HIV and Disability: Updating the Social Security Listings (2010)

Chapter: Appendix C: HIV Background Tables

Previous Chapter: Appendix B: Committee Charge
Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.

Appendix C
HIV Background Tables

This appendix includes information about HIV/AIDS to support discussion in Chapter 2. Table C-1 lists the AIDS-defining illnesses as determined by the Centers for Disease Control and Prevention, as well as a noninclusive list of contemporary, serious non-AIDS-defining illnesses. Table C-2 provides a nonexhaustive list of HIV/AIDS antiretroviral drugs and their potential side effects.

Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.

TABLE C-1 HIV/AIDS-Related Illnesses and Malignancies

AIDS-Defining Illnessesa

Serious Non-AIDS-Defining Illnessesb

  • Cancers

    • Cervical (invasive)

    • Kaposi’s sarcoma

    • Lymphoma (Burkitt’s or equivalent, immunoblastic, or primary central nervous system)

  • Candidiasis of bronchi, trachea, lungs, oresophagus

  • Coccidioidomycosis, disseminated or extrapulmonary

  • Cryptococcosis, extrapulmonary

  • Cryptosporidiosis, chronic intestinal > 1 month

  • Cytomegalovirus disease (other than liver, spleen, or nodes)

  • Encephalopathy, HIV-related

  • Herpes simplex (chronic ulcers > 1 month, bronchitis, pneumonia, or esophagitis)

  • Histoplasmosis, extrapulmonary

  • Isosporiasis > 1 month

  • Mycobacterium avium complex or Mycobacterium kansasii, disseminated or extrapulmonary

  • Mycobacterium tuberculosis, any site (pulmonary or extrapulmonary)

  • Pneumocystis jirovecii pneumonia

  • Pneumonia (recurrent)

  • Progressive multifocal leukoencephalopathy

  • Salmonella septicemia (recurrent)

  • Toxoplasmosis of the brain

  • Wasting syndrome

  • Avascular necrosis

  • Cardiovascular disease

  • Cholangiopathy

  • Diabetes

  • Gingivitis/periodontitis

  • Hepatic cirrhosis

  • HIV-associated nephropathy

  • Mental disorders

    • Anxiety

    • Bipolar disorder

    • Depression

  • Neutropenia

  • Non-AIDS malignancies

    • Cancer of the anus

    • Cancer of the larynx

    • Cancer of the mouth or pharynx

    • Cancer of the penis

    • Hodgkin’s lymphoma

    • Liver cancer

    • Lung cancer

    • Sinonasal malignancies

  • Osteoporosis

  • Peripheral neuropathy

  • Sinusitis

  • Thromboembolic disease

aCDC AIDS-defining illnesses (CDC, 1994).

bSee http://www.hopkins-hivguide.org/r.html?RequestingPage=http%3A%2F%2Fwww.hopkins-hivguide.org%2Fdiagnosis%2Findex.html&navigationId=8231&siteId=7151#8231.

Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.

TABLE C-2 Current HIV/AIDS Antiretroviral Drugs

Generic Name

Brand Name

Approval Date

Potential Side Effects

Multiclass Combination Products

Efavirenz, emtricitabine, and tenofovir disoproxil fumarate

Atripla

July 12, 2006

  • Hepatic steatosis +/–pancreatitis (severe mitochondrial toxicities)

  • Hepatotoxicity

  • Hyperlipidemia

  • Hyperpigmentation/skin discoloration

  • Lactic acidosis/Lipodystrophy

  • Nephrotoxicity

  • Osteopenia

  • Pancreatitis

  • Peripheral neuropathy

Nucleoside Reverse Transcriptase Inhibitors (NRTIs)

Abacavir and lamivudine

Epzicom

August 2, 2004

  • Hypersensitivity reaction

Abacavir, zidovudine, and lamivudine

Trizivir

November 14, 2000

  • Cardiovascular effects

  • Hyperlipidemia

  • Hypersensitivity reaction

  • Lactic acidosis/hepatic steatosis +/–pancreatitis (severe mitochondrial toxicities)

  • Lipodystrophy

  • Stevens-Johnson syndrome

  • Toxic epidermal necrosis

Abacavir sulfate, ABC

Ziagen

December 17, 1998

  • Hypersensitivity reaction

  • Lipoatrophy

  • Myocardial infarctions

Didanosine, dideoxyinosine, ddI

Videx

October 9, 1991

  • Lactic acidosis

  • Pancreatitis

  • Peripheral neuropathy

Emtricitabine, FTC

Emtriva

July 2, 2003

  • Lactic acidosis

  • Lipoatrophy

Enteric-coated didanosine, ddI EC

Videx EC

October 31, 2000

  • Cardiovascular disease

  • Gastrointestinal intolerance

  • Hepatotoxicity

  • Hepatic steatosis +/–pancreatitis (severe mitochondrial toxicities)

  • Pancreatitis

  • Peripheral neuropathy

  • Stevens-Johnson syndrome

  • Toxic epidermal necrosis

Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.

