[Question #2479] HIV query

45 months ago
dear sir/madam

I am male. 2 yrs ago had a condom failure with Chinese CSW in Middle East. 3 days later had a minor throat irritation(2to 3 days) and one night sweat, which I think was from just to warm in bed. About 1 week later a minor sore throat for 1 day. Now 2 years later I have notice my skin on face dries out and can be itchy, sometimes the skin can feel kind of irritated. I have some red patches on face but I believe they have always been there for years. 

Is it possible that my symptoms above are HIV ars and that the itchy face is a HIV related medical condition ? I now plan on a HIV test on 22nd July 2017

Thanks in advance 

Edward W. Hook M.D.
Edward W. Hook M.D.
45 months ago
Welcome to our Forum.  I'll be pleased to comment.  The symptoms of recently acquired HIV (sore throat, high fevers) are far more severe than the ones you describe and typically the ARS does not begin just 2-3 days following an unprotected exposure, instead taking a week of more to occur.  I sincerely doubt that these symptoms, nor the itchy rash you describe are due to HIV and am confident that the exposure two years ago that you describe did not lead to HIV.  Unless there are other reasons for concern, I anticipate that your HIV test will be negative when you take it next week.  EWH
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45 months ago
Dr Hook

Thank you for your reply.  To add to the below the itch is predominantly on the lower left cheek and I have been experiencing it on and off for around 3 weeks. Also I think around day 3 of the exposure I felt a little hot at one stage, probably for 2 or 3 minutes or so, I would assume that's not something that would be described as a fever ? Does this additional information change anything?

As a general question on ARS symptoms, if they are present, can they occur at any stage or is it around one week post exposure? 

Thanks in advance   
Edward W. Hook M.D.
Edward W. Hook M.D.
45 months ago
Thanks for the additional detail however this really still does not in any way change my assessment.  Feeling warm does not qualify as a fever.  the fever of the ARS is typically quite high and lasts at least several days.

As far as ARS symptoms, it is important to believe the they seem to occur as the body starts to produce antibodies to the virus, something that takes a week or so to begin.  The ARS is an event which only occurs early in the course of infection, typically between a week and four weeks after infection and lasts about a week. The syndrome is characterized by high fevers, sore throat (typically severe) and muscle and/or joint aches.   It is mimicked by the flu and other viral illnesses.  Nothing you describe suggests that you experienced the ARS.  EWH
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