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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DEFENSAS CD4
Sep 18, 2007
Hola me llamo sara fui diagnosticada hace tres años quisiera saber si ya debo empezar tratamiento porque actualmente solo estoy con vitaminas el recuentro de mis defensas es linfocitos cd4- 338cel
linfocitos cd8-1043cel
linfocitos cd3-1554cel
relacion de cd4/cd8 es 0.32
este examen es de 07/09/07.
actualmente estuve de buena salud pero estos dias me ha atacado una gripe con dolor de garganta y tos seca en espera de sus respuestas muchas gracias
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Respuesta del Dr. Natterstad
Hola Sara,
Hace muchos años que usamos el umbral de 350 células CD4, debajo del que muchos expertos, incluyéndome a mí, recomiendan tratamiento. Tengo el presentimiento de que vamos a levantar este umbral en un futuro no muy lejano ahora que tenemos mejores fármacos antirretrovirales con perfiles de efectos secundarios y toxicidades más favorables. Sara, si tus recuentos de células CD4 siguen siendo inferiores a 350, sí, piensa seriamente en comenzar tratamiento. Si esto acaece, no te olvides de hacerte un genotipo, una prueba de resistencia, antes de escoger tu primer régimen. Te ayudará a elegir sabiamente.
Mucha suerte y un fuerte abrazo.
Dr. Steve
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