CLINICAL STADIUM OF AIDS

Adult

Divided into four stadiums:

Stadium 1 :

1. Asymptomatic
2. GL
3. Performance scale 1 : asymptomatic, normal activity

Stadium 2:

1. Weight loss of less than 10%
2. Minor mucocutaneus manifestation (e.g oral ulceration, nail fungal infection)
3. Herpes zoster in the last 5 years
4. Reccurent upper respiratory infection (e.g bacterial sinusitis) and/or
5. Performance scale 2 : symptomatic, normal activity

Stadium 3:

1. Weight loss of more than 10%
2. Chronic diarrhea of unknown origin for more than 1 month
3. Fever of unknown cause for more than one month
4. Oral candidiasis (oral thrush)
5. Oral hairy leucoplakia
6. Lung TB
7. Severe bacterial infection (pneumonia, pyomisitis) and/or Performance scale of 3: not getting up of bed<50% in a day for a month

Stadium 4:

1. HIV wasting syndrome (weight loss>10%, with diarrhea of unknown origin for more than one month or chronic frailty and fever of unknown origin for more than one month)
2. Pneumocytosis carinii pneumonia
3. Brain toxoplasmosis
4. Cryptosporidiosis with diarrhea of more than a month
5. Extrapulmonary cryptococcosis
6. Cytomegalovirus disease in organs other than liver, spleen, and lymph. Nodes
7. Mucocutaneus herpes virus infection , for more than one month or in any visceral organs at any duration
8. Progressive multifocal leukoencephalopathy (PML)
9. Other disseminated endemic fungal infections (e.g hystoplasmosis)
10. Esophageal, tracheal, bronchial or lung candidiasis
11. Disseminated atypical mycobacteriosis
12. Non-thyphoid Salmonella septicemia
13. Extrapulonary TB
14. Lymphoma
15. Kaposi Sarcoma

HIV encephalopathy (clinical mental and motor dysfunctions that affect daily activities and progress through weeks and months, without any causing disease or condition other than HIV infection)

And/or performance scale of 4: not getting up of bed>50% in a day for the last one month.

Children

Clinically, children with HIV are divided into three stadium:

Stadium 1:

1. Asymptomatic
2. PGL

Stadium 2:

1. Chronic diarrhea of  unknown origin
2. Severe or  reccurent persistent candidiasis after neonatal period
3. Weight loss or growth failure
4. Persistent fever
5. Recurrent severe bacterial infecction

Stadium 3:

1. Opportunistic infection due to AIDS
2. Severe growth failure
3. Progressive encephalopathy
4. Malignancy
5. Septicemia or recurrent meningitis.