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Big drop of CD4, CD4% AND viral load

Sep 19, 2004

Dear doctor,

I'm a 36 years old man, I've been hiv+ for 3 years, never on meds yet. My three first labs were as following: Sept 2003: CD4 980 (31%), Vl 20 000 December 2003: CD4 1200 (32%) Vl 10 000 March 2004: CD4 1120 (33%) Vl 22 000

I was very badly surprised my my latest labs i got today: CD4 570 (24%), Vl 3 000

I don't understand why I lost 600 CD4 within 6 monthes, considering the fact that my Vl dropped? I always thought the percentage usually remains stable over time? My doc said the percentage usually doesn't rebound after dropping. Should I be concerned?

Thank you

Response from Dr. Holodniy

That would be considered a significant decline in both CD4 count and percentage, and would usually be reflected in an increased viral load. The first order of business is to have them repeated.

Lymph node removal.. Does it help or Hender?

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