[Question #10983] Oral and rash
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18 months ago
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Dear Doctors: I had a csw encounter (maybe trans), received 30 sec unprotected oral (first a friend and after me) without erection and ejaculation
2week:mild sore throat, diarreha for 4-5 days probably had covid (all in my family had)
4 week:headache,weekness
5wk: back rash: two red blotches (1.5cm)
6.5wk:tested neg with finger prick (only ab).CEE marketed of chembio Surecheck
7wk:other 3-4 little red spot smaller on belly; went to dermatologist and he told me it’s a pityriasis rosea and that don't resemble ARS rash
9wk: 4little spot on trunk. Still weak arms,mild headache,red throat,white tongue,strange tingling in hands
Never had fever or lymphs
1.is it possible to have ars rash started at 5wk without fever? can rash last more than 5wks and spread week by week?Can i trust dermatologist?
2.can a Methylprednisolone cure (3shot 40 ml..1 every 20 day, last shot was 4 days before the encounter)increase infection risk and affect the accuracy of my test? or if symptoms are present that confirm antibody (if ARS).
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18 months ago
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Sorry if i write again here but i was not able to write all question even if i was under 1500 characters.
3.What do you think about my symptoms?Am i at risk or can i move on?
4.how is the accouracy of my test (i think is only IGG) after 6.5 weeks
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Edward W. Hook M.D.
18 months ago
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I believe you have asked these questions before using a different user name. This is frowned upon. The answers will not change. EWH---
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18 months ago
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No Doctor, this is my first time here.. Can you answer me?
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18 months ago
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never write to you before this...
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Edward W. Hook M.D.
18 months ago
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OK. Your questions are very familiar. Here are my replies.
1. High fever and severe sore throat are part of the definition of the ARS. Furthermore, the symptoms of the ARS typically occur between 10 and 21 days following in encounter. The ARS would not begin more than four weeks following in encounter. Your symptoms are not suggestive of the ARS and the timing is wrong.
2. Your receipt of methyl prednisone before you’re encounter. Neither changes your risk of infection or the accuracy of your test results.
3. See my comments above. Your symptoms really are not suggestive of the ARS.
4. Your test results absolutely prove that your symptoms are not due to the ARS. The test you had however, is an antibody only test and is 90% conclusive at the time you were tested. At this time you could test with me fourth generation, combination, HIV, antigen antibody test and receive absolutely conclusive Test results.
I am confident you do not have HIV from the encounter you describe. EW.
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Edward W. Hook M.D.
18 months ago
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I didn’t. No one has ever been proven to have acquired HIV from receipt of oral sex. You are not going to be the first. EWH.---
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18 months ago
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thank you so much doctor, you're answer gives me a little of peace of mid.... i had several anxiety attack thinking this encounter..i could connect most of my symptoms to this but the rash is what scares me most (my concern is that to me it don't seems pytiriasis.it's totally macular flat and not scaly, but i'm not a doctor and i hope dermatologist is right).
1.Sorry if i insist on the rash.Can ARS rash last so long more than 5wk (i'm now in the 6th week)? and can appear in tranches, spreading slowly week by week? (i admit dermatologist told me to don t panic because pityriasis rash use to increase after several weeks but i would like to know if ARS rash can do the same)
2.If we suppose the rash is my only real ARS symptom- Are 8-9 days distance from my rash onset enough for the test i've done to exclude the rash is caused by ARS? even if my test is only ab (IGG only)?
3.How many people test positive after a 6.5 weeks test negative in your experience (considering the type of my test)?
4.Do you think all symptoms i have can be related at my probably COVID infection, i read the covid can last several weeks after the acute phase and cause a lot of symptoms like mine, rash included (i 'm thinking about the long covid)?
Thanks again
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Edward W. Hook M.D.
18 months ago
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We provide up to 3 responses to each client's questions. This will be my final response. It sounds lie the "connections" you have found came from the internet. If so, you are kidding yourself. Much of what is said there is incorrect for a number of reasons. In reply to your follow-ups:
1.Sorry if i insist on the rash. Can ARS rash last so long more than 5wk (i'm now in the 6th week)? and can appear in tranches, spreading slowly week by week? (i admit dermatologist told me to don t panic because pityriasis rash use to increase after several weeks but i would like to know if ARS rash can do the same)
NOTHING about your rash- the timing or your description suggests the ARS.
2.If we suppose the rash is my only real ARS symptom- Are 8-9 days distance from my rash onset enough for the test i've done to exclude the rash is caused by ARS? even if my test is only ab (IGG only)?
You seem to be ignoring my response. The ARS DOES NOT present as an isolated rash. Further a negative test ANYTIME after the appearance of a rash totally excludes the possibility that the rash is due to HIV.
3.How many people test positive after a 6.5 weeks test negative in your experience (considering the type of my test)?
None
4.Do you think all symptoms i have can be related at my probably COVID infection, i read the covid can last several weeks after the acute phase and cause a lot of symptoms like mine, rash included (i 'm thinking about the long covid)?
I cannot comment on this.
This concludes this response. There should be no reason for you to return with further questions about symptoms related to the discussion you describe. EWH
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