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Human
Immunodeficiency Virus-1 Associated Nephropathy (HIVAN): Epidemiology,
Pathogenesis, Histology, Diagnosis, and Medical Management - Download article and take CE posttest
Michelle L. Lochner
Andrea Wolf
Human
immunodeficiency virus-associated nephropathy (HIVAN) is a very
distinct, unique, clinico-pathological syndrome, and a structural type
of renal failure that is the most common cause of chronic renal failure
in patients who are HIV-seropositive. Early referral and a
long-term, primary care approach can improve patient outcomes.
Careful adjustments of prescription doses with regularly scheduled, and
at times frequent, laboratory testing will yield optimal health,
improve the quality of life, and most importantly, will decrease the
incidence of morbidity and mortality in those individuals afflicted
with both HIV and HIVAN.
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| Michelle L. Lochner, MSN, RN, FNP, CNN, is
Staff Nurse, Inpatient Dialysis Unit/Division of Nephrology and
Hypertension, Mayo Clinic/Mayo Medical Center, Rochester, MN. She is
also a Family Nurse Practitioner Intern at the Grand Meadow Family
Practice Clinic at the Mayo Health System. She is a member of the
Southeast Minnesota Chapter of ANNA.
Andrea Wolf, BSN, RN, is
Staff Nurse, Medical/Surgical/Transplant Intensive Care Unit, Rochester
Methodist Hospital at the Mayo Medical Center, Rochester, MN.
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