unknown. Therefore, even though the literature is unclear, the committee believes, based on its expertise, the combination of clinical severity and limited functional capacity can allow for an appropriate determination of disability to be made. The severity of the conditions in Box 5-1 can be more appropriately determined by coupling objective tests of medical impairment with an assessment of functioning.

The committee examined the literature for widely accepted, valid measures of functioning to determine which measures of functioning should be used (see Appendix D). As discussed in Chapter 1, few such measures were identified, none of which are commonly found in a claimant’s medical record. The current 14.08K sublisting, as well as other listings in the immune and mental disorders body systems, incorporates three measures of functioning: (1) limitation of activities of daily living; (2) limitation in maintaining social functioning; and (3) limitation in completing tasks in a timely manner due to deficiencies in concentration, persistence, or pace. The committee found disability examiners to be familiar with the requirements, generally to like this sublisting, and to be fairly comfortable using it. This is supported by the fact that sublisting 14.08K provides the second most

BOX 5-1

List of HIV-Associated Conditions Without Current Listings Elsewhere in the Listing of Impairments

Comorbidities induced by HIV and its treatment currently without listings elsewhere include, but are not limited to:

  • Diarrhea;

  • Distal sensory polyneuropathy;

  • HIV-associated neurocognitive disorders;

  • HIV-associated wasting syndrome;

  • Kaposi’s sarcoma;

  • Lipoatrophy or lipohypertrophy; and

  • Osteoporosis.

These conditions should be considered in the HIV Infection Listing when diagnosed in a person with established HIV infection and marked limitation in functioning in one or more of the following areas:

  • Ability to perform activities of daily living;

  • Maintenance of social functioning; and/or

  • Completion of tasks in a timely manner due to deficiencies in concentration, persistence, or pace.

Symptoms such as fatigue, malaise, and pain also should be considered if found to limit functioning.

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