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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:
5
4
%"|Stage!style="width:
19
24
%"|
Skin
1<br>≈ CD4 500-
!style="width:
19
24
%"|
Oral
2<br>
&
GI tract
asymp; CD4 350-500
!style="width:
19
24
%"|
Respiratory
3<br>≈ CD4 200-350
!style="width:
19
24
%"|
Systemic
4<br>≈ CD4 -200
!
|-
style="
width
vertical-align
:
19%
top
"
|Malignancy
|-
!
1
Skin
|
|
|
*Asymptomatic
*Acute HIV infection
*Persistent lymphadenopathy
|
|-
!2
|
*Herpes zoster
*Fungal nail infections
|
*Angular cheilitis
*Recurrent oral ulcer
|
*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
|
*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
|
*TB, pluribacillary
*Bacterial LRIs
*Pulmonary TB, '''pluribacillary'''
|
*
Unexplained weight loss >10%
Severe bacterial LRIs, recurrent
*
Unexplained fever > 1 month
Pulmonary TB, '''paucibacillary'''
*
Sever bacterial infections
Pneumocystis pneumonia
(
LRI, bone/joint infections, meningitis
PcP
)
*Unexplained anemia < 8g/dL of Hb
*Unexplained thrombocytopenia < 50<math>\multi</math>10<math>^9</math>/L
|
|-
style="vertical-align:top"
!
4
Neurological
|
*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 non
Non
-typhoidal salmonellosis (NTS)
, recurrent
*[[Coccidioidomycosis|Coccidioidomycosis]] (America only)
*[[Histoplasmosis|Histoplasmosis]]
*Atypical disseminated leishmaniasis
*HIV-associated nephrophathy
*HIV-associated cardiomyopathy
|- style="vertical-align:top"
!Malignancy
|
|
|
|
*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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