Abstract
Background: The profile of renal pathology in HIV patients is undergoing significant changes in pattern in the HAART era, with the incidence of HIV-associated nephropathy (HIVAN) decreasing and the incidence of non-HIVAN lesions increasing. Case Reports: We describe 2 cases of HIV-infected patients diagnosed with diffuse infiltrative lymphocytosis syndrome (DILS) and coexistent multiple myeloma, an association that has heretofore been unreported. The cases involve a 23-year-old man and a 54-year-old man who presented with renal failure and proteinuria. Kidney biopsy in both revealed DILS and further evaluation revealed both to have multiple myeloma. Conclusion: DILS is a late complication of AIDS that has become extremely rare in the United States during the HAART era. However, there are patients who present without an AIDS-defining illness or cancers. The development of multiple myeloma in the setting of HIV and DILS presents a novel, heretofore unreported association that may be important to recognize in HIV/AIDS patients with kidney failure.
Original language | English (US) |
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Pages (from-to) | c131-c135 |
Journal | Nephron - Clinical Practice |
Volume | 121 |
Issue number | 3-4 |
DOIs | |
State | Published - Feb 2013 |
Keywords
- AIDS
- Diffuse infiltrative lymphocytosis syndrome
- HIV
- Lymphoproliferative disorders
- Multiple myeloma
- Plasma cell dyscrasias
- Tubulointerstitial nephritis
ASJC Scopus subject areas
- Nephrology