|cd4 percentage of 9% - concern?
May 21, 2005
I have been on a drug holiday for four years. My cd4 counts have steadily gone from 800 to 270. My cd4 percentage has steadily gone from 28% to 9%. When it got to 14% (over a year ago), I told my doctor that I was concerned since the definition of AIDS is a cd4 percentage of less than 14. He responded "percentage perschmentage - it doesn't matter". During my drug holiday my viral load has been between 10,000 and 37,000 (last test). Last week I insisted that I start HAART. My question: was I wrong, or should I have waited until my cd4 absolute went to 200 (as my doctor suggested) and just ignored the percentage count?
| Response from Dr. Young
Thanks for your post.
In short, I'd definitely be concerned about not being on treatment with a CD4 percentage of 9. I don't agree with your doctor that percentage is irrelevant-- indeed, anything less than 15 is considered AIDS by the Centers for Disease Control's criteria.
So, I agree that resuming treatment is indicated. Waiting around for lower counts means to me that you might be waiting around for a serious health condition to occur.
Good luck, BY
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