C virus was hospitalized because of a five-day history of fatigue and weight loss. She . . . [Full Text of this Article]



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