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From Toughie to Casualty in Three Months?
Dec 6, 2004

Hiya. I'm on nevirapine/combivir. My last results, 3 months ago, were 691 T cells/undetectable. In the last few weeks, I've experienced some odd skin ailments -- yeast infection of the penis (I'm uncircumcized), odd, dermatitis-y patches on my trunk and arms. Wondering: if this regimen has begun to fail, could my numbers have dropped so significantly in the past few months that I'd start producing symptoms? I've just had my blood done again -- I await the verdict and am kind of freaking out in the interim. Thanks!

Response from Dr. Sherer

Yeast balanitis (infection under the foreskin) is common in uncircumcized men without HIV infection. As we age, odd things do happen more commonly to our skin - how old are you?

It would be unlikely for you to drop your CD4 cells far enough to lead to symptoms, i.e. to a CD4 cell count < 200. Of course, yeast infections occur at higher CD4 cells ...but as above, they also occur to HIV- folks as well.

Its too early to get so nervous. Is there another reason? Were there lapses in adherence?

You're doing something right to have such high CD4 cells and well-controlled virus. My advice: Talk to your doctor, show him or her the skin rashes, and await your next results.

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