Dr Andy Stein

A case of COVAN (COVID-19 associated nephropathy) similar to HIVAN (HIV-associated nephropathy)

In a recent paper by Gandhi, 2023, a patient with COVAN (COVID-19-associated nephropathy) was described. The term ‘COVAN’ has been used to describe collapsing focal segmental glomerulosclerosis (FSGS) in people who have been infected with SARS-CoV-2. This helps differentiate it from the majority of cases of acute kidney injury in COVID-19 patients, which are typically […]

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What is HIVAN (HIV-associated nephropathy)?

What is HIVAN (HIV-associated nephropathy)? History AIDS was first reported in 1981.The first reported cases of HIV-associated nephropathy (HIVAN) were described in 1984. Thus it was described early in the HIV epidemic in the USA, especially in urban centers serving large numbers of HIV-positive people of African descent. In the early 1990’s, HIVAN was the

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What is fibromuscular dysplasia (FMD)?

What is fibromuscular dysplasia (FMD)? Fibromuscular dysplasia (FMD) is a rare medical condition. It is a non-atherosclerotic, non-inflammatory vascular disease leading to arterial stenosis (blockage), aneurysm (abnormal bulges) and dissection (splitting) of small- to medium-sized arteries. The most frequently affected arteries are renal (75- 80%) and cervical arteries (75%); but FMD has also been reported

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What are kidney cysts?

What are kidney cysts? Kidney cysts are round pouches of fluid that form on or in the kidneys. Most often, kidney cysts are a type called simple kidney cysts. Simple kidney cysts aren’t cancer and rarely cause problems. It is not clear what causes simple kidney cysts. And its normal to have 3 or more

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AKI in patients with COVID-19, influenza, and RSV: age, comorbidities and outcomes

AKI in patients with COVID-19, influenza, and RSV: age, comorbidities and outcomes     Why this important? Acute Kidney Injury (AKI) is known to be a complication of moderate-severe COVID-19. This may be partly due to penetration of kidney cells by the virus through something called the Angiotensin Converting Enzyme 2 receptor. Nevertheless, other common

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How common is CKD?

How common is CKD? About 1 in 10 people have CKD, i.e. its very common. But (the big BUT). Fortunately in most people, it is mild and more of a risk factor than disease. However, in 1 in 100 people with CKD, kidney function gets worse over time, and develop kidney failure (stage 5 CKD).

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