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Fatigue and AnemiaFatigue and Anemia
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Diving platelets make a splash
Aug 17, 2008

Hello Dr Bob I can not thank you enough for this service that your provide for all of us wondering positive people. So I was diagnosed + about 2 years ago now. My Dr says my number are good CD4 431, Viral Load is 5200 but my platelets are dropping quick. im now doen to 84 as of the end of July. I retested today. Im also very tired. What are my next steps with this. It is a steady drop since my diagnoses. Now what...should I be concerned? Not to mention, I am so tired and I sleep a lot. Please advise. Platelets Diver.

Response from Dr. Frascino


There are many potential causes for low platelets (thrombocytopenia), including: drug side effects; collagen vascular diseases; lymphoreticular disorders; vitamin deficiencies; hypersplenism; idiopathic thrombocytopenic purpura (ITP); and HIV itself, just to name a few. If your HIV specialist cannot sort out the exact cause for your falling platelet count, ask for a referral to an HIV-knowledgeable hematologist.

Regarding HIV-related fatigue, again there are many potential underlying causes, including anemia, medication side effects, occult infection, psychological causes, inadequate nutrition/rest/exercise, hormonal imbalances, etc. Take a read through the archives of this forum. We have an entire chapter devoted to causes of HIV-related fatigue. Make a list of the common and not-so-common causes of HIV-related fatigue, bring the list to your next doctor's appointment and discuss the potential causes with your HIV specialist.

Good luck!

Dr. Bob

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