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On therapy infected with undetectable VL but low CD4 count.
Sep 27, 2008

19 y/old female perinatal infected Heavy ARx experience on current HAART that has good adherence and has been with undetectable b-DNA /RNA <75 copies since more than a year but with persistent decreasing CD4 counts . One year ago her VL was <75 copies with 326 cells and on July 2008 remains undetectable VL but with 155 cells. What can we do to stop CD4 going down. Why is this happening?

Response from Dr. Holodniy

I need more information. What is the current HIV regimen? What other medications, if any, is she taking? What has the WBC, total lymphocyte count, and CD4% done during this time?



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