[Question #5638] Concerning CBC blood work
19 months ago
Dear Dr. HHH and EWH: Thank you for your invaluable service. I only ask this question as I am getting married over this weekend and want to ensure I do not put my spouse in any risk. My RA doctor earlier in the week ran regular and RA specific blood works (CBC, Sed Rate, CRP) on me to check my autoimmune RA condition. RDW (red blood cells width), EOS (eosnophils), and Sed Rate were slightly elevated and out of the normal range. This CBC test was around 84 days post exposure. My HIV AgAb tests were done after 43 days (on the 44th day) post exposure and as you know were, Non Reactive. You had indicated that these AgAb results were conclusive for HIV 1 and HIV 2 and indicated that the results meant that I conclusively do not have the HIV infection.
While researching RDW, EOS, and Sed Rate, I read that elevated levels could be caused by HIV infections as well as autoimmune conditions. So, I got worried and I am only writing to you for peace of mind and some reassurance, and not to bother you. I may have read earlier that CBC is no indicator of HIV infection and that only the AgAb tests are conclusive answer providers post 42 days or more days after last exposure.
Can I disregard any concerns around HIV (1 and 2) given the 43 day result? In other words, given the non-reactive AgAb results at 43 days, I need not worry much about the CBC results at 84 days and deal with RDW, EOS, Sed Rate results with my RA doc in relation to my autoimmune condition and disregard any concerns around HIV? I have had no new exposures. Do I need any further HIV testing?
Thank you, doctors. Reference to previous threads (5441, 5549). Please forgive my questions and be kind enough to answer them. I only ask as I am getting married this weekend and out of caution.
H. Hunter Handsfield, MD
19 months ago
From the first of your three discussions about a month ago:
The AgAb (combo, 4th generation, duo) HIV blood tests are among the most accurate diagnostic tests available for any medical condition. If done sufficiently long after the last possible exposure, the results are 100% conclusive. It is also true that these test results are not affected at all by any other medical condition or medications. Your results PROVE you do not have either HIV1 or HIV2. You do not need any more testing. And because the results are conclusive, the level of risk at the time of you exposure(s) doesn't matter. However high the risk was (it was little or zero for most of the ones you ask about), you didn't catch the virus. Do your best to stop worrying about it.---
That comment also covers CBC and sed rate abnormalities; i.e. your test results prove that ny abnormalities are not due to HIV.
In addition, your last thread conctained this statement:
This thread therefore is now being closed with no additional comment discussion. Another question from you on these topics will not receive even this much reply.