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HIV Infection and AIDS Updated 3/2011

Farah Y. Khan, MD, Adam Barta, MD
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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS

Description

HIV is a retrovirus that integrates into CD4 T lymphocytes (a critical component of cell mediated immunity), causing cell death and resulting in severe immunodeficiency, opportunistic infections (OI), and malignancies:

  • Due to treatment advances, HIV is now a chronic disease.
  • The natural history of untreated HIV infection includes viral transmission, acute retroviral syndrome, recovery and seroconversion, asymptomatic chronic HIV infection, and symptomatic HIV infection or AIDS.
  • Without antiretroviral treatment, the average patient develops AIDS ~10 years after transmission.
  • All HIV-infected persons with CD4 < 200 cells/mm3 or having AIDS defining illnesses are categorized as having AIDS.

Epidemiology

Incidence
  • At end of 2008, 33.4 million people were estimated to be living with HIV/AIDS worldwide per UNAIDS and WHO ...

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