Autoimmune Kidney Diseases Associated with Chronic Viral Infections

Rheum Dis Clin North Am. 2018 Nov;44(4):675-698. doi: 10.1016/j.rdc.2018.06.006. Epub 2018 Sep 7.

Abstract

Autoimmune kidney diseases triggered by viruses are an important cause of kidney disease in patients affected by chronic viral infection. Hepatitis B virus (HBV) infection is associated with membranous nephropathy and polyarteritis nodosa. Hepatitis C virus (HCV) infection is a major cause of cryoglobulinemic glomerulonephritis. Patients with human immunodeficiency virus (HIV) may develop HIV-associated nephropathy, a form of collapsing focal segmental glomerulosclerosis, or various forms of immune-complex-mediated kidney diseases. This article summarizes what is known about the pathogenesis, diagnosis, and management of immune-mediated kidney diseases in adults with chronic HBV, HCV, and HIV infections.

Keywords: Direct-acting antivirals; Glomerulonephritis; Hepatitis B virus; Hepatitis C virus; Human immunodeficiency virus; Interferon; Mixed cryoglobulinemia syndrome.

Publication types

  • Review

MeSH terms

  • Autoimmunity
  • Disease Management
  • Humans
  • Kidney Diseases* / diagnosis
  • Kidney Diseases* / etiology
  • Kidney Diseases* / immunology
  • Kidney Diseases* / prevention & control
  • Virus Diseases* / classification
  • Virus Diseases* / complications
  • Virus Diseases* / immunology