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Treatment for sexually transmitted diseases - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: HIV and AIDS
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
User :   hi
Doctor :   how can I help you?
Doctor :   please proceed with your health query
User :   i want to ask about my rashes
Doctor :   ok. please describe them in detail
User :   sure sir
User :   i was exposure condom broken incident 15th month later
User :   i already done 6 HIV antibody test all are negative
User :   Elisa & CLIA test hiv antibody test
User :   i had many symptoms like sore troth(last upto 8 months), joint pain (last upto 30days), wight tong, fever for 2days.
Doctor :   ok
User :   and from last 3-4 month i started notes some rashes on my face, chest, hands, legs & stomach
Doctor :   if ELISA after 3 months of exposure is negative then it tells that 99% chances are that you are not having infection
Doctor :   if after 6 months ELISA shows negative, then it tells that you are 100% free of infection
User :   my last HIV test done on 09/09/10
User :   after 13 month exposure
Doctor :   do you have any other symptoms?
User :   like
Doctor :   do you have any other symptoms apart from rashes?
Doctor :   could you describe the rashes in detail?
Doctor :   where did they appear first? hands and legs, stomach or face?
User :   only sore trough but from last 10-15 is clear
User :   face, chest, hands and then stomach
Doctor :   please describe their appearance in detail?
User :   i shown two skin doctor one doctor said its follicuties rashes and other said its mosquito byte
User :   rashes are like reddish mosquito bites originating at the hair follicles.....
User :   once the old rashes disappear new one appear at different spots on the skin
Doctor :   do you have family history of diabetes?
Doctor :   have you got your sugars tested after their appearance?
Doctor :   do these itch?
Doctor :   is there any pus formation in them?
User :   my father is diabetic
User :   these rashes do not itch
User :   my wife is diabetic
User :   few of them have pus formation
User :   these pus formation rashes appear on the face region
Doctor :   since your father is diabetic, you too have chances of having it. the pus formation is indicative of infection which occurs readily in diabetics
Doctor :   i would strongly recommend that you get sugars testes FBS, PPBS, HbA1C
Doctor :   *sugars tested
User :   what about those rashes without pus formation
User :   and my father has been diagnosed a diabetic only for the last 2 years
User :   i have more rash appearance on my face and hands
Doctor :   since you are having this problem since more than 2 months, diabetes has to be ruled out
User :   it looks like a follicular infection to me
Doctor :   your description suggests follicular infection, the cause for it needs to be determined, hence I am recommending you to get diabetes ruled out
User :   i am worried that these are not symptoms of an HIV infection? are they
User :   i had consulted an ENT specialist and i had been recommended some medicine ppost which my sore throat has been cured
User :   right now my only worry is these rashes shud not indicate an HIV infection
Doctor :   you might need a skin scraping done or test done from the pus from follicles to look for the causative organism
Doctor :   since HIV is negative as proved by test results, the chances of HIV being cause is not there
Doctor :   do not worry about your HIV status anymore since all your tests have been negative.
User :   incase these are rashes due to HIV........when do these appear and how long do these stay for
User :   and on which stage of HIV do these rashes appear
User :   is it possible that these rashes are caused by HIV and they appear 1 year after exposure
Doctor :   please understand that in your case this option is no longer applicable as all your tests have been negative.
Doctor :   these will not appear anytime if there is no HIV infection
Doctor :   if HIV is present, then depending on viral load you can have these appearing anytime from the time of exposure till 4-5 years
User :   so what do you recommend....shud i get these follicular rashes tested yes...what sort of test shud i go for and ....shud i get myself tested for HIV once again one last time...if yes can you suggest what test shud i go for....
User :   the last time i had myself tested for HIV...i hAD simultaneously tested my IGs levels and in tht IGG levels were a bit on the higher side....
Doctor :   there is NO NEED for repeat HIV testing. for the folliculitis, go ahead with sugar tests as advised before along with test done on the pus from the ones that have pus in them (culture sensitivity test)
User :   and my IGE levels wee also very high
Doctor :   were they specific for HIV?
