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lymphocyte counts
Nov 6, 2006

Would someone who has been infected for two years and has an absolute lymphocyte count of between 1800 and 2000 still be in the normal range of CD4? (at least 500?)

Response from Dr. Conway

It is probably true, given that I would expect the CD4 percentage to be 30% or so, which means the CD4 count would be 540-600. However, it may be that the CD8 count is extremely high due to a very strong immune response to HIV, as may occur in the first year or two after HIV infection. If this is the case, the CD4 count may be quite low. The only way to be sure is to measure it directly at least once. If it is normal and access to CD4 testing is limited where you are due to cost and other issues, it would be legitimate to then follow the lymphocyte count alone, and only repeat the CD4 count if there is a significant change in total lymphocytes.



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