Hiv positive African Americans are more likely than positive white people to develop end stage renal disease (ESRD) requiring dialysis or a transplant. The presumed cause; Positive African Americans are more likely to have chronic kidney disease (CKD) in the first place. Now John Hopkins University researchers offer another theory; CKD may turn into ESRD faster in African Americans. Medical records of 4,259 positive people (3,332 African Americans, 927 white)were analyzed. After about four and a half years, 284 had developed CKD,100 of whom had progressed to ESRD. African American people generally had more serious forms of kidney disease than white people, and their kidney function blood measures deteriorated more quickly. Silverish lining; As new meds for both HIV and kidney disease became available over the review period, rates of chronic kidney disease fell-and kidney disease progression slowed