2019 Ryan White HIV/AIDS Program CLINICAL CONFERENCE

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Question

Do I change ARV regimen in a patient with a discordant CD4 count response?

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Case 6

• 48 yo man presents with newly diagnosed HIV infection • Asymptomatic except for weight loss / fatigue • Initial: HIV RNA 860,000 c/ml CD4 count 24 cells/ul • Started on ARV Rx • One year later his HIV RNA < 20 c/ml but his CD4 is 65 cells/ul

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