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lypodystrophy? My son
Jan 2, 2007

My son is 37, HIV+ with viral load of 35,000 and C4 Count of 310. He's on no meds...works as a CMA. His abdomen has become larger, with his diet NOT making this happen. Is it the HIV? He has R5 HIV.

Response from Dr. Henry

Good question. Lipodystrophy has been reported in persons not taking any HIV medications (such manifestations as buffalo hump in the neck or increasing intra-abdominal fat). Increasing age, lower CD4 count, race, genetics and other non-treatment factors have been shown to influence fat distribution in the setting of HIV infection. In one large study comparing HIV+ to matched HIV-persons, the degree of fat increase was similar in both populations while HIV+ persons were distinguised more by fat loss from face, buttocks, and extremities. KH



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