[Question #692] Testing history and Lipodistrophy???

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97 months ago
Exposure: Insertive oral sex from a Macau CSW... Testing: 5 negative Abbott Architect tests at the 7th, 10th, 12th, 17th, and 21st week. Problem is I seem to have lipodystrophy That started a year from exposure (it is now nearing 3 years from exposure).And now my forearms, arms, thighs, and legs are visually thinning. I gained weight but only in the midsection and chest. It really scares me a lot that I have it and Im showing signs of Lipo. I also had 6 bouts of angular chelitis ever since last year.

Am I still in the clear? Ive had no other exposures.

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H. Hunter Handsfield, MD
97 months ago
Welcome to the forum. Thanks for your question.

The HIV blood tests are among the most accurate diagnostic tests ever developed, for any medical condition. The results always overrule all other factors, such as exposure history and symptoms. You could tell me you had mainlined HIV or that you had truly classical symptoms of HIV/AIDS. I would still conclude from your test results that you do not have HIV and that something else explains your symptoms. There is simply no possibility of having HIV with the test results you report.

Lipodistrophy is caused by several metabolic conditions other than HIV/AIDS. And anyway, your description doesn't sound to me like lipodysrophy due to HIV or anything else. These symptoms seem more consistent with other causes of fat loss and tissue wating. Angular cheilitis also is common in many non-HIV medical conditons.

On top of all that, the exposure you describe carried no risk for HIV. There are no proved cases of mouth to oral HIV transmission.

I strongly recommend you see a physician for a comprehensive medical evaluation. In the meantime, you can be 100% certain you do not have HIV.

I hope this has helped. Best wishes--  HHH, MD