Abstract

ESTREMADOYRO S, Luis et al. Urinary abnormalities in adult patients infected with HIV. Rev Med Hered [online]. 1996, vol.7, n.3, pp.108-112. ISSN 1018-130X.

SUMMARY Objective: To determine the frequency of urinary abnormalities associated with human immunodeficiency virus (HIV) and their risk factors. Material and methods: We designed a descriptive, analytic and transversal study. We included 61 HIV outpatients (Western Blot positive) of the Instituto de Medicina Tropical Alexander von Humboldt and we determined osmolality, pH, dipstick test and microscopic examination of urine sediment in fist morning urine collected with the midstream technique. Twenty four hours proteinuria was determined in patients with positive dipstick. Results: Age was 32.4 ± 8.1 years, 58% were homosexuals. The sample was composed by non-addicts to intrevenoues drugs and only one patient was black, 84% of patients were AIDS. We found 27.9% patients with at least one urinary abnormality. Inability to urine concentration was found in 16%, renal tubular acidosis in urinary acidosis in 13.3%, leucocituria in 3.3%, glomerular hematuria in 3.3%, glomerular hematuria in 3.3% and non-glomerular hematuria in 4.9%. Protenuira and glucosuria were negative in all patients. No significative relation among clinical variables and urinary anormalities was demonstrated. Conclusions: Tubulo interstitial damage-associated urinary abnormalities were demonstrated in 29.7%. Absence of proteinuria probably is due up to absence of intravenous drugs addicts and blacks. (Rev Med Hered 1996; 7: 108-112).

Keywords : HIV; AIDS; urinary abnormalities,urine; proteinuria; hematuria; renal tubular acidosis.

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