|Rising CD4 + Rising VL
Mar 20, 2005
Dear Doc, I am asymtomatic, not on meds and was infected sometime between June 2003 and June 2004.
My CD4 has risen over the last 6 months from 407 to 447 and now 568 measured at 3-monthly intervals.
During this time the VL has correspondingly went from 22000 down to 11000 and back up to 22000.
I have had no illness whatsoever apart from an outbreak of minor herpes about the time of the middle test.
I cannot understand why the VL actually dropped while I had the herpes outbreak and why the CD4 continues to rise even with the recent doubling of the VL. The results at first glance appear to be incongruent.
| Response from Dr. Holodniy
Although at first appearance this appears to be a significant difference (a doubling or reduction in half), this is well within the assay variability and would not be considered a significant difference.
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