AIDS-related complex

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AIDS-related complex
Kaposi's Sarcoma.jpg
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Lymphadenopathy, fever, weight loss, diarrhea, fatigue
Complications Progression to AIDS
Onset Variable, often after initial HIV infection
Duration Chronic
Types N/A
Causes Human immunodeficiency virus (HIV)
Risks HIV infection, immunosuppression
Diagnosis Clinical evaluation, HIV test, CD4 count
Differential diagnosis AIDS, HIV infection, other immunodeficiency disorders
Prevention Antiretroviral therapy, safe sex, needle exchange programs
Treatment Antiretroviral therapy, management of symptoms
Medication N/A
Prognosis Variable, depends on treatment and progression
Frequency Decreasing with widespread use of antiretroviral therapy
Deaths N/A


AIDS-related complex (ARC) is a term that was historically used to describe a set of symptoms and conditions that occur in individuals infected with the human immunodeficiency virus (HIV) but who do not meet the criteria for a diagnosis of acquired immunodeficiency syndrome (AIDS). ARC is characterized by a variety of symptoms that indicate a weakened immune system, but are not severe enough to be classified as AIDS.

Symptoms

Individuals with AIDS-related complex may experience a range of symptoms, including:

Pathophysiology

The pathophysiology of AIDS-related complex involves the progressive weakening of the immune system due to the destruction of CD4+ T cells by HIV. This weakening of the immune system makes individuals more susceptible to opportunistic infections and certain types of cancers, such as Kaposi's sarcoma.

Diagnosis

The diagnosis of AIDS-related complex is based on clinical symptoms and laboratory tests that indicate immune system dysfunction. It is important to differentiate ARC from full-blown AIDS, which is diagnosed when an individual has a CD4+ T cell count below 200 cells/mm_ or when they develop specific opportunistic infections or cancers.

Treatment

Treatment for AIDS-related complex focuses on managing symptoms and preventing the progression to AIDS. This includes:

  • Antiretroviral therapy (ART) to suppress HIV replication
  • Prophylactic treatment to prevent opportunistic infections
  • Symptomatic treatment for conditions such as oral thrush and diarrhea

Prognosis

With the advent of effective antiretroviral therapy, the prognosis for individuals with AIDS-related complex has improved significantly. Early initiation of ART can prevent the progression to AIDS and improve overall quality of life.

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Contributors: Prab R. Tumpati, MD