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HIV-associated nephropathy, which is more common in blacks than in whites, is often seen in the setting of advanced HIV disease and lack of virologic suppression. In this retrospective study, conducted at eight HIV clinics in the U.K., investigators determined the prevalence and incidence of HIV-associated nephropathy — and then evaluated the association between virologic suppression and renal outcomes.
Of the 16,834 patients who were seen between January 1998 and December 2004, 61 had HIV-associated nephropathy; all were black (79% African; 21% British or Caribbean). In 10 patients, HIV-associated nephropathy developed during the study period; the rest of the patients had established nephropathy at the time of HIV diagnosis. The prevalence …