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need your help
Jul 28, 2010

Hi DR Bob, I Really hope you can help me this time as im feeling at my wits end. My doctor has given up and says shes lost.Im the guy who had the sexual encounter a year ago followed by multiple ars symptoms followed by persistant multiple swollen lymph nodes diagnosed by inspection and ultra sound. Ive had a guided lymph node sample taken and everything produces no result. Ive had a cd4cd8 count as follows cd4% 59.16, cd4:2525,cd8%19.02, cd8 812. interpreation normal total lymphocite population, increased t helper, mildly increased t suppressor . As im testing negative on an elisa, do you think that a rare subtype is the most likely scenario.My doctor doesnt seem to recognise the existance of rare subtype. Please give your opinion? What would you do please if you were me? All the best as usual to you and your super-kind colleagues

Response from Dr. Frascino

Hi,

Your negative HIV ELISA tests are definitive and conclusive. HIV is not your problem. No, you do not have a rare subtype. (Your CD4 counts are increased, not decreased as would be expected in an immunodeficiency disease!)

If indeed you have lymphadenopathy (swollen lymph nodes) with increased total lymphocytes, CD4 cells and CD8 cells, you may have some type of lymphoproliferative disease. (There are a number of different types.) I would recommend you see a hematologist as your next step.

Good luck. Remember, HIV is not your problem, OK?

Dr. Bob



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