What's a normal CD4?
Feb 5, 2005
Hi, thanks in advance for shedding some light. I sero converted Jan 2001 with an inital lab result of VL=250 and a CD4=440.
Very gradual changes over the next 2+ years, so by June 2003, VL=5400 and CD4=230. This caused my doc to be concerned, so we stepped up the lab tests to monitor more frequently. When tests came back in July 2003 VL=4600 and CD4=190, we retested in Sept 2003 with VL=2200 and CD4=190. Then I started Sustiva + Combivir that month, and VL dropped to Undetectable, and CD4s=210.
So, I've been on Sustiva + Combivir for 16 months now. VL=undetectable since starting meds, and CD4s steadily climbing and holding at 450.
I've heard of people with CD4 counts in the 1000+ range. I think I'm responding well to meds, with no bothersome side effects, and no health problems. Why is my CD4 so mediocre? Is CD4 just a number? Am I obsessing over a relative number, or should I be worried about something? (resistence, underlying health probs, etc). My doc says that I'm doing fine, that people have different baseline CD4 counts, and since we didn't know my pre-seroconversion CD4 count, I can't really determine if its "normal" or not. What do you think?
Response from Dr. Holodniy
I agree with your doctor. The normal range for CD4 counts in uninfected people is around 500-1500. That's quite a spread. Since in almost all people we don't know what their CD4 count was before becoming infected, we don't know how high they might get.
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.