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CD4 Drops VL remains <25
Mar 15, 2013

Hi, Doc... I have been on ATRs for almost one year, my lab results before start on ATRs were: CD4: 390 - 14% / VL: 15.600 copies First 3 months of ATRVs: CD4: 690 - 16% / VL: 750 copies next 6 months; CD4: 734 - 17,10% / VL; <25 next 9 monnth; CD4: 898 - 19,20% / VL; <25 next 12 month; Cd4: 398 - 17,20% / VL; <25

Im a little bit concern about the CD4 drop instead my VL remains <25, My doctor was also a little bit concern too, and she request some lab studies such as: Eisnt Barr, Citomegalovirus and HTLV. What do you think about that? do you think I should be conern? Im really worried and I would apreciate your opinion.

Pedro From Venezuela

Response from Dr. Young

Hi and thanks for posting.

With your CD4 percentage remaining essentially the same over this period of time, I'm not concerned with a single total CD4 cell count drop. I'd wonder if you had a recent cold, infection or herpes flair- such things can easily drop the count temporarily. Without new symptoms, I'd really doubt EBV, CMV or HTLV.

I probably would have simply repeated the CD4 test in a couple of weeks.

Hope that's helpful and let us know how things turn out. BY

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