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<20ml/copies VL detected

Aug 4, 2018

I have had patients with CD4 counts in the 800/1000 range with detected VL <20 cop/ml.. Asymptomatic with no recent illness. Why at times are they detected? Then the next check up the VL taken at the same lab shows <20 not detected?

Response from Dr. Holodniy

There are probably two aspects to this finding. First, is assay variability below the quantifiable limit of 20 copies/mL. Second, there may also be some intermittent HIV replication from some sites in the body.

Cyclospora in HIV patients greater concern?

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