Doctor :   Ig are immunoglobulins, which are raised if any infection is going on
User :   no I had myself tested for IG levels as i had a doubt of have XLA
User :   because XLA has a tendency to turn out with false negative test in HIV tests hence i got my IG levels tested
Doctor :   and since you are having widespread foliculitis, they can be raised
Doctor :   go ahead with simple tests to see the causes that are more common than with tests to detect rare causes
Doctor :   if all the simples tests are negative, then complex ones should be considered
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else I can help you with?
User :   so i will have my sugars tested
Doctor :   you can get the tests done recommended by me and follow up with me if needed after a week.
User :   my only dooubt being that you are sure that these rashes are not indicative of an HIV infection
Doctor :   based on your history and test results that you provided, I am of the opinion that these are not related to HIV, unless all other invegtigations fail to show cause for them
Doctor :   if all come back negative, then further tests would be needed to look for causes that can make HIV tests show negative and cause you these symptoms
User :   how do i follow up with you next week once i have test results with me
Doctor :   you can come on live chat, and ask for me. I am Dr. AAAAAAA
User :   one last thing
User :   can u list down the name of the tests that i need to get conducted
Doctor :   sure. tests are: FBS. PPBS, HbA1C, culture sensitivity tests on pus from the follicles.
User :   and incase one of the is positive....then is there a chance of HIV infection
Doctor :   these are NO THESE are NOT THE TESTS FOR HIV
Doctor :   your ELISA at 13 months is negative
User :   i had got my wife also checked for HIV...the result had been negative
Doctor :   after 6 months of exposure if it is negative it means that you are 100% infection free
Doctor :   as i have said earlier
User :   if all these tests turn out to be there a chance of having false negatives for HIV
User :   Dr AAAAAAA ..are you there?
Doctor :   these are very rare cases
User :   if u need my rashes picture i can send it
User :   by email
Doctor :   and as I have said earlier rule out all common causes for your symptoms before thinking of rare ones
Doctor :   as there is history of diabetes in your father, go ahead with tests to make sure you do not have it
Doctor :   if you have it, then rashes could be attributed to it
Doctor :   if you do not have it, then further investigations wold be needed
User :   like
Doctor :   i have already mentioned one: culture sentivity reports,
Doctor :   next would be skin scrapings to see if infection is present
User :   because my wife hiv test also come negative after 9 months
User :   is it possible to be very rare in my case
Doctor :   yes, that is what I am trying to say that it is not present in you
Doctor :   others include tuberculosis, malaria or rheumatoid arthritis or if one is taking certain antibodies such as a flu vaccination that can give you false positive results
Doctor :   so further tests will need to look for these causes
User :   ok but not HIV right
User :   ?
Doctor :   moreover rates for false positive tests are RARE about 0.4-0.5 in 1000 cases
User :   / false positive in which test
User :   ?
Doctor :   i am talking about HIV test since that was your query
User :   i want to know about false nagetive
User :   as i was negative till 9/9/10
User :   and no other exposure in between
User :   this period
User :   only i had one sex but that was protected
User :   and i think protected was safe sex
Doctor :   have you understood the fact that if ELISA after 3 months of exposure is negative then it tells that 99% chances are that you are not having infection AND, if after 6 months ELISA shows negative, then it tells that you are 100% free of infection.
Doctor :   since you have said now that there was no exposure in between
Doctor :   and the test in 13th month post exposure is negative
Doctor :   along with the fact that even your wifes tests are negative
Doctor :   it shows clearly that you are not having the infection
User :   in my case there no chance of fails nagetive right sir?
Doctor :   even if you had false positive results with infection present in you, your wife could have got infected and her tests would show positive
User :   false negative or positive
User :   ?
Doctor :   false negative
User :   ok
User :   that means i am 100% HIV free?
Doctor :   yes
User :   thank you for your support
User :   i will do all this test and follow u after a week
Doctor :   sure.
Doctor :   is there anything else I can help you with?
User :   no sir my only problem is hiv and that problem u sloved
Doctor :   thanks for consulting me. bye for now.
User :   bye
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