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Re: WBC
Mar 18, 2005

Hi Dr. Young,

Thanks for your quick reply. I guess what I am going for is what medical reason there would be if any? I did a google search and have never come up with anyone presenting with high wbc during acute phase. Have you or your colleagues experienced this?

Regards, Jack

Response from Dr. Young

Jack- Let me see if I can make sense of this-- first off, google might not be the best search engine for medical publications; after that, be clear, high WBCs is not what is sterotypical for most acute viral infections, including HIV. The thing is that timing of the lab draw appears to affect values, so that occasionally we'll see slightly elevated WBCs early during viral infections, only to see the numbers drift downward later. In other cases, we don't detect an increase- this could either be because there wasn't one, or the patient came to medical attention later in the disease course.

Hope this helps-- BY



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