Abstract
HIV/AIDS may involve all of the systems and organs, including the urinary system. In HIV infected patients, about 30 % kidney dysfunctions. HIV infection can involve glomerulus, renal tubule, renal interstitium and blood vessels. HIV/AIDS related nephropathy (HIVAN) is the most common in the terminal stage of AIDS, which is the common reason for the end-stage renal failure (ESRF) and is related with the progression of AIDS and the occurrence of death. IgA nephropathy, heroin associated nephropathy and hypertensive nephropathy can also be found in AIDS patients. Opportunistic infections also involve kidneys. CMV infection is one of the most common opportunistic infections of kidney, accounting for about 12.8 %. It is believed to accelerate the development of HIVAN. Renal infection induced by fungal infections is likely to develop into intrarenal or perinephral abscesses, with possible concurrent involvements of the spleen and the liver. Usually, tuberculosis infection occurs prior to other opportunistic infections. Renal tuberculosis is a part of systemic TB. In cases of ARL, 6–12 % has the invaded kidney. KS is a commonly found renal neoplasm in AIDS patients. In the cases of HIV/AIDS related infections or cancer, 20–40 % has occurrence of acute kidney failure.
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Caceres W, Cruz-Amy M, Diaz-Melendez V. AIDS-related malignancies: revisited [J]. P R Heath Sci J. 2010;29(1):70–5.
D’Agati V, Appel GB. Renal pathology of human immunodeficiency virus infection. Semin Nephrol. 1998;18(4):406–21.
Dikov DI, RoLand J, Chatelet FP. An autopsy study of the prostate in acquired immunodeficiency syndrome. Arch Pathol Lab Med. 1998;122(10):875–9.
Heyns CF, Fisher M. The urological management of the patient with acquired immunodeficiency syndrome [J]. BJU Int. 2005;95(5):709–16.
Klatt EC, Nichols L, Noguchi TT. Evolving trends revealed by autopsies of patients with the acquired immunodeficiency syndrome. Arch Pathol Lab Med. 1994;118(9):884–90.
Kuhlman JE, Browne D, Shermak M, et al. Retroperitoneal and pelvic CT of patients with AIDS: primary and secondary involvement of the genitourinary tract [J]. Radiographics. 1991;11(3):473–83.
Li Hong-jun. Clinical and imaging diagnosis of AIDS [M]. Beijing: China Medical Science Press; 2007.
Liu De-chun. Clinical pathology of AIDS [M]. Hefei: Anhui Science & Technology Publishing House; 2002.
Palefsky JM, Holly EA. Chapter 6: Immunosuppression and co-infection with HIV [J]. J Natl Cancer Inst Monogr. 2003;31:41–6.
Schoenfeld P, Humphreys MH. Renal aspects of HIV disease. In: Cohen PT, Sande MA, Volberd-ing PA, editors. The AIDS knowledge base. 2nd ed. Boston: Little Brown Company; 1997. 5.17-1-5. 17–14.
Schwartz EJ, Klotrnan PE. Pathogenesis of human immunodeficiency virus (HIV)-associated nephropathy. Semin Nephrol. 1998;18(4):436–45.
Soriano-Rosas J, Avila-Casado MC, Carrera-Gonzalez E, et al. AIDS-associated nephropathy: 5 year retrospective morphologic analysis of 87 cases. Pathol Res Pract. 1998;194(8):567–70.
Symeonidou C, Standish R, Sahdev A, et al. Imaging and histopathologic features of HIV-related renal disease [J]. Radiographics. 2008;28(5):1339–54.
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© 2014 Springer Science+Business Media Dordrecht and People’s Medical Publishing House
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Li, H. (2014). HIV/AIDS Related Urogenital Disease. In: Li, H. (eds) Radiology of HIV/AIDS. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7823-8_22
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DOI: https://doi.org/10.1007/978-94-007-7823-8_22
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