II. Signs

  1. Proteinuria
  2. Nephrotic Syndrome
  3. Azotemia (Rapidly progressive, irreversible)

III. Course

  1. End Stage Renal Disease develops in 4-16 weeks

IV. Differential Diagnosis: Heroin-associated nephropathy

  1. HIV nephropathy lacks:
    1. Severe Hypertension
    2. Peripheral Edema
    3. Anasarca

V. Diagnosis

  1. Renal Ultrasound
    1. Kidneys usually enlarged in HIV nephropathy
  2. Renal Biopsy confirms diagnosis

VI. Management

  1. No known treatment

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