Wasting was an early identifying characteristic of human immunodeficiencyvirus (HIV) infection, originally termed "slim disease" in Africa.1As defined by the Centers for Disease Control and Prevention(CDC), wasting in patients with the acquired immunodeficiencysyndrome (AIDS) is the involuntary loss of more than 10 percentof base-line body weight in combination with diarrhea, weakness,or fever.2 Wasting is considered an AIDS-defining condition.However, there is considerable controversy about the appropriatedefinition of AIDS wasting (whether it should be defined asthe loss of 5 or 10 percent of usual weight) and whether changesin body composition, rather than . . . [Full Text of this Article]
Body Composition and Functional Capacity
Effects of Highly Active Antiretroviral Therapy on Wasting
Nutritional Supplements and Appetite-Stimulating Drugs
Megestrol Acetate
Dronabinol
Testosterone and Testosterone Analogues
Growth Hormone
Exercise
Cytokine Modulation
Treatment Recommendations
Conclusions
Source Information
From the Neuroendocrine Unit, Massachusetts General Hospital, and Harvard Medical School both in Boston.
Address reprint requests to Dr. Grinspoon at the Neuroendocrine Unit, Bulfinch 457B, Massachusetts General Hospital, Boston, MA 02114.
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