RT Book, Section A1 Dirkx, Tonja C. A1 Woodell, Tyler B. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1184183401 T1 HIV-Associated Nephropathy T2 Current Medical Diagnosis & Treatment 2022 YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269389 LK accessmedicine.mhmedical.com/content.aspx?aid=1184183401 RD 2024/04/25 AB HIV-associated nephropathy usually presents with nephrotic syndrome and declining GFR in patients with active HIV infection. Most who present with HIV-associated nephropathy are of African descent with APOL1 risk alleles (see section on Focal Segmental Glomerulosclerosis). HIV-associated nephropathy is usually associated with low CD4 counts and AIDS, but it can also be the initial presentation of HIV disease. Persons living with HIV are at risk for other kidney diseases, such as toxicity from antiretroviral medications (eg, tenofovir disoproxil fumarate), vascular disease, and diabetes, or an immune complex–mediated glomerular disease (HIV-immune complex disease).