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Michelle L. Lochner, MSN, RN, FNP, CNN,

Michelle L. Lochner, MSN, RN, FNP, CNN, is Staff Nurse, Inpatient Dialysis Unit/Division of Nephrology and Hypertension, Mayo Clinic/Mayo Medical Center, Rochester, MN. She is also a Family Nurse Practitioner Intern at the Grand Meadow Family Practice Clinic at the Mayo Health System. She is a member of the Southeast Minnesota Chapter of ANNA.

Andrea Wolf, BSN, RN,

Andrea Wolf, BSN, RN, is Staff Nurse, Medical/Surgical/Transplant Intensive Care Unit, Rochester Methodist Hospital at the Mayo Medical Center, Rochester, MN.

Human immunodeficiency virus-associated nephropathy (HIVAN) is a very distinct, unique, clinico-pathological syndrome, and a structural type of renal failure that is the most common cause of chronic renal failure in patients who are HIV-seropositive. Early referral and a long-term, primary care approach can improve patient outcomes. Careful adjustments of prescription doses with regularly scheduled, and at times frequent, laboratory testing will yield optimal health, improve the quality of life, and most importantly, will decrease the incidence of morbidity and mortality in those individuals afflicted with both HIV and HIVAN.