Oct 4, 1999
I was infected in February of 1998, my numbers follow:
CD4 T4/T8 VL
April of 1998 1060 2.7 <400
May of 1998 960 2.5 <400
July of 1998 610 2.3 <400
August 1998 890 2.5 <400
November 1998 1065 2.3 < 50
February 1999 1050 2.3 < 50
May 1999 1170 2.1 <200
August 1999 na na <400
September 1999 finally seroconverted at 19 months from exposure with HIV-1 screen as confirmed by western blot. Awaiting new t-cell and viral load.
In view of this history which is fully documented I have two questions:
- when should I start therapy to reduce symptoms since my body has been fighting this thing alone for a long time without help?
- does the long seroconversion plus undetectable viral loads for so long and a decent t-cell count with no therapy suggest that I could be a long term non-progressor?
I am 59 years old, 6'1", 250 lbs. Symptomatic but somehow less fatigue since seroconversion although my lymph nodes are burning all day and require pain medication. Had diarrhea for 3 months now under control.
Thanks in advance.
Response from Dr. Holodniy
Given those numbers, it would suggest you are demonstrating sufficient immunologic containment of HIV and may very well be a nonprogressor. Some would also say that with those numbers, you can afford to wait and not start antiretroviral therapy.
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