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Cd4 cell count answers (1698)

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Q: 

cd4 cells count x Oportunistic Infections

A: Response from Dr. Gallant There are not many complications that occur with a cd4 count in that range;most AIDS-related opportunistic infections occur when the cd4 count is below200. However, people with cd4 counts above 200 are more susceptible to a fewcomplications. These include bacterial pneumonia, herpes outbreaks or herpeszoster (shingles), oral candidiasis (thrush) or vaginal candidiasis,tuberculosis, cervical dysplasia (caused by HPV infection), and a variety ofskin problems. In addition, Kaposi''s sarcoma and lymphoma can occur atvirtually any cd4 cell count,...


Q: 

cd4 cell count

A: Response from Dr. Young Hello Steve and thanks for your post. You do indeed have a very low cd4 count and significant risks for having HIV-related complications. Fortunately, there''s plenty of hope that with well selected and adhered-to medications your counts (and health) can improve. I''m puzzled Steve as to why you''d have to wait until August to start on treatment. If you were my patient, I''d spend as much time as necessary with you to decide on the best options, learn about adherence and monitoring plans AND, get started as soon as possible. Please write back if you have any additional questions. Be well,BY...


Q: 

Which is more significant. Viral load vs. T-cell counts?

A: Response from Dr. Wohl Both cd4 and viral load are important but they provide very different information. The cd4 cell count tell us about your immune system at the time the blood is drawn. A low cd4 cell count indicates a risk for infections. From day to day, our cd4 cell counts can change (just like our blood pressure and temperature). So there is some variability in cd4 cell counts. When there has been an unexpected change in cd4

Q: 

Dramatic increase in T-cell count

A: Response from Dr. Young Thank you for your question. From what you''ve described (I''ll have to make some assumptions, because you havent described all of your laboratory values), sounds like you have had a rise in cd4 cell count and percentage in association with treatment with HAART and IL-2 with a recent switch from Lopinavir/ritonavir (Kaletra) to efavirenz (Sustiva, Stocrin). Based on available literature, I''m not sure if your results are the result of switch from PI to NNRTI, since the results of randomized, prospective switch studies (such as the Dupont 049 protocol) have failed to demonstrate dramatic differnces in the rate of cd4 cell recovery. This is not...


Q: 

ITP - T cell count - medication

A: Response from Dr. Young Dear Downunder, Thanks for your question, though I have to admit that I am a little confused by the values that you''ve cited. Yes, persons with their spleens removed tend to have higher cd4 absolute counts that others, hence using the absolute cd4 cell count for clinical decision-making in this situation can be inaccurate. What I use more and more in making the decision to start medications is cd4 percentages-- in this situation, splenectomy does not affect percentages too much, and this lab parameter can be used to assess immunological health. Using percentages; a absolute ''normal'' count of...


Q: 

Responsiveness of cd4 cells

A: Response from Dr. Young Demyan,Thanks for your post and question. It''s great to know that we''re reaching readers in South Africa. cd4 cell levels, as part of the immune system, can respond quite quickly to immunologic stimulus. Their overall levels fluctuate a lot, as a function of immune activation, time of day or ongoing infections. By contrast, the cd4 percentage tends to fluctuate less. Stress is harder to assess, since ''stress'' comes from many corners. It''s difficult to give you a quantitative answer, since it depends on the factor in question, but in general, I suggest that HIVers not get cd4 count tests within a couple of weeks of infection, vaccination,...


Q: 

cd4 cell production

A: Response from Dr. Pierone Hello and thanks for posting. The bone marrow contains both mature and immature white blood cell, red blood cells, and platelets. HIV infects WBCs (lymphocytes and monocytes/macrophages) and this infection certainly includes those cells that reside in the bone marrow. But the bone marrow appears not to be the primary site of immune attack by HIV. Recent studies have shown that within the first 2 weeks after acquisition of HIV infection more than half of the total body nave memory cd4 cells are destroyed. This process occurs primarily in gut associated lymph tissue (the gut actually is the location of much of our ''immune system''). The...


Q: 

Viral loads down and cell count down equals what?

A: Response from Dr. Young Thank you for your question. I agree with your daughter''s doctors-- these lab values tell me that things are generally stable and without significant change. A cd4 percentage of 36% is within the normal range (this is another way of measuring cd4 cell amounts). The key thing to me, it seems is that your daughter develop a relationship with her doctor or other counselor to find the avenues to feel comfortable asking questions about her health. In the meanwhile (and thereafter) feel free to ask us here at TheBody. Thanks for reading. BY...


Q: 

T cell count

A: Response from Dr. Young Thanks for your post Tony, T cell (or cd4 cell) count has everything to do with health in the HIV-infected person. The level of the cd4 cells is a measure of the health (or disease) of the immune system. Someone with a count below 200 is at risk of having an AIDS complication, whereas someone with a count greater than 500 has an essentially normal level of immune function. Having an undetectable viral load is the goal of HIV treatments and is generally required to have immune system recovery. Hope this helps, BY...


Q: 

Low CB4 or (cd4) cells

A: Response from Dr. Wohl Luck. He is at risk for bad things to happen. That they have not yet is fortunate. But, the time to tempt fate has passed and he needs to improve his odds for staying active and healthy by improving his cd4 cell count with medications that can control his HIV. DW...


 
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