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thyroid/low basal temperature
Sep 1, 2002

Which in usually more prevelent in hiv positive people hyper or hypo thyroid? I know fevers are very common, but how dangerous is it to actually have a lower than normal body temperature all the time? I've been screened a few times for thyroid disease and although I do exhibit some symptoms of both, my thyroid tests are ok.I am concerned however being hiv positive always having a low body temperature.My doctor doesn't seem to think it is a big deal,but I am concerned because I began an sti and am afraid my immune system won't kick in when the inevitable viral replication eventually happens.(we are monitoring on a 4 week basis)my cd4's were never an issue, I started in the 900's, but my body temp never goes any higher than 98.2 (evening) and it is usually around 97.6 although I have seen it as low as 97.What do you think could be behind this even though those labs for the thyroid are always normal.(last check was 4 months ago.)Thank you.

Response from Dr. Henry

In my experience hypothyroidism is the more common but I have seen both. Many persons (with or without HIV) seem to run body temperatures 1-2 degrees lower than the so-called average. I have never noted a problem among my HIV+ patients who run slightly low body temperatures. I think there is a range of normal with an average = 98.6 being quoted but that mythical "Joe Average" is a statistical creation-many/most persons run a temperature a little above or below that. KH

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