|Whether or not to get second opinion
Jan 13, 2013
Hi. I was diagnosed HIV+ in december. My doctor thinks i was infected about 6 or 7 months ago. I recently got my first labs back and i have a CD4 count of 659 and a VL or 10,600. My doctor doesn't think i should start meds yet and i have persistently swollen lymphnodes in my neck. They aren't painful and they aren't growing in size but he wants a biopsy done on them anyway. I was wondering with those lab numbers do you think i should start meds now or wait and if the lymphnode biopsy should be anything to be concerning?Thank you in advance for your help.
| Response from Dr. Holodniy
With your current numbers there is no urgency to start HIV meds. Your CD4 count is in the normal range and your viral load is at a low-moderate level. Your swollen lymph glands could very well be related to acute-early HIV infection, if the timing of infection is accurate. Usually lymph glands that become swollen in reaction to acute HIV infection shrink back down after a few months. In some people they may persist for a long time and it could still be related to HIV infection. However, it is not unreasonable to obtain a biopsy to confirm this or determine if there is another cause like another type of infection or tumor.
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