|Swollen Supraclavicular Lymph Nodes
Sep 11, 2009
I have beenHIV for over 20 years. My CD4 644, viral load 1,300. I have been in this range for 15 years. Both my Supraclavicular Lymp nodes have swollen, mostly the left one. Otherwise I feel great! My DR did a CT. It showed only a minor abnormal enlarged lymph in my chest by my spleen, NO growths, tumors, etc. He suggested just another CT in 6 months and just continue to monidor my CD4 and viral load. If I go under a 500 CD4, it was suggested I might want to start hiv meds. Do you agree? If so what meds for a firt time? I would do a geno test first. One doctor wants remove the swollen lymphs and do a biopsy. I wonder if they are HIV related, or just doing their job. Since the CT looked good overall, I hate to remove anything. Your thoughts please. Bill
| Response from Dr. Henry
Swollen lymph nodes are fairly common manifestation of HIV infection. My preferred first choice regimen often used boosted darunavir as the anchor. I do recommend a baseline genotype. The START Study is randomizing patients with CD4 count > 500 who are treatment naive to either immediate treatment or defer until closer to 350. KH
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