Apr 1, 2006
Every time I think i understand all I may be up against with HIV. A new twist. I was under the impression from everything I've read in these forums that on HAART ...as long as viral loads were maintained undetectable or extremely low and CD4 counts were normal I would be "OK" . I just read a post in the message boards that HAART has no effect on HIV dementia, a viral mediated separate problem from low CD4 immune diseases. So I can be diligent in taking meds, keep my viral load down and CD4 up and not succumb to a immune mediated infection but end up with dementia, maybe a worse fate....
Response from Dr. Holodniy
As with everything associated with this infection, the answer is a qualified perhaps. It is absolutely not universally true that everyone with HIV infection will develop HIV associated dementia. A lot depends on underlying immune system, how low the CD4 count is or was before and during treatment, what other HIV or other associated infections might have been present, other underlying diseases (history of hypertension-stroke, etc), age of a person, etc.
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