Question: I have a dear friend who is HIV positive,...undetectable viral load, 496 t-cell count, and on HART. Things seemed to be going well, however recently he had a terrible cold, with flu like systems and was treated successfully with IV antibiotics, Within two days, he was back to normal and feeling great. About a week later, he noticed unusual and unexplaned bruising on his lower leg, back, and arm. Of course, we are concerned about leukemia because his mother passed away from that only two years ago. My question is: Could the bruising be somehow related to the flu that he had? Could this be a side effect of the flu, or the antibiotics used to treat him? Could the flu have caused low blood platelets which may be the cause for the bruising? He has no night sweats or loss of weight. His appetite is good. When he brushes his teeth too hard (and he brushes after every meal) occassionally his gums may bleed. He's sleeping well, and doesn't have swollen lymph nodes or any other physical pains or discomfort. I'm asking this because he was admitted to the hospital for a thorough check-up and blood screening this morning. So,...any other ideas than leukemia on the bruising? Oh, he has also recently received cortiosteroid shots for the relief of pain associated with plantar fascitis? Could steroids lead to easy bruising? Thanks for your time. XXXX

Dear Dr. Romic, Thank you for your reply! As I had mentioned, my friend was admitted to the hospital for a battery of blood work and screenings. We were on pins and needles waiting for the results. After what seemed like every medical test possible, they came back to the medication used to treat his hypothyroidism! Apparently, the medication he is on can cause an iron deffiency, which led to the bruising and other symptoms. All cancers have been ruled out, as well as leukemia! In fact, we were even surprised to see that his latest t-cell count showed t-cell levels of 603, with an undetectable viral load. The doctor's did mention that the external exam and medical history had them leaning to and preparing for a diagnosis of leukemia. They have mentioned a slight change in his diet and the introduction of B-12 vitamins. We are so relieved! LOL! But you were correct in informing us of a reaction to medications,...that being the medication used to treat hypothyroidism. Again, thank you for your reply and have a Merry Christmas. I know we will! XXXX