Stages of HIV Infection Asymptomatic InfectionThere are usually no clinical signs and symptoms during this stage. The CD4 count is >500 cells/mm3. A number of laboratory values may be abnormal (e.g.
anemia, neutropenia, thrombocytopenia, and abnormal liver function tests). CD4 cells generally decline at a rate of 40-80 cells/mm3 per year in untreated individuals. Although the stage is labeled
"asymptomatic", HIV viral replication is continuing constantly and the immune system is slowly weakening. HIV can be transmitted at all stages. The illustration below symbolically depicts the
number of infected cells in the clinically silent asymptomatic phase of HIV disease. Ten billion viruses are produced each day. The immune system eventually is unable to maintain its own integrity.
Antiretroviral therapy is now commonly offered at all stages of HIV infection and usually includes at least three drugs, one of which is a protease inhibitor.
Basic blood work, lymphocyte profiles and viral load are done approximately every three months. Some other baseline
investigations are done (e.g. Hepatitis A, B, and C serology, VDRL, and confirmatory test for syphilis, toxoplasma antibody determination, Mantoux test with 5 units of PPD, CMV antibody, etc).
Stages Menu:
Asymptomatic HIV Infection
Early Symptomatic HIV Infection ( CD4 count > 500 cells/mm3 )
Middle Symptomatic HIV Infection ( CD4 count 200-500 cells/mm3 )
Late Symptomatic HIV Infection ( CD4 count 50-200 cells/mm3 )
Advanced HIV Disease
Prophylaxis
Predictors of Progression
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