Table 1a.

Clinical indicator diseases for adult HIV infection. Adapted from British HIV Association, British Association of Sexual Health and HIV, British Infection Society. UK national guidelines for HIV testing 2008. BHIVA, 2008.

AIDS-defining conditionsOther conditions where HIV testing should be offered
Respiratory
  • Tuberculosis

  • Pneumocystis pneumonia

  • Bacterial pneumonia

  • Aspergillosis

Neurology
  • Cerebral toxoplasmosis

  • Primary cerebral lymphoma

  • Cryptococcal meningitis

  • Progressive multifocal leukoencephalopathy

  • Aseptic meningitis/encephalitis

  • Cerebral abscess

  • Space occupying lesion of unknown cause

  • Guillain-Barre syndrome

  • Transverse myelitis

  • Peripheral neuropathy

  • Dementia

  • Leukoencephalopathy

Dermatology
  • Kaposi's sarcoma

  • Severe or recalcitrant seborrheic dermatitis

  • Severe or recalcitrant psoriasis

  • Multidermatomal or recurrent herpes zoster

Gastroenterology
  • Persistent cryptosporidiosis

  • Oral candidiasis

  • Oral hairy leukoplakia

  • Chronic diarrhoea of unknown cause

  • Weight loss of unknown cause

  • Salmonella, shigella or campylobacter

  • Hepatitis B infection

  • Hepatitis C infection

Oncology
  • Non-Hodgkin's lymphoma

  • Anal cancer or anal intraepithelial dysplasia

  • Lung cancer

  • Seminoma

  • Head and neck cancer

  • Hodgkin's lymphoma

  • Castleman's disease

Gynaecology
  • Cervical cancer

  • Vaginal intraepithelial neoplasia

  • Cervical intraepithelial neoplasia grade 2 or above

Haematology
  • Any unexplained blood dyscrasia including

    • Thrombocytopenia

    • Neutropenia

    • Lymphopenia

Ophthalmology
  • Cytomegalovirus retinitis

  • Infective retinal diseases including herpesviruses and toxoplasma

  • Any unexplained retinopathy

ENT
  • Lymphadenopathy of unknown cause

  • Chronic parotitis

  • Lymphoepithelial parotid cysts

Other systems
  • Mononucleosis-like syndrome (primary HIV infection)

  • Pyrexia of unknown origin

  • Any lymphadenopathy of unknown cause

  • Any sexually transmitted infection

  • AIDS = acquired immune deficiency syndrome.