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HIV-associated nephropathy (HIVAN) refers to kidney disease developing in association with infection by human immunodeficiency virus, the virus that causes AIDS. The most common, or "classical", type of HIV-associated nephropathy is a collapsing focal segmental glomerulosclerosis (FSGS), though other forms of kidney disease may also occur. [ 1 ]
The latency stage involves few or no symptoms and can last anywhere from two weeks to twenty years or more, depending on the individual. AIDS, the final stage of HIV infection, is defined by low CD4+ T cell counts (fewer than 200 per μL), various opportunistic infections, cancers, and other conditions.
Conditions where a presumptive diagnosis can be made on the basis of clinical signs or simple investigations [citation needed] Unexplained chronic diarrhoea for longer than one month; Unexplained persistent fever (intermittent or constant for longer than one month) Severe weight loss (>10% of presumed or measured body weight) Oral candidiasis
A good CD8 + T cell response has been linked to slower disease progression and a better prognosis, though it does not eliminate the virus. [3] During the acute phase, HIV-induced cell lysis and killing of infected cells by cytotoxic T cells accounts for CD4 + T cell depletion, although apoptosis may also be a factor.
During the initial weeks after HIV infection, qualitative differences in the cell-mediated immune response are observed that correlate with different disease progression rates (i.e., rapid progression to WHO stage 4 and the rapid loss of CD4+ T cell levels versus normal to slow progression to WHO stage 4 and the maintenance of CD4+ T cell ...
According to the CDC definition, a patient has AIDS if they are infected with HIV and have either: [citation needed] a CD4+ T-cell count below 200 cells/μL; a CD4+ T-cell percentage of total lymphocytes of less than 14%; or one of the defining illnesses.
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