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- Wasting: Unintentional weight loss >10%; may also be defined by unintentional weight loss >5% over 3 months or a BMI < 18.5.
- Wasting syndrome: Unintentional weight loss >10% plus diarrhea or chronic weakness and documented fever for ≥30 days.
- Wasting syndrome is an AIDS-defining condition (category C); wasting is evidence of symptomatic HIV infection (category B).
- Seen during critical illness and hospitalization, may prolong convalescence.
- Likely multifactorial related to a proinflammatory state (with potential associated anorexia), hypogonadism, and malabsorption.
- Must be differentiated from lipoatrophy, which is isolated fat loss (see Lipodystrophy). Wasting/weight loss is consequence of AIDS disease progression and OIs, while lipoatrophy often seen in pts on some less-used ART regimens.
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Last updated: August 12, 2019
Hoffmann, Christopher J. "Wasting." Johns Hopkins HIV Guide, 2019. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_HIV_Guide/545221/0/Wasting.
Hoffmann CJ. Wasting. Johns Hopkins HIV Guide. 2019. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_HIV_Guide/545221/0/Wasting. Accessed September 20, 2019.
Hoffmann, C. J. (2019). Wasting. In Johns Hopkins HIV Guide. Available from https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_HIV_Guide/545221/0/Wasting
Hoffmann CJ. Wasting [Internet]. In: Johns Hopkins HIV Guide. ; 2019. [cited 2019 September 20]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_HIV_Guide/545221/0/Wasting.
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