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coinfection with HTLV?
Jun 8, 2001

Hello Dr.

Thank you for your time. If one is infected with both HIV and HTLV are there any preferred meds for treatment? Also, does coinfection affect survival rates? Thanks

Response from Dr. Henry

Available evidence suggests that co-infection with HTLV-I does often accelerate HIV progression. There is some laboratory evidence that direct gene interactions occur between the two viruses. I am not aware of much recent data that looks at the impact of potent antiretroviral therapy in co-infected patients. Treatment for HTLV-I is not generally satisfactory at present. Clearly more work and information is needed on this topic. There are a number of HTLV-I associated disease that need to be watched for (such as T-cell leukemia/lymphoma, myelopathy, infective dermatitis, etc). KH



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