Generic Name

Brand Name

Approval Date

Potential Side Effects

Lamivudine and zidovudine

Combivir

September 27, 1997

  • Hepatic steatosis +/–pancreatitis (severe mitochondrial toxicities)

  • Hepatotoxicity

  • Lactic acidosis

  • Lipodystrophy

Lamivudine, 3TC

Epivir

November 17, 1995

  • Lipoatrophy

Stavudine, d4T

Zerit

June 24, 1994

  • Insulin resistance

  • Lactic acidosis

  • Lipoatrophy

  • Lipohypertrophy

  • Neuromuscular weakness syndrome

  • Osteopenia

  • Peripheral neuropathy

Tenofovir disoproxil fumarate and emtricitabine

Truvada

August 2, 2004

  • Hepatotoxicity

  • Hyperlipidemia

  • Hepatic steatosis +/–pancreatitis (severe mitochondrial toxicities)

  • Lipodystrophy

  • Nephrotoxicity

  • Osteopenia

  • Pancreatitis

  • Peripheral neuropathy

Tenofovir disoproxil fumarate, TDF

Viread

October 26, 2001

  • Lipoatrophy

  • Nephrotoxicity

  • Osteopenia

  • Pancreatitis

Zalcitabine, dideoxycytidine, ddC (no longer marketed)

Hivid

June 19, 1992

  • Unknown

Zidovudine, azidothymidine, AZT, ZDV

Retrovir

March 19, 1987

  • Bone marrow suppression

  • Gastrointestinal intolerance

  • Hepatotoxicity

  • Hyperlipidemia

  • Insulin resistance/diabetes mellitus

  • Lactic acidosis/hepatic steatosis +/–pancreatitis (severe mitochondrial toxicities), lipodystrophy

  • Stevens-Johnson syndrome

  • Toxic epidermal necrosis

Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.

Generic Name

Brand Name

Approval Date

Potential Side Effects

Nonnucleoside Reverse Transcriptase Inhibitors (NNRTIs)

Delavirdine, DLV

Rescriptor

April 4, 1997

  • Stevens-Johnson Syndrome

  • Toxic epidermal necrosis

Efavirenz, EFV

Sustiva

September 17, 1998

  • Birth defects (avoid in pregnant women)

  • Neuropsychiatric side effects

  • Short-term central nervous system toxicity

Etravirine

Intelence

January 18, 2008

  • High blood pressure

Nevirapine, NVP

Viramune

June 27, 1996

  • Hypersensitivity with hepatic failure

Protease Inhibitors (PIs)

Amprenavir, APV

Agenerase

April 15, 1999

  • Stevens-Johnson syndrome

  • Toxic epidermal necrosis

Atazanavir sulfate, ATV

Reyataz

June 20, 2003

  • Jaundice

  • Kidney stones

Darunavir

Prezista

June 23, 2006

  • Hepatotoxicity

Fosamprenavir calcium, FOS-APV

Lexiva

October 20, 2003

  • Cholesteremia

Indinavir, IDV

Crixivan

March 13, 1996

  • Kidney stones

  • Nephrotoxicity

Lopinavir and ritonavir, LPV/RTV

Kaletra

September 15, 2000

  • Cardiovascular risk

Nelfinavir mesylate, NFV

Viracept

March 14, 1997

  • Diarrhea

Ritonavir, RTV

Norvir

March 1, 1996

  • Pancreatitis

Saquinavir (no longer marketed)

Fortovase

November 7, 1997

  • N/A

Saquinavir mesylate, SQV

Invirase

December 6, 1995

  • Many drug interactions

Tipranavir, TPV

Aptivus

June 22, 2005

  • Cardiovascular risk

Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.

Generic Name

Brand Name

Approval Date

Potential Side Effects

Fusion Inhibitors

Enfuvirtide, T-20

Fuzeon

March 13, 2003

  • Poorly tolerated (painful local subcutaneous reactions when injected)

Entry Inhibitors—CCR5 Coreceptor Antagonist

Maraviroc

Selzentry

August 6, 2007

  • Unknown

HIV Integrase Strand Transfer Inhibitors

Raltegravir

Isentress

October 12, 2007

  • Unknown

REFERENCE

CDC (Centers for Disease Control and Prevention). 1994. Revised classification system for HIV-infection in children less than 13 years of age. Morbidity and Mortality Weekly Report 43:1–10.

Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.
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Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.
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Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.
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Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.
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Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.
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Suggested Citation: "Appendix C: HIV Background Tables." Institute of Medicine. 2010. HIV and Disability: Updating the Social Security Listings. Washington, DC: The National Academies Press. doi: 10.17226/12941.
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Next Chapter: Appendix D: Literature Tables
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