|Blip as precursor?
Oct 4, 2004
My VL has been undetectable for three years (Trizivir & Kaletra) and out of the blue I had a VL of 125. Retesting found it undetectable again. My doctor calls it a "blip" and says they see them from time to time. Do these blips portend viral escape? Non-nukes already won't work for me.
Response from Dr. Sherer
No. You have described quite well the circumstance in which a clinician can call a single viral load elevation a 'blip', i.e. a one-time value, followed by a return to a level below detection. Numerous studies have shown that such blips are not associated with a greater risk of virologic failure. These are quite common, occuring in 40% of patients in one series.
In contrast, numerous values in this range without a return to below the level of detection is associated with a higher risk of virologic failure, and is a reason for re-doubled efforts at optimal adherence and more intensive follow up with resistance testing.
When can resistance tests be run?
- Risk Of Sensual Massage
- Unprotected Sex Without Ejaculation And HIV Transmission Risk
- Are White Spots A Symptom Of AIDS?
- Chances Of Getting HIV From Sex With A Prostitute
- Sore Throat After Vaginal Sex With Condom Does It Mean I Have HIV
- Can You Get Std If You And Your Partner Are Virgin And Have Oral Sex?
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.