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advanced hiv
May 25, 2002

What exactly is the definition of "advanced hiv" I see it in Alot of literature yet I'm not clear.Does it mean total legnth of time infected or degree of immunne defeciency. For example if someone were infected for 10 years, but undetectable with a cd4 of 1000 on medication vs someone infected 5 years with the same stats how would they be classified?

Response from Dr. Young

I classify HIV disease on the basis of CD4 count. Advanced HIV disease would really be synonymous with AIDS, with a CD4 count less than 200 (or 15%). Niether the time of infection nor viral load are not really factors in disease "advancement" per se.

From this you could conclude that someone with a CD4 count of 1000 and ten years of infection would not have advanced disease, but rather, might be considered a long-term non-progressor. BY



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