差分

ナビゲーションに移動 検索に移動
718 バイト追加 、 2023年9月14日 (木) 15:04
編集の要約なし
{{TM menuFloating_Menu}}
==疫学==
==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|-!1||Skin
|
*Asymptomatic
*Acute HIV infection
*Lymphadenopathy, persistent
|
|-
!2
|
*Herpes zoster
*Seborrheic dermatitis
*Fungal nail infections
|
|
*Herpes simplex infection (oral, genital) > 1 month
*[[Talaromycosis|Talaromycosis]] (Asia only)
|- style="vertical-align:top"
!Oral<br>GI tract
|
|
*Angular cheilitis
*Oral ulcer, recurrent
|
*'''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
|
*Weight loss <10%Bacterial LRIs*Pulmonary TB, unexplained'''pluribacillary'''|*Severe bacterial LRIs, recurrent*Pulmonary TB, '''paucibacillary'''*Pneumocystis pneumonia (PcP)|- style="vertical-align:top"!Neurological||
|
|-
!3
|
*CNS toxoplamosis (Toxoplasmoma)
*HIV encephalopathy
*CNS cryptococcal infection (Cryptococcoma)
*Progressive multifocal leukoencephalopathy
|- style="vertical-align:top"
!Systemic
|
*Diarrhea > 1 month, unexplainedAsymptomatic*'''Oral Candidiasis'''Acute HIV infection*Oral hairy leukoplakia (EBV-associated)*Acute necrotizing ulcerative stomatitis/gingivitis/periodontitisLymphadenopathy, persistent
|
*TBWeight loss '''<10%''', pluribacillary*Bacterial LRIsunexplained
|
*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
|
|-
!4
|
*Herpes simplex infection (oral, genital) > 1 month
|
*'''Esophageal Candidiasis'''
*TB, paucibacillary
*Cryptosporidiasis, chronic
*Isosporiasis, chronic
*[[Talaromycosis|talaromycosis]] (Asia only)
*[[Coccidioidomycosis|coccidioidomycosis]] (America only)
*[[Histoplasmosis|histoplasmosis]]
|
*Pneumocystis pneumonia (PcP)
*Severe bacterial LRIs, recurrent
|
*HIV wasting syndrome
*Extrapulmonary TB, extrapulmonary
*Cytomegalovirus infection
*CNS toxoplamosis (Toxoplasmoma)
*HIV encephalopathy
*CNS cryptococcal infection (Cryptococcoma)
*Progressive multifocal leukoencephalopathy
*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
}}

案内メニュー