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prognosis
Nov 3, 2002

I am a 60 y.o female recently started on 4 drug antiviral therapy. T cell count 180 and viral load 70,000. Having intermittent fevers and fatigue, but otherwise healthy.

Response from Dr. Young

Thanks for your question.

Assuming that you have a drug regiment that you can tolerate and take with excellent adherence (easier said than done), your prognosis should be excellent. You do have an AIDS diagnosis with a CD4 count below 200; it is also worth noting that there is a growing consensus that women with HIV infection tend to progress more rapidly with the equivalent viral loads as men-- this means that you have a fairly high viral load-adjusted risk of progression (in the absence of treatment).

I'd like to think that you should have many years of disease-free survival, if things go according to plans. Good luck, let us know how you do in the months and (many) years to come. BY


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