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Chronic symptomatic HIV infection

Alternative names:

middle stage HIV disease, AIDS-related complex (ARC), chronic symptomatic HIV infection

Treatment:

Many of the symptoms of early symptomatic HIV infection can be successfully treated with medications. More importantly, the treatment of the HIV infection will prevent the onset of many of these conditions. Antiviral therapy suppresses the replication of the HIV infection in the body. A combination of several antiretroviral agents, termed Highly Active Anti-Retroviral Therapy (HAART) has been highly effective in reducing the number of HIV particles in the blood stream, and as a result, increasing the CD4 count. However, although people on HAART have suppressed levels of HIV, they can still transmit the virus to others through sex or needle sharing. HAART is not a cure for HIV, but the treatment shows promise.

Support groups:

The stress of illness can often be helped by joining a support group where members share common experiences and problems. See AIDS - support group.

Expectations (prognosis):

There is no cure for HIV infection or AIDS. However, the advent of anti-retroviral therapy and HAART can dramatically improve the length and quality of life for people infected with HIV, and can delay the onset of AIDS. Treatments of conditions associated with early symptomatic HIV disease are variably effective, with some infections and disease processes being more readily treatable with medications.

Frequently Asked Questions:

Q: How long does it take for HIV to cause AIDS?

A: About half the people with HIV develop AIDS within 10 years after becoming infected. This time varies greatly from person to person and can depend on many factors. Today medical treatments can slow the rate at which HIV weakens the immune system, thus preventing the onset of AIDS.

Q: How can I tell if I am infected with HIV?

A: The only way to determine for sure whether you are infected is to be tested for HIV infection. You cannot rely on symptoms to know whether or not you are infected with HIV. Many people who are infected with HIV do not have any symptoms at all for many years.

Q: How good is the current treatment for HIV infection?

A: The current treatment for HIV infection, termed HAART or highly active anti-retroviral therapy is very good. It suppresses the amount of HIV in the blood, allowing the immune system to recover. Mortality from AIDS has dropped since the introduction of HAART. This treatment, however, is not a cure. Several patients become resistant to the benefits of HAART, and require 'rescue' or 'salvage' therapy in an attempt to continue to suppress HIV in the blood. Why some patients become resistant is unclear, but it may have to do with the strain of the virus in the blood and how compliant the patient was with taking his/her medication.

Calling your health care provider:

Call for an appointment with your health care provider if symptoms of chronic symptomatic HIV infection are present.

Call for an appointment with your health care provider if you have chronic symptomatic HIV infection and you develop new symptoms.

Update Date: 04/01/00

Updated By: Luis A. Diaz, Jr. M.D., Johns Hopkins Medical Institute, VeriMed Health Network


Adam

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