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. Author manuscript; available in PMC: 2009 Aug 17.
Published in final edited form as: Nat Rev Microbiol. 2008 Nov;6(11 Suppl):S7–15. doi: 10.1038/nrmicro1998
Clinical Stage 1
  • Asymptomatic

  • Persistent generalized lymphadenopathy

Clinical Stage 4
  • HIV wasting syndrome

  • Pneumocystis pneumonia

  • Recurrent bacterial pneumonia

  • Chronic herpes simplex infection (orolabial, genital or anorectal) of more than one month’s duration or visceral at any site

  • Oesophageal candidiasis (or candidiasis of trachea, bronchi or lungs)

  • Extrapulmonary tuberculosis

  • Kaposi’s sarcoma

  • Cytomegalovirus infection (retinitis or infection of other organs)

  • Central nervous system toxoplasmosis

  • HIV encephalopathy

  • Extrapulmonary cryptococcosis, including meningitis

  • Disseminated non-tuberculous mycobacterial infection

  • Progressive multifocal leukoencephalopathy

  • Chronic cryptosporidiosis

  • Chronic isosporiasis

  • Disseminated mycosis (coccidiomycosis or histoplasmosis)

  • Recurrent septicaemia (including non-typhoidal Salmonella)

  • Lymphoma (cerebral or B-cell non-Hodgkin)

  • Invasive cervical carcinoma

  • Atypical disseminated leishmaniasis

  • Symptomatic HIV-associated nephropathy or symptomatic HIV-associated cardiomyopathy

Clinical Stage 2
  • Unexplained§ moderate weight loss (>10% of presumed or measured body weight)||

  • Recurrent upper respiratory tract infections (sinusitis, tonsillitis, otitis media and pharyngitis)

  • Herpes zoster

  • Angular cheilitis

  • Recurrent oral ulceration

  • Papular pruritic eruptions

  • Seborrhoeic dermatitis

  • Fungal nail infections

Clinical Stage 3
  • Unexplained§ severe weight loss (>10% of presumed or measured body weight)||

  • Unexplained chronic diarrhoea for longer than one month

  • Unexplained persistent fever (above 37.5°C intermittent or constant for longer than one month)

  • Persistent oral candidiasis

  • Oral hairy leukoplakia

  • Pulmonary tuberculosis (current)

  • Severe bacterial infections (such as pneumonia, empyema, pyomyositis, bone or joint infection, meningitis or bacteraemia)

  • Acute necrotizing ulcerative stomatitis, gingivitis or periodontitis

  • Unexplained§ anaemia (<8 g per litre), neutropaenia (<0.5 × 109 per litre) and/or chronic thrombocytopaenia (<50 × 109 per litre)

*

Data from REF. 45.

Some additional specific conditions can also be included in regional classifications, such as the reactivation of American trypanosomiasis (meningoencephalitis and/or myocarditis) in the WHO Region of the Americas, and penicilliosis in Asia.

§

Unexplained is used when the condition is not explained by other conditions.

||

Assessment of body weight among pregnant woman needs to consider the expected weight gain of pregnancy.