Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
La participacion del Doctor Steve Natterstad en el
Foro de Tratamientos fue hecho posible gracias a Boehringer Ingelheim.
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RECIENTES ESTUDIOS
Aug 1, 2007
EN MIS ULTIMOS ESTUDIOS MI CARGA VIRAL REPRESENTA 24,900 COPIAS Y 4.4LOG., UN CONTEO DE CD4 .273 UN PORCENTAJE DEL 12.3% Y CD8 1.35 Y UN PORCENTAJE DE 61.1%; SON MIS SEGUNDOS ESTUDIOS Y MI MEDICO INFORMA QUE AUN NO ES NECESARIO INICIAR UN TRATAMIENTO; PODRIAN INFORMARME SI ESTA ENLO CORRECTO Y DE SER POSIBLE LA INTERPRETACION DE ESTA INFORMACION? GRACIAS.
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Respuesta del Dr. Natterstad
Hola,
Se recomienda la terapia antirretroviral para todos con los CD4 por debajo de 200. No hay controversia. Para las personas con los CD4 entre 200 y 350, las cosas son menos claras. Sin embargo, después de pensar seriamente en los datos disponibles del riesgo relativo de progresar al SIDA con ciertos niveles de recuentos de CD4 y de los beneficios y riesgos potenciales de iniciar terapia, la mayoría de especialistas en VIH/SIDA creen que los datos respaldan el comienzo de tratamiento en aquéllos con los CD4 entre 200 y 350. Estoy definitivamente en este bando. Te sugiero que vuelvas a visitar este tema con tu médico especialista en VIH a la luz de esta opinión de la mayoría.
Mucha suerte y un fuerte abrazo.
Dr. Steve
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