Human immunodeficiency virus type 1 (HIV-1) is frequently associated w
ith weakness and muscle wasting, referred to as HIV-1 wasting myopathy
. This illness, often observed in the advanced stages of acquired immu
nodeficiency syndrome (AIDS), responds poorly to therapeutic intervent
ion. We describe the cases of three AIDS patients with HIV-1 wasting m
yopathy who had a favorable response to anabolic steroids as evidenced
by an improvement in strength, muscle bulk, body weight, and sense of
well-being.