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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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increasing lipomas
Jul 14, 2005

I have been positive since 1996 and only on a couple regimens to date. Currently I am on Epivir, Ziagen, Viramune. I am also taking Tenofovir for Hep B coinfection. Elevated triglycerides and cholesterol have always been a problem. But with diet/exercise and tricor and pravachol they finally seem to be in check. However, in the past six months I have been developing lipomas on my chest, back, arms, and thighs. I seem to be getting more and more of these all the time. Are these coming from the meds or just the progression of the disease for some people? Is there anything that can be done to get rid of these apart from surgery? Thanks.

Response from Dr. Henry

Your regimen would have a generally low rate of fat problems/lipodystrophy so I am not sure if switching your HIV meds would help much. I have had some patients who developed lipomas and then the number/size stabilized or even improved spontaneously so the natural history can be quite variable. There is no medical treatment for lipomas that can be recommended with any confidence. KH

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