[Question #6801] HIV and One day PEP and symptoms

64 months ago

Dear Drs,

Though I got useful answers from former question by Dr. Hook(My original question is #6680), I still in the fear for HIV because of other symptoms. Here are some more questions. (I got several sexual massages without any penetrative sex or cunnulingus, but got genital apposition, frottage and handjob.) There were no fever or swollen lymph nodes, but mild sore throat from time to time.

1. Can the negative results of RNA PCR and 4th gen. Ag/Ab laboratory test on 25 days after the exposure rule out any infection?

2. Are several telangiectasias on the upper chest for several weeks(still there for 4 weeks) ARS or other HIV symptoms?

3. Are the many very small bumps without discolorarion limited on both hands for several weeks ARS or other HIV symptoms?

4. Can the elevation of liver enzyme(ALT) be the ARS or other HIV symptoms?

5. Can ARS rash on chest and belly start 5 weeks after the exposure and last just 2~3 days?

6. Can the sypmtoms on question no.2 or 3 or 4 be the side effects of one day PEP? (I took PEP(one truvada and two isentress) just for one day and quitted it by the doctor's decision. But there were brown urine one day after the dose.)

7. Can one day PEP affect on the window period or the timeline of ARS?

Thank you very much for your whole efforts.

Edward W. Hook M.D.

64 months ago

Welcome back to the Forum although I feel that most of your questions are a bit repetitive. Your tests have already shown that you do not have HIV. About your test results, a month ago I said "Further, your test results are more than 99% conclusive that you did not acquire HIV and when your RNA PCR test comes back as negative as I am confident it will, your results will be entirely conclusive." I presume that your PCR is negative. As a result there is no reason to continue to be concerned that you might have HIV. With that in mind, my responses will be brief:

1. Can the negative results of RNA PCR and 4th gen. Ag/Ab laboratory test on 25 days after the exposure rule out any infection?

See above- yes.

2. Are several telangiectasias on the upper chest for several weeks(still there for 4 weeks) ARS or other HIV symptoms?

No.

3. Are the many very small bumps without discolorarion limited on both hands for several weeks ARS or other HIV symptoms?

No.

4. Can the elevation of liver enzyme(ALT) be the ARS or other HIV symptoms?

These findings are non-specific and do not suggest HIV, particularly give your test results.

5. Can ARS rash on chest and belly start 5 weeks after the exposure and last just 2~3 days?

No, 5 weeks is too late for the ARS to be beginning

No, a single day of PEP would not effect things at this time.

7. Can one day PEP affect on the window period or the timeline of ARS?

Please don't worry. As I said above, you have proved that you do not have HIV. It is time for you to put your fears and concerns behind you and move forward. EWH

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64 months ago

Thank you so much, Dr. Hook.

I really want to move forward to my normal life, buf a few symptoms are still worriesome.

I read some articles saying that the people with hiv tend to have telangiectasias, particulary on their chest. Are these articles correct?

And I have some dermartitis on my hands. Can a person come into AIDS status just a few weeks after hiv infection?

Always really appreciate.

64 months ago

Sorry for seperated message.

Today I found a thin melanonychia on my left thumb. Can it be related to HIV?

Edward W. Hook M.D.

64 months ago

You continue to worry more than you need to. Believe your test results, not the misinformation that is so very easy to find on the internet:

1. Telangiectasia are NOT a sign of HIV

2. The dermatitis described in persons with HIV occurs in advanced HIV, not in infections acquired relatively recently (i.e. in the past few months or years). Again, you are being misled. Please stay off the internet/

3. No, the lesion you describe on your thumb does not suggest HIV.

EWH

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