[Question #2184] New herpes diagnosis

45 months ago
I am returning as a new question. You folks helped me thru several questions as I was in distress over what I thought was an HIV infection. I had very high anxiety and ended up testing myself 5 times within 6 weeks. Both RNA test were done early along with 4th gen tests at 23,28, and 42 days. All negative. I did have positive HSV2 diagnosis on all. They were IGG tests with the first one being over 17 and the last one down to 12. I do not have any signs of outbreak on my genitals, but I have several small red pimples on my inner thighs, down my legs, and on my feet. They just appeared yesterday. The biggest thing I have noticed over the last month is aching in my legs and stabbing in my feet. From my last post you did not seem to think the pimples had anything to do with herpes. Do you recommend I follow up with a doctor and have things checked out and possibly get on an early treatment? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
From you index values, it is quite clear that you do have HSV 2 infection, if you are using the standard tests.  But the small red pimples on your inner thighs sound nothing at all like a herpes outbreak.  A herpes outbreak on the thigh would be usually far more remarkable - water blisters in a group on a reddened base.  You could certainly have someone look at them to provide you reassurance but again, these don't sound herpetic to me.  I'm wondering - did you test in the US and do you know the normal and abnormal ranges for the herpes test that you took?  Different tests have different positive and negative cut off values - in the US, those values would certainly be positive but I have seen ranges for tests out of the US that vary greatly from those used here.  Can you clarify please?

Terri
---
45 months ago
The test was done in the US. It was done by LabCorp. It was an IGG test. A big question for me is the pain in my legs, mainly in the back thighs and sharp pain in feet a symptom of an outbreak? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
OK, if your test was done in the US by LabCorp, then the result is most definitely positive and you have HSV 2 infection.  It is not possible for me to know if the pain you are experiencing is due to herpes reactiviation or not.  In my experience, pain in the leg can happen prior to an outbreak but isn't constant and rarely goes into the feet.  Whether this is an outbreak coming or not, you know that you can shed or give off virus between outbreaks, right? 
The pimples on your thighs sound very consistent with folliculitis - inflammation of the hair follicle.  I'll tell you that at least 80% of men I examined in my career have those so you are certainly not alone!

In regards to your HIV test - I am certain that your negative test is correct with the timing that you described in your post.

Terri
---
45 months ago
Thank you Terri. Your work here on this site is priceless. A couple questions about the virus. I believe there is a chance my xwife could have possibly given me herpes several years ago. Is it possible it laid dormant and recently surfaced after a recent surgery? I found out some time after our divorce that she had contracted it, possibly while we were still together. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
Yes, that is certainly possible.  I've seen people who, by history,  had to have contracted the virus more than 30 years ago and with cancer chemo, which suppresses their immune system, recognized their first outbreak. With surgery, your immune system can get challenged.  If the surgery involved the back, that is particularly annoying to the virus as it is irritated the nerves it lives in.  I don't know if your surgery involved the back, just saying that's one possibility. 
I'm glad the site is useful for you.  If you have more questions, feel free to renew.

Terri
---