[Question #9090] Rash on palm of hand 6 days after possible hiv exposure
36 months ago
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Right i asked a question a few days ago about a situation where an escort done brief protected oral on my penis ( about 2 mins or less) then she got on top of me & inserted my penis ( still with the same condom on me from the oral on) into her vagina she moved briefly up and down on me ( for maybe less than 2 mins) then she hopped of.. I looked at the condom & her blood was on the condom but it looked as though the blood had gotten inside the condom which really confused me because i never noticed no gaping holes in the condom or anything.. She took the condom of me & disposed of it.. Could the brief blowjob she did on me have damaged the condom & allowed the blood to leak in? ( it wasn't a particularly rough blowjob or nothing ... I am very concerned now because on the palm of my left hand i have an itchy red bumpy rash on it now 6 days after this incident could this be a hiv rash? please help
36 months ago
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Sorry i see this was updated 3 mins ago but i don't see a reply? Thanks
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Edward W. Hook M.D.
36 months ago
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Welcome back to the form. My assessment is unchanged. As I mentioned in my original reply, when condoms fail, they break wide open leaving no doubt that they failed. Small, pinhole leaks simply do not occur. I remain confident that blood did not leak into your condom during use.
With regard to the rash on your palm, this is not the rash of the acute retroviral syndrome (ARS) which occasionally follows acquisition of HIV. The rash of the ARS is not localized and is typically accompanied by sore throat, high fever, and generalized muscle or joint aches. If the rash on your palm is troubling you, I would encourage you to have an evaluated by a healthcare provider.
Please try not to worry. EWH
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Edward W. Hook M.D.
36 months ago
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Please be patient. It sometimes takes a few minutes to write a response. EWH---
36 months ago
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Thank you for your reply I'm sorry to ask you again.. The glands in my neck are up to but having said that they were like that prior to this incident. I have noticed in the past that when im extremely worried my glands in my neck go up.. I also in the past contracted lyme disease from a tick bite ( in 2017) & although i took plenty of antibiotics to combat that ive noticed if I'm real stressed or worried alot of my lyme symptoms can seem to ignite back up again along with other symptoms . I have to say i am very anxious & I'm trying to stay relaxed but its easier said than done for me unfortunately.
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Edward W. Hook M.D.
36 months ago
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I am sorry for your continuing concerns. At this time, if either your swollen glands or your rash or any other problem were due to HIV, a 4th generation combination HIV antigen/antibody test would be positive. While I personally see no medical or scientific reason for testing, if you tested this time, when your test results are negative as I am confident they will be, that will provide you with conclusive proof that the abnormalities you are experiencing now are not due to HIV. EWH---
36 months ago
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Ok well as i say this encounter happened 6 days ago so i suppose i have to wait for 4 weeks to test. This particular lady has operated here in Ireland for the last 8 yrs & i have visited her on multiple occasions & she comes across as a woman who looks after herself well, she says she is very clean to me ( i assume that she means shes free from stds ect) she is originally from colombia.. This extra information is probably irrelevant but i thought id mention it anyway. Out of interest how likely is it to contact hiv from one exposure if the blood or vaginal secretions did get inside the condom or on the penis? I suppose the presence of blood would heighten that risk? but would the presence of blood mean that u would definitely contract hiv if a situation like that was to happen?
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Edward W. Hook M.D.
36 months ago
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Sigh. You’re still having trouble giving this up, aren’t you?. As you know we provide up to three responses to each clients question. This will be my third and final response. Additional Anxiety driven questions on this topic may be deleted without a response and it without return of your posting fee.. We do this out of respect and concern for for you, nothing more.
You are correct that for persons who have acquired HIV without obvious symptoms, fourth generation tests provide results which are more than 98% conclusive at four weeks and entirely conclusive at six weeks. The symptoms of the ARS, including rashes and swollen lymph nodes however, are the result of the immune response to the presence of the virus and the antibodies which are reacting with the virus. As a result, in symptomatic persons, if the symptoms are due to HIV, no matter when they occur, an HIV test will be positive If the symptoms were due to HIV. I made the recommendation that you consider testing to prove to yourself that your symptoms are not due to HIV in the hope of helping you to address your unwarranted anxiety.
Regarding your hypothetical concern regarding blood in the condom, Infected genital secretions contain the same or greater amounts of virus than the blood of infected persons. There is no increase in risk for HIV due to exposure to blood, including menstrual blood.
As I mentioned above, this will conclude this thread. I hope that you will be able to move forward without continuing concerns. EWH
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36 months ago
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Ok thank you for bearing with me i appreciate your help & advice.