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Comments: In practice, many patients with asymptomatic HIV infection have swollen lymph nodes, and these patients may be in category B23.1.
Most have immunologic abnormalities (decrease in CD4 count in many patients, and inversion of the CD4/CD8 ratio in almost all) or hematologic changes (lymphopenia, anemia, thrombocytopenia).
For such patients, it is advisable to use the ICD-10 code B23.2.
Classification of a disease or condition (groups of diseases or conditions) According to the current classification of HIV infection in Russia (RK, 2006) [4,5,7], the stage and phase of the disease are established only on the basis of clinical manifestations. The level of VL and CD4 is not a criterion for determining the clinical stage or phase of the disease.
Russian clinical classification of HIV infection 1. stage of incubation. Weight loss less than 10%, fungal, viral, bacterial lesions of the skin and mucous membranes, repeated pharyngitis, sinusitis, herpes zoster. Phases: progression against
Generalized viral, bacterial, mycobacterial, fungal, protozoal, parasitic diseases, including: candidiasis of the esophagus, bronchi, trachea, lungs; pneumocystis pneumonia; malignant tumors; damage to the central nervous system. Phases: progression against the background of the absence of ART, against the background of ART; remission (spontaneous, after ART, during ART). Characteristics of the stages of HIV infection Stage 1 - stage of incubation - the period from the moment of infection to the appearance of the body's reaction in the form of clinical manifestations of "acute infection" and / or the production of antibodies.
Duration usually ranges from 4 weeks to 3 months, but in isolated cases it can increase up to 1 year.
During this period, active reproduction of HIV occurs in the absence of clinical manifestations of the disease, antibodies to HIV may not be detected.