Q. I have low T cells with dropping CD4 and CD8. Please comment on my blood report.
Hello doctor,
Should another consult with hematologist be conducted regarding no improvement on my blood work since last time? It appears that the folic acid and B12 vitamins are not exactly working. Now T cells are dropping as with CD4 and CD8. HIV remains undetectable whereby, I believe that is ruled out?
Rae blood cell folate 185.6 ng/mL low
Vitamin B12 265 ng/mL
Absolute monocyte count (auto) 0.24 low
MPV 9.1 low
Platelet count 152 low
Total T cells CD3+ 761 10E6/L low
Total CD4 cells (CD3+ CD4+) 414 low
Total CD8 cells (CD3+ CD8+) 348 10E6/L low
MCH 33.5 high
RBC 4.83 million/mm3
WBC 5.17
HIV-1 RNA VIRAL LOAD (copies/mL).
Hello,
Welcome to icliniq.com.
Low CD count can be due to altered immune function or HIV. You have been investigated with the molecular tests for HIV. So after four to six weeks of exposure, it can definitely rule out HIV. If you have investigated early with a provided period then you have to repeat your HIV testing. For low folate, you can be prescribed folic acid tablet for one or two months.
For low vitamin B12, cyanocobalamine injection can be prescribed once a week for eight weeks. If you have any specific clinical complaints or history then mention it to give further comment. I hope this helps.
Thank you doctor,
I have the symptoms of occasional fever and chills, fatigue, weakness, bone and joint pain and night sweats. Currently, I am taking 2000 mg vitamin B12 daily and 1 mg folic acid daily. I have been HIV undetectable for 10 years while on the current regiment. I did have prostate cancer 18 months ago, and the prostate was removed.
Hello,
Welcome back to icliniq.com.
You have to check your hemoglobin level to rule out anemia. As you are having bone pain and joint pain you have to investigate,
Serum ANA estimation,
RA factor estimation,
Serum-free ionized calcium estimation.
For your weakness problem, it is advisable to investigate with serum TSH (thyroid-stimulating hormone) estimation, SGPT (serum glutamic pyruvate transaminase), SGOT (serum glutamic oxaloacetic transaminase) estimation, serum urea, and creatinine estimation. Your liver and spleen also should be palpated to exclude hepatosplenomegaly. You can take vitamin B12 in the form of injection for rapid improvement. Folic acid 5 mg daily can be able to improve folic acid deficiency rapidly.
If your prostate cancer was of high Gleason score, that is more than 8 then metastasis to bone should be ruled out by bone scan. I suggest you consult a nearby physician for a detailed examination and discuss all these.
I hope this helps.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Had anal sex with a HIV positive person. What is the chance of infection?
It would be advisable to visit the nearest ICTC center (integrated counseling and testing center) at the earliest and discuss with them regarding post-exposure prophylaxis (PEP) in view of attempted intercourse with a known c... Read full
Should I get a bone marrow biopsy to rule out possible MPN?.. checked your blood tests (attachment removed to protect patient identity) and read your complaints about your health. Apparently, you have a rheumatic disease. It does not seem to be lupus or rheumatoid arthritis at first sight according to the la... Read full
Please suggest some measures to get pregnant?.. tests are normal, but her scan result is confusing. So, please send the complete scan report. Have you done your semen analysis? If not, then get it done by a reputed laboratory and send me the report. There should be three to four days abstinen... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ... Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also... Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte... Read more»
Ask your health query to a doctor online?
Ask a Hematologist Now* guaranteed answer within 4 hours.
