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Box 34.1

Spectrum of HIV Infection

Group 1Acute infection or primary HIV infection (a mononucleosis-like syndrome associated with sero-conversion)
Group 2Asymptomatic infection
Group 3Symptomatic disease
Group 4Advanced disease: CD4 count <200×106/L)
Constitutional disease (e.g. fever, weight loss, diarrhoea)*
Neurological disease (HIV encephalopathy, opportunistic infection,
central nervous system lymphoma)
Secondary infectious diseases:
Secondary neoplasms:
  • Kaposi's sarcoma (cutaneous and visceral)
  • Lymphoma (brain, bone marrow, gut)
Other conditions (thrombocytopenia, non-specific interstitial pneumonitis)*
AIDS is diagnosed in an HIV-positive patient with group 4 disease, except those marked*