[Question #3256] General question regarding ARS

37 months ago
I i see didfferent answers regarding ARS, my only question is why there is a difference between Dr Hook and Dr Handsfield on the duration of symptoms, where Dr Hook Says 3 to 5 days while Dr. Handsfield says from 10 to 20? I just would lime to know if is there a timing or there is no way to know?
Thanks
Edward W. Hook M.D.
Edward W. Hook M.D.
37 months ago
Welcome back to the forum.  I am saddened that you continue to fixate of symptoms of recently acquired HIV, presumably in relationship to your no risk exposure months ago.  LEet me summarize some information about the ARS and hopefully clarify your questions.

1.  The ARS occurs as the body begins to develop antibodies to HIV following acquisition of infection.  It occurs in no more than half of persons with recently acquired HIV and there is variability as to the onset and duration of symptoms.
2.  The most prominent symptoms f the ARS are temperature >102 degree, sore throat and muscle or joint aches.  A minority of patients may have diarrhea or a generalized rash as part of the ARS.  Most people who have this symptom complex do NOT have HIV but have other, far more common, community acquired non-STI viral infections.
The onset of the ARS is typically within a month of acquisition of infection, most often between one and two weeks. 
3.  Symptom duration varies.  Symptoms onset occurs typically with most symptoms beginning at about the same time and occurs at 1-4 weeks after infection, most often at 2-3 weeks.  Symptoms duration is highly variable.  Symptoms begin to improve within 3-5 days of onset but can persist for longer, up to the 3 weeks (this may be the source of your confusion).

Finally and most importantly, trying to diagnose HIV based on symptoms is foolish  When a persons has the ARS, a combination HIV antigen/antibody test will virtually always be positive and this is the way the infection should be diagnosed.  If you have symptoms and have an HIV test at the time you do, if the test is negative, your symptoms are not due to HIV. 

I hope this clarifies things for you.  More importantly, I hope you can stop worrying about the ARS in relationship to your no risk encounter months ago.  EWH
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37 months ago
I am sorry for all the questions, thanks or the kndly answers, i will make the best effort to relax
Thanks again
37 months ago
Also i wanted to follow up and let you know my wife’s doctor said that my wife was recently exposed to the ebv and most likely the lymph nodes undet the jaw were figthing  it, he says it does not have anyrhinf to do with the axilary ones but it might have neen from another cause, thanks again
37 months ago
Doctor,  sorry i meant my coment as a question, just if the reason for my wife’s lymph nodes could have been the exposure to the ebv, thabks
Edward W. Hook M.D.
Edward W. Hook M.D.
37 months ago
Thanks for your clarification.   I had assumed that you had notified me of that up as a notification and not as a question.  EBV  could certainly be the cause of your wife's enlarged lymph notes. EBV is not necessarily a sexually-transmitted infection and is a cause of mononucleosis syndromes. Swollen lymph node's are part of that syndrome.   There is no specific therapy for EBV infections and these infections typically resolve on their own without complications or problems. 

 I hope that this additional information is helpful to you. Take care. EWH 
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37 months ago
Thabks doc for the clarifocation, i just wanted to be sure it has nothing to do with hiv
Thanks again