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730 バイト追加 、 2023年9月14日 (木) 15:04
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==疫学==
**Additional daily NVP from 6w to 10-12w
==WHO Clinical staging=={{quote|content=[https://apps.who.int/iris/handle/10665/43699 WHO case definitions of HIV for surveillance and revised clinical staging and immunological classification of HIV-related disease in adults and children (2007)]}} 
{|class="wikitable"
|-
!style="width:54%"|Stage!style="width:1924%"|Skin1<br>&asymp; CD4 500-!style="width:1924%"|Oral 2<br>& GI tractasymp; CD4 350-500!style="width:1924%"|Respiratory3<br>&asymp; CD4 200-350!style="width:1924%"|Systemic4<br>&asymp; CD4 -200!|- style="widthvertical-align:19%top"|Malignancy|-!1Skin
|
|
|
*Asymptomatic
*Acute HIV infection
*Persistent lymphadenopathy
|
|-
!2
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*Herpes zoster
*Fungal nail infections
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*Angular cheilitis
*Recurrent oral ulcer
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*Recurrent URIs
|
*Unexplained weight loss Herpes simplex infection (oral, genital) > 1 month*[[Talaromycosis|Talaromycosis]] (Asia only)|- style="vertical-align:top"!Oral<10%br>GI tract
|
|-
!3
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*Angular cheilitis
*Oral ulcer, recurrent
|
*Unexplained diarrhea > 1month*Persistent oral Candidiasis'''Oral''' candidiasis
*Oral hairy leukoplakia (EBV-associated)
*Acute necrotizing ulcerative stomatitis/gingivitis/periodontitis
*Diarrhea > 1 month, unexplained
|
*'''Esophageal''' candidiasis
*Cryptosporidiasis, chronic
*Isosporiasis, chronic
|- style="vertical-align:top"
!Respiratory
|
|
*URIs, recurrent
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*TB, pluribacillary
*Bacterial LRIs
*Pulmonary TB, '''pluribacillary'''
|
*Unexplained weight loss >10%Severe bacterial LRIs, recurrent*Unexplained fever > 1 monthPulmonary TB, '''paucibacillary'''*Sever bacterial infections Pneumocystis pneumonia (LRI, bone/joint infections, meningitisPcP)*Unexplained anemia < 8g/dL of Hb*Unexplained thrombocytopenia < 50<math>\multi</math>10<math>^9</math>/L||-style="vertical-align:top"!4Neurological
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*Chronic herpes simplex infection (oral, genital > 1month)
|
*Esophageal Candidiasis
*TB, paucibacillary
*Chronic Cryptosporidiasis
*Chronic Isosporiasis
*[[Talaromycosis|talaromycosis]] (Asia only)
*[[Coccidioidomycosis|coccidioidomycosis]] (America only)
*[[Histoplasmosis|histoplasmosis]]
|
*Pneumocystis pneumonia (PcP)
*Recurrent severe bacterial LRIs
|
*HIV wasting syndrome
*TB, extrapulmonary
*Cytomegalovirus infection
*CNS toxoplamosis (Toxoplasmoma)
*HIV encephalopathy
*CNS cryptococcal infection (Cryptococcoma)
*Progressive multifocal leukoencephalopathy
|- style="vertical-align:top"!Systemic|*Asymptomatic*Acute HIV infection*Lymphadenopathy, persistent|*Weight loss '''<10%''', unexplained|*Weight loss '''>10%''', unexplained*Fever > 1 month, unexplained*Sever bacterial infections (LRI, bone/joint infections, meningitis)*Anemia < 8g/dL of Hb, unexplained*Thrombocytopenia < 50<math>\times</math>10<math>^9</math>/L, unexplained|*HIV wasting syndrome*Extrapulmonary TB*Cytomegalovirus infection*Recurrent nonNon-typhoidal salmonellosis (NTS), recurrent*[[Coccidioidomycosis|Coccidioidomycosis]] (America only)*[[Histoplasmosis|Histoplasmosis]]
*Atypical disseminated leishmaniasis
*HIV-associated nephrophathy
*HIV-associated cardiomyopathy
|- style="vertical-align:top"
!Malignancy
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|
|
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*Kaposi's sarcoma
*治療効果判定にはviral load
*CD4 countは初診時には有用だがフォローアップには無用;viral loadが大事
 
==Additional materials of HIV==
{{quote
|content=[https://www.nature.com/collections/mghkkdjlgx Nature Materials in HIV research]
 
https://www.nature.com/collections/mghkkdjlgx
}}

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