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Lone Symptom
Jan 7, 2000

Why is shingles more likely to occur in a person in HIV if it can occur at any cd4 count. If it occurs at any cd4 count why is shingles not classified as the one lone early symptom that occur early in HIV infection and years before any other symptoms start?

Response from Dr. Feinberg

Shingles does not usually occur at "any" CD4 cell count. It usually appears when CD4 cells have gone below 500, and is not the only problem that is associated with the earlier stages of HIV infection-- thrush and a tongue problem called hairy leukoplakia also usually first appear between 200-500 CD4 cells. Shingles can occur in HIV-s also, so CD4 cell counts probably do not represent the entire picture.


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