Clinical stage 1 |
Asymptomatic |
Persistent generalized lymphadenopathy |
Clinical stage 2 |
Unexplained persistent hepatosplenomegaly |
Papular pruritic eruptions |
Fungal nail infection |
Angular cheilitis |
Lineal gingival erythema |
Extensive wart virus infection |
Extensive molluscum contagiosum |
Recurrent oral ulcerations |
Unexplained persistent parotid enlargement |
Herpes zoster |
Recurrent or chronic upper respiratory tract infections (otitis media, otorrhea, sinusitis or tonsillitis) |
Clinical stage 3 |
Unexplained* moderate malnutrition or wasting not adequately responding to standard therapy |
Unexplained persistent diarrhea (14 days or more) |
Unexplained persistent fever (above 37.5°C intermittent or constant for longer than 1 month) |
Persistent oral candidiasis (after first 6 to 8 weeks of life) |
Oral hairy leukoplakia |
Acute necrotizing ulcerative gingivitis or periodontitis |
Lymph node tuberculosis |
Pulmonary tuberculosis |
Severe recurrent bacterial pneumonia |
Symptomatic lymphoid interstitial pneumonitis |
Chronic HIV-associated lung disease including bronchiectasis |
Unexplained anemia (hemoglobin <8 g/dL), neutropenia (ANC <500 cells/microL [<0.5 × 109/L]) and or chronic thrombocytopenia (platelet count <50,000 cells/micoL [<50 × 109 per litre]) |
Clinical stage 4¶ |
Unexplained severe wasting, stunting, or severe malnutrition not responding to standard therapy |
Pneumocystis pneumonia |
Recurrent severe bacterial infections (such as empyema, pyomyositis, bone or joint infection, or meningitis, but excluding pneumonia) |
Chronic herpes simplex infection (orolabial or cutaneous of more than 1 month's duration or visceral at any site) |
Esophageal candidiasis (or candidiasis of trachea, bronchi, or lungs) |
Extrapulmonary tuberculosis |
Kaposi sarcoma |
Cytomegalovirus infection – Retinitis or cytomegalovirus infection affecting another organ, with onset at age older than 1 month |
Central nervous system toxoplasmosis (after 1 month of life) |
Extrapulmonary cryptococcosis (including meningitis) |
HIV encephalopathy |
Disseminated endemic mycosis (coccidiomycosis or histoplasmosis) |
Disseminated nontuberculous mycobacterial infection |
Chronic cryptosporidiosis (with diarrhea) |
Chronic isosporiasis |
Cerebral or B cell non-Hodgkin lymphoma |
Progressive multifocal leukoencephalopathy |
Symptomatic HIV-associated nephropathy or HIV-associated cardiomyopathy |
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