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Jul 7, 2001

Dear Doctor,

I have read that it is possible to have a completely normal lymphocyte count and still be HIV infected. My question, how is it possible to have HIV and still have a normal or above normal lymphocyte count? On average, what is the percentage of people who present with lymphopenia during ARS?

Please help me clarify any misunderstanding that I have...

Response from Dr. Feinberg

Everyone (or nearly everyone) should have reduced lymphocyte counts-- especially T helper lymphocyte counts-- during acute HIV infection. Thereafter, some people will recover to normal or near-normal levels before their counts decline later on. "Later on" could be years away from the time of initial infection.

Fresh cut means blood has not been completely dried?

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