Acquired immunodeficiency
syndrome (AIDS) is defined in terms of either a CD4+ T cell count
below 200 cells per µL or the occurrence of specific diseases in association
with an HIV infection.In the absence of specific treatment, around half the
people infected with HIV develop AIDS within ten years. The most common initial
conditions that alert to the presence of AIDS are pneumocystis pneumonia
(40%), cachexia in the form of HIV wasting syndrome (20%) and esophageal candidiasis.
Other common signs include recurring respiratory
tract infections.
Opportunistic infections may be caused by bacteria, viruses, fungi and parasites that are normally controlled by the immune system.[
Which infections occur partly depends on what organisms are common in the
person's environment. These infections may affect nearly every organ system.
People with AIDS have an
increased risk of developing various viral induced cancers including: Kaposi's sarcoma, Burkitt's lymphoma, primary central nervous system
lymphoma, and cervical cancer. Kaposi's sarcoma is the most common cancer occurring in
10 to 20% of people with HIV. The second most common cancer is lymphoma which
is the cause of death of nearly 16% of people with AIDS and is the initial sign
of AIDS in 3 to 4%. Both these cancers are associated with human herpesvirus 8.Cervical cancer occurs more frequently in those with
AIDS due to its association with human papillomavirus
(HPV).
Additionally, they
frequently have systemic symptoms such as prolonged fevers, sweats (particularly at night), swollen lymph nodes, chills,
weakness, and weight loss.Diarrhea
is another common symptom present in about 90% of people with AIDS.
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