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Том 12 №3 2010 год - Нефрология и диализ

Нефротоксические эффекты высокоактивной антиретровирусной терапии (Обзор литературы)


Ющук Н.Д. Волгина Г.В. Томилина Н.А. Гаджикулиева М.М. Кочарян К.А.

Аннотация: Высокоактивная антиретровирусная терапия (ВААРТ) значительно снизила летальность и риск прогрессии спид. Наряду с этими положительными эффеками, увеличился и риск повреждения почек. Различают следующие наиболее распространенные варианты последнего: острое повреждение почек, тубулоинтерстициальный нефрит, кристаллурия, нефролитиаз, синдром Фанкони и хроническая почечная недостаточность. Кроме того, ожидается, что улучшение выживаемости пациентов с ВИЧ, приведет к увеличению частоты развития хронических, связанных с ВААРТ метаболических осложнений, таких как диабет и дислипидемия, которые, в свою очередь, могут способствовать сосудистым заболеваниям почек и снижению функции почек. В обзоре описаны частота и механизмы неблагоприятных побочных почечных эффектов антиретровирусной терапии.

Для цитирования: Ющук Н.Д., Волгина Г.В., Томилина Н.А., Гаджикулиева М.М., Кочарян К.А. Нефротоксические эффекты высокоактивной антиретровирусной терапии (Обзор литературы). Нефрология и диализ. 2010. 12(3):154-163. doi:


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Ключевые слова: вирус иммунодефицита человека, антиретровирусная терапия, острое повреждение почек, тубулоинтерстициальный нефрит, кристаллурия, нефролитиаз, синдром Фанкони, хроническая почечная недостаточность, human immunodeficiency virus, antiretroviral therapy, acute kidney injury, tubulointerstitial nephritis, crystalluria, nephrolithiasis, Fanconi syndrome, chronic renal failure

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