[Question #12035] Ask about Exposure
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10 months ago
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Dear Doctors,
I am contacting you to seek professional advice regarding a possible exposure to HIV that I have recently experienced. After browsing your website, I have discovered that this type of exposure is relatively common. However, I understand the importance of seeking medical advice specific to my individual case, given the unique circumstances of each case.
Case Details:
- Type of exposure: Superficial skin massage using massage oil.
- Significant skin irritation occurred due to hand and fingernail contact with the area, but without any obvious skin breakage.
- Nature of irritation: Prominent redness and visible skin irritation. The affected area shows distinct red patches, indicating a moderate level of inflammation. While there is clear evidence of irritation, there are no open wounds or visible bleeding.
- There was no sexual contact or exchange of bodily fluids.
- In order to conduct a comprehensive risk assessment, let us assume that the other person has a cut on their hand (hypothetical scenario).
- HIV combo test (P24 Ag & Abs) was performed on day 21 after exposure.
- Test result: negative (non-reactive), value 0.304 (detection limit <1.0).
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10 months ago
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1. Given the described irritation and hypothetical wound, is there a real HIV transmission risk?
2. Does the skin irritation increase HIV transmission likelihood?
3. Is the day 21 test result conclusive for this exposure?
4. Are additional tests or follow-ups needed?
5. What's your practical risk assessment, considering all factors?
6. Should I avoid unprotected sex with my wife or take additional tests?
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Edward W. Hook M.D.
10 months ago
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Welcome to the Forum. Thanks for your questions. The encounter you describe did not put you at risk for HIV or any other STI. There is no scientific reason for testing or concern.
In response to your specific questions:
1. Given the described irritation and hypothetical wound, is there a real HIV transmission risk?
No
2. Does the skin irritation increase HIV transmission likelihood?
No
3. Is the day 21 test result conclusive for this exposure?
No. You do not need testing however, for conclusive results of testing, tests should be performed more than 6 weeks after your last exposure.
4. Are additional tests or follow-ups needed?
Testing is always a personal decision however there is no scientific or medical reason for testing
5. What's your practical risk assessment, considering all factors?
Zero risk
6. Should I avoid unprotected sex with my wife or take additional tests?
This is unnecessary
I hope this information is helpful. Please don't worry. EWH
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10 months ago
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"I hope this isn't considered a third reply. I couldn't fit these questions in the main topic:
1. Did you consider possible blood on his hand?
2. Given the zero risk, is my day 21 test conclusive despite the usual 6-week recommendation?"
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Edward W. Hook M.D.
10 months ago
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1. Yes
2. Since there was no scientific need for testing, I see no need for follow up testing.
You have one follow up remaining. EWH
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10 months ago
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Thank you for responding to the previous questions. I have one final question:
1. Small red spots formed as a result of pressure from fingernails without any cuts in the skin - these spots appear to be under the skin. Do these not pose any risk if there was blood on his hand?
I want to ensure your complete understanding of the nature of the injury. Thank you, doctor.
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Edward W. Hook M.D.
10 months ago
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The red spots under your skin that you have noticed in no way change my opinion or suggestions. As a final response, I repeat, this was a no risk event. There’s no need for concern. There is no need for testing. You need to move forward without concern.
This completes this thread, which will now be closed. Take care. Please don’t worry. EWH.
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