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1 September 2007

Volume 45, Number 5
Clinical Infectious Diseases 2007;45:650–653
1058-4838/2007/4505-0020$15.00
DOI: 10.1086/520025
HIV/AIDS BRIEF REPORT

Is the CD4 Cell Percentage a Better Marker of Immunosuppression than the Absolute CD4 Cell Count in HIV‐Infected Patients with Cirrhosis?

Marco Bongiovanni,1

Andrea Gori,1

Alessandro Cozzi Lepri,7

Andrea Antinori,2

Andrea de Luca,3

Gabriella Pagano,4

Alessandro Chiodera,5

Massimo Puoti,6 and

Antonella d’Arminio Monforte,1 for the

Italian Cohort of Antiretroviral‐Naive Patients Study Groupa

1Clinic of Infectious Diseases, San Paolo Hospital, University of Milan, Milan, 2National Institute of Infectious Diseases, L. Spallanzani, IRCCS, and 3Institute of Infectious Diseases, University Cattolica del Sacro Cuore, Rome, 4Division of Infectious Diseases, San Martino Hospital, Genova, 5Division of Infectious Diseases, Macerata Hospital, Macerata, and 6Clinic of Infectious Diseases, University of Brescia, Brescia, Italy; and 7Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, United Kingdom

Recently, it was shown that cirrhotic patients without human immunodeficiency virus (HIV) infection had low CD4 cell counts and normal CD4 cell percentages, suggesting that, for HIV‐infected persons, the CD4 cell percentage might be a more accurate marker of disease progression than the absolute CD4 cell count. In cirrhotic HIV‐infected persons in the Italian Cohort of Antiretroviral‐Naive Patients, the absolute CD4 cell count seemed to be better predictor of the risk of developing an acquired immunodeficiency syndrome–defining illness than the CD4 cell percentage.

Received 7 February 2007; accepted 11 April 2007; electronically published 1 August 2007.

Reprints or correspondence: Dr. Marco Bongiovanni, Clinic of Infectious Diseases, San Paolo Hospital, University of Milan, via di Rudinì 8, 20142 Milan, Italy ().
  • Members of the study group are listed at the end of the text.

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