Aug 10, 2003
Dear Dr:Thanks for your uncompromisingly straight answers on this forum. I was infected with HIV last November. A few days after exposure a baseline CBC showed platelets 295. a few weeks later 291. They are now 190 and I'm noticing an increasing incidence of little red spots on my shoulders. I'm otherwise feeling remarkably well - not on meds. Are these numbers something to be worried about in this context? Thanks
Response from Dr. Holodniy
Although HIV infection can result in a low platelet count, that platelet count is still within the normal range. It would be very unusual to have microscopic evidence of bleeding into the skin with that kind of platelet count, unless there were another reason. For instance other kinds of diseases can result in relatively normal platelet counts but the platelets that are produced don't work as well. Medications can also cause a reduction in platelet count. You should probably get the spots checked out. Could be other things then your platelet count.
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