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Defining AIDS
Biology of HIV/AIDS BI 308 Exam 2
13
Biology
Undergraduate 3
01/16/2012

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Term
Why Define AIDS?
Definition
1. it is volatile, a social issue, there is stigma associated with it, job loss, health care loss
2. record keeping and public health ie. CDC in 1981 (physician reports)
3. understanding disease and prevention
Term
1st AIDS Definition
Definition
1983
-a diagnosable disease indicative of cellular immunodeficiency
-cause unknown except for presence of HTLV-III/LAV
Term
2nd AIDS Definition
Definition
1987
-positive HIV test
-at least one of 23 diseases associated with AIDS
Term
3rd AIDS Definition
Definition
1993
-positive HIV test
-T-cell count of less than 200 per microliter
-at least one of 26 diseases associated with AIDS
Term
4th AIDS/HIV Definition
Definition
2000
-positive HIV antibody test
-T-cell count of less than 200 per microliter
-difference for children and adults
-definitive stages from HIV infection to AIDS
Term
Clinical View Stage 1
Definition
-initial infection (Acute Primary Infection)
-HIV rapidly multiplying in naive CD4 cells and macrophages
-after about 2 weeks flu-like symptoms occur from immune system fighting off infection
-within 2 months, body develops antibodies against HIV
Term
Clinical View Stage 2
Definition
-asymptomatic incubation period (2-15 years)
-"clinical latency" - some HIV are lysogenic proviruses but some are still multiplying
-about 5% of patients are non-progressors are never leave stage 2
Term
Clinical View Stage 3
Definition
transitional phase between 2 and 5
ARC (AIDS Related Complex) symptoms:
-lymphadenopathy (swollen lymph nodes) in neck, armpit, and groin
-weight loss (up to 10%)
-constant low-grade fever (100)
-diarrhea
-overwhelming fatigue
-night sweats
-Thrush (candida, mouth cottage cheese)
Term
Clinical View Stage 4
Definition
-overt symptoms of AIDS
-loss of immune function
Term
Bio View Stage 1
Definition
-initial infection, # of HIV increases rapidly
-immune system response: CD4 cells are sent to eliminate HIV. effective, but viral load does not go completely to zero
B-cells respond and produce anti-HIV antibodies (help control infection)
Term
Bio View Stage 2
Definition
-immune system initially controls HIV and keeps viral load low (cellular warfare on a massive scale)
-B-cells pump out antibodies
-CD4 cells respond
-100 billion new HIV every day
-lose 20 million CD4 cells every day = gradual decline
Term
Bio View Stage 3
Definition
-beginning to lose war with HIV
-T-cell count <400/microliter
-viral load start to gradually increase
-ARC begins
Term
Bio View Stage 4
Definition
-CD4 count <200/microliter
-war is lost :(
-viral load is uncontrollable
-not making any more antibodies (amount levels off)
-begin disease of HIV and opportunistic infections
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