An AIDS patient is in malnutrition and decreasing appetite. His whole body skin appear furfuration, desquamation, red, dry, with fever. What are best practices in providing nutrition to AIDS patients?
Dear Hao Jiang, in the pre-HAART era we used to prescribe Megestrol acetate (brand names: Megestat, in Brazil; Megace, in USA). This drug is used as a paliative treatment in breast cancer pacients with weight loss. It's a syntetic derivative of progesterone. We had seen good results in apetite and weight gain at that time. I would prescribe this drug if other diagnosis are ruled out (TB, neoplasms, ...) and have poor or no choice for a good antiretroviral treatment scheme. I hope this would be of help.
Thank you Mario!
When the patient knew he was infected by HIV, he was afraid, depression, and disappeared in our city. We should let him do some laboratory examination, including the blood routine, biochemistry test, tumor markers, because he may be suffering from anemia, dyslipidemia(Lower lipidemia) and hypoalbuminemia, and tumor. He is in condition (status) of cachexia.
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