AIDS
Acquired Immune Deficiency Syndrome commonly known as AIDS is caused by Human Immune Deficiency virus (HIV). HIV infection is either HIV-1, HIV-2, HIV-1 & 2 or by HIV-1-O.
Off late, HIV infections are manageable with Highly Active Anti-Retroviral Therapy (HAART) which comprises of 3-4 Anti-Retroviral drugs (ARVs).
The response rate is the best with these drugs when they are given for the first time. Hence, HIV positive patients are counseled for Adherence 3-4 times before starting HAART. Non adherence to these drugs leads to viral replication, viral mutations and drug resistance and thereby failure of the 1st line regimen.
HIV is monitored by measuring plasma viral load. CD4 and CD4% are the prognostic markers. The goal of the therapy is to achieve Undetectable Viral Load and CD4 count above 200cells/mm3.
Most of the Anti-Retro virals (ARVs) cause hyperlipidemia, lipo-hypertrophy or lipo-atrophy. Hyperlipidemia leads to Coronary Artery Disease (C.A.D.). Therefore, periodic lipid profile check up is required in addition to CD4 counts and plasma viral load.
Doctor Training the Doctors (Training of Trainers)

Management of Cryptococcal Meningitis in HIV infected patients Presentation at Dermacon2013 at Ahemdabad

HIV Congress 2012

AIDS Update 2010 for Physicians

AIDS Update 2010 for Physicians

Dr.Harjani inaugurating the training of trainers program (TOT) AIDS update 2010

AIDS update 2010 training for medical officers of Thane Municipal Corporation.
AIDS Awareness Rally

World AIDS Day 2000

World AIDS Day 2010

Dr Raj Harjani

Harjani Leading the Rally
