[Question #4871] HIV TESTING AND SYMPTOMS

26 months ago
I had a potential exposure to HIV in early Ausgust 2018. 28 days after exposure I had a negative Aptina RNA test. 35 Days, negative 4th generation duo. 65 Days, negative 4th generation duo. 90 Days, negative 4th generation duo. 3 weeks after exposure I developed a headache for 3 days, fatigue, and a skin rash on both of my palms that appeared as red spots under the skin (not sticking up above the skin). This rash keep reappearing nearly everyday and my skin on both palms and fingertips continues to peel 6 months after the exposure. Are my tests conclusive? I read about a 3 month guideline and even a 6 month guideline?! 
26 months ago
By the way, I saw someone else posted with the same subject line as me and I’m sorry for that! Please don’t think I’m the same guy! 
Edward W. Hook M.D.
Edward W. Hook M.D.
26 months ago
 Welcome to our firm. Thanks for your confidence in our advice. The fact that another client has posted a similar question is not something to feel bad about.  Your test results are conclusive and there is no need for further testing. The results of combination HIV antibody/antigen testing is totally conclusive at any time more than six weeks following and exposure.   Thus, you can have complete confidence that the symptoms you are having or unrelated to HIV acquired through the exposure you have described.   

There are numerous other dermatological problems, including syphilis, which could be causing your skin rash. I would suggest that you seek a valuation by a dermatologist. In doing so there is no reason to worry that you're continuing symptoms may be related to HIV. 

I hope this information and advice is helpful to you. Take care. EWH
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26 months ago
Thank you for your reply! 

I tested through a site called STDcheck.com. Do you know much about them? Are they a legit company? 

Secondly, I had a Syphilis RPR Test at 4 and 13 weeks. I was told they are conclusive as well. 

Can you explain why some guidelines still say 6 months? I try to stay off the internet due to information being inconsistent but happened to come across that. My primary care physician also recommended a 6 month Test. But again, I did not test through his order, instead through a company called STDcheck.com where I bough the hiv rna ql tma and the 4th generation duo tests. 

I appreciate your responses greatly! 
Edward W. Hook M.D.
Edward W. Hook M.D.
26 months ago
STDcheck.com  appears to be a legitimate business to for providing accurate results of STD testing. In general this testing is somewhat more expensive than what might be obtained at public health clinics or in other settings but the results are accurate and I know of no information to suggest that results of painting this way should not be believed. 

 Thanks for the additional information on your syphilis test results. These test results rule out the possibility of Syphilis. 

 I have no idea why some sites suggest longer than recommended testing intervals. I suppose that some individuals want to be "completely sure " of the information they provide. Being overly sure in this way however  all too often prolongs anxiety and generates unnecessary concerns. 

 You can believe the test results that you have a need no further testing for STI's  related to the exposure you describe. I still think it may be worthwhile however to see a dermatologist to sort out your skin rash. EWH. 
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26 months ago
For my final response as I know we are limited.

For some reason my anxiety stems not from my results per say, but instead of STDcheck.com is a legit site. One of the times I went to take a test I purchased from them at labcorp I requested that labcorp personally send me a courtesy copy, and they did. Straight from their headquarter. So I assume this dispels any possibility thT STDcheck.com isn’t real. 

The 6 month guideline certainly has provoked my anxiety. From what I understand, and from what you say, a negative Aptima RNA QL TMA at 28 Days combined with a negative HIV 4th generation duo test at 90 days would conclusively rule out infection. No if, ands, or buts correct? 
Edward W. Hook M.D.
Edward W. Hook M.D.
26 months ago
STDchech.com  does use LabCorp for its testing. LabCorp is a highly respected and qualified laboratory whose test results should be believed. I would not be concerned about the legitimacy or accuracy of the test results results you have received. 

 Your HIV test results are conclusive for the intent to you described. No if's, and's, or butts. 

 As you point out this concludes this thread which will be closed later today. Take care. 

Please don't worry. EWH
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