Glossary

haematology – study (-ology) of blood (haema-)

type II diabetes mellitus (T2DM) – an illness that usually affect adults (previously called adult-onset diabetes), when glucose levels increase because the body does not produce enough insulin or does not respond well to insulin.

revertant mutation – this term is used in two ways.

Firstly when referring to a genetic change that shows the virus is returning from a drug resistant mutation back to a wild-type genotype. This can sometimes take several stages. For example, T215E/D/E and S are revertant mutations that can indicate the drug resistant mutation T215Y is being replaced by wild-type (i.e. T215T).

It can also refer to the fitness of a virus. A revertant mutation can refer to an additional mutation that allows the virus to regain viral fitness (most drug mutations also make the vurs less fit). The second example is called a compensatory mutation as is compensates for the reduced fitness caused by the first mutation.

long-term non-progressor (LTNP) – An HIV positive person whose CD4 count stays above 500 copies/mm³ with very low viral load for more than five years, without using ART.

Some LTNPs have kept their CD4 count above 500 for more than 10-15 years without ART. Recent guidelines suggest the LTNPs should still strongly consider using ART. This is because ongoing HIV replication is still likely to increase the risk of serious illnesses, even at low viral load levels,

Because CD4 counts gradually fall in LTNPs, just very slowly, a more accurate term is long-term slow-progressors (LTSPs).

Elite controllers (ECs) are a sub-group of LTSP who also maintain undetectable viral load (less than 50 copies/mL) without ART. See: elite controller.

Stevens-Johnson Syndrome – a type of severe rash that is luckily rare. This rash has been reported in 0.1–0.3% of people using NNRTIs. It can also occur with other drugs including antibiotics (including cotrimoxazole/Septrin). Any rash on an NNRTI should be shown to your doctor to decide whether treatment needs to be switched or can continue.