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HIV and Development

 
 
Growth
HIV infected children are often plagued by deficits in height and weight development as compared to normal children. Management of immunological and virological factors as well as adequate height and weight development are important in the overall success of an HIV-positive child. Impaired growth in children affects a child mentally as well as physically and may extend into adulthood.
 

Dietary Intake

HIV positive patients require a higher dietary intake as a result of the virus’s impact on the body. HIV/AIDS can often result in wasting syndrome, the involuntary loss of 10% of baseline body weight plus chronic diarrhea or chronic weakness. Patients require additional nutrition due to their weakened state.
 

HIV and Carnitine

Carnitine is important in regulating many pathways, not just fat metabolism. HIV positive patients face a problem of deregulation of pathways in which carnitine could be involved. Dr. Borum also proposes that the carnitinome profiles of HIV patients may be altered. Profiling our patients would be clinically helpful for several reasons. The main objective is revealing the different ratios of the carnitine moieties and what these ratios implicate.
 

New Outlook on Treatment

There have been many breakthroughs in combating HIV. The use of protease inhibitors and other anti-retroviral medications has successfully raised HIV patients' CD4 counts and percents while lowering their viral loads, improving the patient's resistance to the disease. The PACTG-076 study significantly reduced the amount of mother to child transmissions. New antiretrovirals, such as Atripla, are significantly reducing the medication load for patients.
 
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