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Confused over blood counts
Sep 25, 2005

Hi Doc,

im slightly confused on a couple of things, i have heard conflicting texts on this site. i have read during early stages that patients would usually present Lymphopenia and Low white blood count in total, but i have also read in one of you past reply's that in the absence of treatment, numbers would fluctuate during this period and then decrease in the later stages i,e AIDS. Could you clear this up and help me understand.

Also when you get swollen glands/PGL, would this usually make your total lymphocyte count high as there is a multiplcation of cells occuring in the blood stream, or would it make your lymphocyte count lower(lymphopenia) as it is recruiting Lymphocytes into the node from your blood stream?

Dont worry im not getting hung up on CBC's or swollen glands , just desperatly trying to understand.

if you could answer these i would very grateful.

you are doing a wonderful job, thank you. UK

Response from Dr. Holodniy

Both answers are correct. There is no absolute in the natural history of HIV infection.



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