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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Possible To Be Tested Negative For HIV 22 Days After Possible Exposure?

Hello Dr. Grief, Is it possible to be tested negative for HIV antibodies exactly 22 days after possible exposure and still experience a rash? My rash occurred about 2 weeks (roughly 14 days) after my incident. It was localized; mostly on the top of my big toe on my left foot, about the size of a quarter. It was flat yet raised and reddened but really didn t itch much, and went away within a week. No small blisters or pustules were present and again just in that one spot (however, the top of my big toe on my right foot showed evidence of two much smaller and milder reddish/pink patches attempting to erupt but nowhere near developed as the one on my left foot). Otherwise I m perfectly healthy and have had no other symptoms typical of infection (such as fever and flu-like symptoms). It s going on 4 months have had no other symptoms typical of infection and due for a follow up test since it s only the window period. I would like to think that I were infected, the rash would ve been my body s reaction to the presence of HIV antibodies. However, if that were the case, then wouldn t there have been antibodies present in my blood sample? I still intend to keep my follow up appointment for peace of mind s sake, but just want to know ahead in advance as I go in for another test. Thanks in advance.
Tue, 26 Aug 2014
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Infectious Diseases Specialist 's  Response
Hi,

Welcome to HCM.

HIV is not diagnosed based on symptoms as it is very unreliable. There are many HIV positive individuals with no symptoms at all. Coming to the HIV rash, it usually occurs two weeks after exposure and involves the body, the back and trunk most commonly. But this is associated with fever and flu like syndrome and depression. If you had no other symptoms, you are most likely HIV negative. Please get the confirmatory test done and get relieved of your worry once for all.
Wishing you good luck.
Thanks.
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General & Family Physician Dr. N Samara Simha Reddy's  Response
HI

You can go for RT-PCR( reverse transcriptase polymerase chain reaction ) if you are so much in doubt.

you have not mentioned about exposure and even rash do not appear too early with in 2 to 4 weeks.

consult a dermatologist regarding the rash and it might be due to various causes.

take up the test to confirm
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Is It Possible To Be Tested Negative For HIV 22 Days After Possible Exposure?

Hi, Welcome to HCM. HIV is not diagnosed based on symptoms as it is very unreliable. There are many HIV positive individuals with no symptoms at all. Coming to the HIV rash, it usually occurs two weeks after exposure and involves the body, the back and trunk most commonly. But this is associated with fever and flu like syndrome and depression. If you had no other symptoms, you are most likely HIV negative. Please get the confirmatory test done and get relieved of your worry once for all. Wishing you good luck. Thanks.