Publications by authors named "Maureen S Duffield"

Article Synopsis
  • - The study aimed to evaluate the effectiveness and safety of adding corticosteroids to antiretroviral therapy (ART) for patients with HIV-associated nephropathy characterized by specific kidney conditions.
  • - Patients were divided into two groups: one receiving ART with corticosteroids and the other on ART alone, followed up for two years, with some showing significant improvement in kidney function (eGFR) in the corticosteroid group.
  • - Despite this improvement, the corticosteroid group experienced higher mortality rates, indicating that routine use of corticosteroids cannot be recommended without further research on which patients could potentially benefit.
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Human immunodeficiency virus (HIV) infection started in Africa circa 1930. South Africa has the highest prevalence rate in the world. Although reports of HIV-associated nephropathy (HIVAN) appeared in the early 1980s, the earliest report from sub-Saharan Africa (SSA) came in 1994.

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Background: Two hundred and twenty-one HIV-positive renal biopsies were analysed from Groote Schuur Hospital to determine outcomes and prognostic indicators based on histology and clinical features.

Methods: The histology findings were compared with patient demographics, clinical and renal parameters, mortality, CD4 count and date of commencing combined anti-retroviral therapy (cART). Follow-up was between 1 and 3.

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