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you are my hope

Sep 14, 2010

Hi, doctor I have had ICMA HIV 1/o/2 preliminary test positive but western blot negative. My doctor did this test 4 times same result!!! My viral load is undetectable. My HIV DNA pcr is neagtive However my cd4 count is going low and low. right now its 592. My cd8 count is 839. do you think I have hiv. I have lot of stress. do you think thats what causing my cd4 count to go low. my cd4/cd8 ratio is low 0.71. I did have EIA HIV 2 test which was negative. do you think I have some rare strains of hiv virus. Please respond back!!! Thanks!!!

Response from Dr. Frascino


A preliminary positive ICMA coupled with a negative Western Blot is considered a negative HIV test. In essence you've had four negative HIV-antibody tests. In addition you've had a negative EIA HIV-2 and an undetectable qualitative HIV DNA PCR. You are definitively and conclusively HIV negative. HIV is not your problem. No way. No how. No additional HIV testing is warranted. You do not have a rare strain.

There was no clinical indication for obtaining T-cell subsets (CD4 and CD8). A CD4 count of 592 is normal.

Stop testing. Stop worrying. Start WOO-HOO-ing.

Dr. Bob

peur, anxiété et possibilité de transmission venant de mon partenaire
Western blot as a stand alone test? Why not? (SENSITIVITY VERSUS SPECIFICITY, 2010)

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