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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Swollen lymph node while VL is UD
Jun 5, 2011

Hi, I started TDF/FTC/EFV regimen approximately 9 months after infection, my VL went from 67k down to 104 in two months (CD4 not tested, but was in the mid 300s prior to treatment initiation). While I am certainly happy that the regimen seems to be effective for me, I'm a little disconcerted that my slightly swollen lymph node on the neck is still swollen. Is there a cause for concern?

Response from Dr. Henry

Lymph node size after starting effective HIV treatment is highly variable (can swell due to immune reconsitution, may decrease in size after a while due to less inflammation, or can stay about same size) so in most cases would not be alarmed. I do recommend pointing out the nodes to your HIV provider so he/she can monitor for any unusual/worrisome features. KH

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