|Facial wasting early on HIV
Dec 15, 2004
I am asking my question here because on your lipodystrophy forum there doesn't seem to be much activity lately.
I became HIV + about a year ago, and started meds viramune/3tc/viread about 2 months later.
Viral load is <50 and tcells average 450. Age is 38.
When I seroconverted I became quite sick for about two weeks and lost a lot of weight, about 20 lbs. My original height weight was 6 feet and 200 lbs. I am currently around 195 lbs. However, my face still looks thin, specifically in the cheek area. Can I already be developing some lite facial wasting this early? I didn't think much of it at first, but I have people continually asking me if I have lost weight even today. And they specifically say I have lost weight in the face. Though I do not look unhealthy, I was considering maybe sculptra treatment and getting a head start on wasting possibly.
I understand that this might come across as vain, but I do work in corporate sales so it could affect my job.
Thanks for your help and opinions.
| Response from Dr. Young
Thanks for your post.
It's not too common to see lipoatrophy occur so rapidly in persons receiving non-d4T containing treatments like you; however, while unusual, it certainly has been seen and might very well be a possibility. More germain is the observation that one's lowest ever CD4 count and duration of HIV infection seems to predict the risk of developing lipoatrophy, so perhaps this is playing a role in your case.
There are now FDA-approved treatments for lipoatrophy-- polylactic acid (Sculptra) is an injectable filler that has pretty good (albeit expensive) results and might be worth considering.
Good luck, BY
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