Many syndromes are complications of other acute illnesses in the AIDS patient, such as severe diarrhea, wasting syndrome, malignancy, shock, sepsis, or drug toxicity. HAN is slower, with more normal kidneys on ultrasound, and is more common in black patients.
Patient complains of easy fatigue, swelling of limbs and face, or generalized swelling.
Renal biopsy may show the most common pathologic lesion, which is focal segmental glomerular sclerosis. Blood cholesterol in these patients will be very low. If renal tuberculosis or untreated syphilis are discovered, begin appropriate treatment for the underlying condition immediately. More data is needed to determine how best to prolong lives of these patients. If the clinician has not discussed plans for disability and death with the patient, this diagnosis should prompt them to initiate this discussion.