Docs -Thanks for all of your service.

I had an unfaithful exposure awhile back. I was tested with RNA at 25 days and 4th generation at 36 -undetectable and negative.My wife then, over 50 days after my last test (and over 30 from our last relations) had her own 4th gen and was also negative.I figured we were all in the clear. Still our relationship was only reparing and I still had a mental block and sex life wasnt great.

Anyway- one evening after a particularly good night out she performed oral to completion on me. Exactly one month after that she came down with a nasty sinus infection. Very bad stuffed nose, bad sinus pressure, very painful. Headache.  Also achey back of neck and upper back. Also a bad cough presumably from the drip.2 days into the infection she went to dr and got an antibiotic, not sure which one I think it started with a d. Either way, that began to make her feel better but 3 days after that (if you can keep up ha) she developed a weird rash on her thighs. It looked like red dimes across both thighs, and the weirdest part was the timing. At 20/30 mins it probably reached its peak, then stayed and got better over the next 40 or so minutes. Cleared up in under 2 hours. It didnt seem to both her and frankly it could have been more of her body but she was wearing clothes. Definitely thighs.Questions:

1. Unprotected oral. I guess I know the numbers. She had no cuts. I wouldnt have let her if I thought I was at risk but I figured we were both clear. How serious is that risk?

2. ARS - do her symptoms sound typical?

3. The rash...I understand it can be very difficult to pinpoint, but I can;t get it out of my mind. Does this sound like a possible rash brought on by ARS? Just thighs (maybe elsewhere under shorts/underwear) and that short of a time period? Is there any guideline for how long they last? I've heard Dr. H say ‘trunk’ and I didn’t see her trunk. So I’m worried.

Thank you

Welcome and thanks for your question.---

Thanks Dr.

So again to be clear her negative test was before the ‘bj’ she gave and also before this illness that happened one month later. 

Sorry - new development:

And my vitamin D was very low, FYI. 

You're way overthinking it. Of course your wife was not at risk by having sex with you (oral or otherwise), since your tests PROVE you did not catch HIV. All my other advice flows from that fact.  And I see no rationale for me to take any more time to assess either your wife's symptoms, which do not even hint at HIV, or a rash that is proved not due to HIV. On this forum we are happy to address potential causes of symptoms likely (even only slightly likely) due to HIV or other STDs, but not symptoms caused by other things, i.e. proved not due to HIV/STD. Same for your lab work. I'm also not up on "IPF" as a newer CBC outcome, but since you don't have HIV, I'll have no more to say about it. I'll point out that the rest of your CBC looks entirely normal, and one item out of range usually is not significant. This is a question for your doctor, who presumably ordered the tests as part of your general medical evaluation.---

Thanks for the reassurance. So - for timeline...I received my ONE YEAR 4th generation test from regular dr office (from vein, sent to lab) this past December. I loosened up greatly after that. My wife's rash got me a little uneasy but I put it out of my mind...then I saw this platelet thing on this test and googled it and everything I read stated that it's one of the earlier markers for HIV (they say shows up in the middle-stage)...real medical journal entries too. So, I figured now I'm at about 18 months post exposure so I could definitely be at middle-stage. That led to panic which you can see in all of my posts at 4am my time.

5. Also have a purplish dot on lip. I remember having a scab there a few days ago. But that could be petechae and more sign of thrombo whatever....still do not believe I should be retested for HIV?

1) There is no "worst case scenario" that could make your test results unreliable.---