Important note: Information in this article was accurate in 2003. The state of the art may have changed since the publication date.



Question:

When a person T-cell count falls below 200, they are classified as having AIDS. What happens if through medicines and good habits such as eating and excercising there count goes back up to 400. Do they still have AIDS, or have they gone back to only HIV positive? Could they still live a long life even though falling below 200 at one time in there life?

Answer provided by:

Lisa Capaldini, M.D.
Internal Medicine


I'm asked this question all the time by my patients. The simple answer is that TECHNICALLY, if your T cells ever go under 200 you have an AIDS diagnosis, and that diagnosis isn't erased if your T cells go higher. These days, many people who have had their Tcells go under 200 have had their T cells improve, through the things you cited: eating well, taking their antivirals faithfully. etc. These same patients stay HEALTHY-they don't get opportunistic infections, require hospitalizations, and the like. In fact, practically speaking you can't tell this person ever had low T cells -- on meds they do as well as someone whose T cells haven't fallen below 200.

So, I tell my patients whose T cells have been in the AIDS-qualifying range ( less than 200) NOT to let that mess with their head-in their case their AIDS diagnosis is NOT predictive of how well they'll do, it's more a reminder that they need to take good care of themselves to STAY HEALTHY.



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