Viral infections and the kidney: HIV, hepatitis B, and hepatitis C
Gerald Appel, MD
Director of Clinical Nephrology, Division of Nephrology, Department of Medicine, New York-Presbyterian Hospital, and Professor of Clinical Medicine, Columbia University College of Physicians and Surgeons, New York
Address: Gerald B. Appel, MD, Presbyterian Hospital, 622 West 168th Street, Room 4124, New York, NY 10032
Medical Grand Rounds articles are based on edited transcripts from Division of Medicine Grand Rounds presentations at Cleveland Clinic. They are approved by the author but are not peer-reviewed.
ABSTRACTInfection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) can cause rapidly progressive renal disease, so prompt recognition and management are critical. Viral glomerulonephropathy can now often be successfully managed with a specific combination of antiviral therapy, immunosuppressants, plasmapheresis, angiotensin-converting enzyme (ACE) inhibitors, and angiotensin 2 receptor blockers.