Figure 72

Renal disease associated with hepatitis C. Hepatitis C virus (HCV) infection is associated with parenchymal renal disease. Chronic HCV infection has been associated with three different types of renal disease. Type II or essential mixed cryoglobulinemia has been strongly linked with HCV infection in almost all patients with this disorder [6-11]. The clinical manifestations of this renal disease include hematuria, proteinuria that is often in the nephrotic range, and a variable degree of renal insufficiency. Essential mixed cryoglobulinemia had been considered an idiopathic disease; however, with HIV infection now is common. The incidence of renal complications in this population is expected to increase further as patients live longer.

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