Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Choosing Your MedsChoosing Your Meds
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


undetectable VL, but bad symptoms
Sep 7, 2003

Dr. Young, I'm positive be serology, but they have never found my VL, not even with bDNA or Roche 1.5.

But, I am VERY symptomatic all the time and my CD4's continue to decline (just within normal now), so the virus must be there doing some damage.

Any thoughts on other tests to find the virus itself and also quantify it? If there is a very low viral load (undetectable), is it possible to have such bad symptoms? Have you seen this before...normal CD4 number, undetectable VL, but really bad chronic symptoms?

Any suggestions or advice would be appreciated.

Many thanks.

Response from Dr. Young

Thanks for your question. I have a couple of patients just like you (at least from a lab standpoint). One test that might be worth asking about is a HIV DNA PCR-- this looks not for free, circulating virus, but rather virus that has incorporated into (or within) infected cells. An alternative is to inquire about having your blood sample sent to a university research lab to run extra sensitive tests (there are some that can measure down to about 3 copies).

One of my patients who had undetectable viral loads for years (with a declining CD4 count), finally popped up with true, blue positive RNAs (by Roche 1.5 and 1.0).

So I have to assume that if your doctor has looked hard for other causes, that your symptoms could be related to HIV, even with an undetectable viral load. Remember, an undetectable viral load doesn't mean the virus is not present, only that we don't have tools sensitive enough to detect it.

Good luck. BY



Previous
CAN WE DO IT?
Next
RE: CAN WE DO IT??

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement