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Falling lymphocytes

Apr 29, 2005

I contracted HIV just over two years ago. Shortly after spending three weeks in the hospital with a severe seroconversion illness I was put on antiretrovirals and my virus soon became undetectable. My CD4s had dropped during my seroconversion illness to 69. The highest theyve come since starting therapy was 432 with an absolute lymphocyte count of 1200. However, over the past several months my absolute lymphocytes have been dropping in spite of a high CD4+ percentage. On labs taken in early March, my absolute lymphocytes were 700. My CD4s were 336 with a percentage of 48. Based on that percentage, If my Absolute lymphocytes had been, say 1200 I would have around 600 CD4+s. I understand that HIV can cause suppression of CD4 cells but Im undetectable. So whats causing the suppression of my absolute lymphocytes? My regimen is Truvada and Viramune. Could it be theyre the culprits?

Response from Dr. Holodniy

Unlikely it's the HIV meds. You don't indicate if you are taking any other meds that might be contributing to these decreased counts.

Your answers on HLA phenotypes: fascinating!
2 days between cobra and new insurance

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