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HIV Prevention  (Expert Forum)
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acute hiv symptoms (hands/rash)
Answered by
University of Washington Seattle - WA
This forum is limited to prevention of HIV and to safe sex in general. If you believe you might have been exposed to HIV and want help to judge your risk, would like advice about HIV testing, or have questions about the effectiveness of condoms or the risks associated with specific sexual practices, this is the site for you.

IMPORTANT

No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.

If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.

acute hiv symptoms (hands/rash)

by fishtaxi, May 18, 2007 12:00AM
Tags: test
I am a straight male and had unprotected sex with a girl four weeks ago. Two weeks after exposure, my finger tips began to peel and became raw. Also, my palms have developed red spots and my hands have been sweating profusely.  In addition, i had a mild rash on my chest which has dissappeared and a mild sore throat that comes and goes. The main reason that this bothers me is because i found a website which stated peeling, red spots and sweating of the hands as signs of acute hiv.

I got tested three weeks after exposure and recieved my results yesterday. I was negative for hiv. I understand that is too soon to be tested given the "window period," but i was wondering if these symptoms are common in acute hiv infection. Also, can i have any reassurance from a test taken three weeks following exposure?

by H. Hunter Handsfield, M.D., May 18, 2007 12:00AM
The symptoms you describe do not suggest HIV.  As I just said in another thread, virtually every symptom caused by most medical illnesses also can occur in ARS, which is why symptoms almost never are a valid indicator of new HIV infection.  You describe no reason whatsoever to be concerned about HIV.  But since you are, have another test 6 weeks after the exposure.  You can be sure of a negative result.

Good luck--  HHH, MD
Member Comments (16)

by amiscrewed, May 18, 2007 12:00AM
I dont know where you got those ARS symtoms from but they are not even close to ARS symptoms. Fever, rash, fatigue are the main ARS symtoms, even then it could be something else beside hiv.

by SCAREDTODEATH39, May 18, 2007 12:00AM
I have rash on palm today and tested negative at 16 weeks. Dont let anxiety ruin months of your life. Get tested at 8 weeks and move on, the test will be negative again.
God Bless

by fishtaxi, May 18, 2007 12:00AM
I plan on going back to be tested at the six week mark, but its gonna be a long two weeks. Does my test at three weeks after exposure provide any reassurance at all? Is there an average time span that it takes to detect antibodies?

by iwasdumb, May 18, 2007 12:00AM
To: fishtaxi
i was reading on this site it says the average time is 20 days..maybe dr hhh can fill us in on this?heres the link.

http://www.hivtest.org/subindex.cfm?FuseAction=FAQ#8

by H. Hunter Handsfield, M.D., May 18, 2007 12:00AM
To: fishtaxi
Cool it. You have no rational reason to be seriously concerned about HIV.  You obviously have no concept of how rare HIV is in sexually active women in the US and how hard it is to catch.  Odds your partner had HIV probably 0.1%.  Chance you caught it if she did, around 1 in 2,000.  Odds your 3 week test would miss a new infection, 50%.  These figures mean your risk of having HIV is 0.001 x 0.0005 x 0.5 = 0.00000025.  That's 1 chance in 40 million.

You didn't need testing at all.  Do you imagine that every person in the US who has sex with a new, casual partner needs to run out and be HIV tested?  Your chance of dying in the next week of some unexpected illness (other than HIV) or an accident is far higher than the chance you caught HIV.

You may not use this forum to vent such unreasoned fears.  This thread is over.

by fishtaxi, May 19, 2007 12:00AM
To: M.D.-HHH
I understand that many of the questions on this forum are rediculous and lame, but my anxiety and stress is real. I did not spend fifteen dollars or my time to come onto the forum and "vent." For the past 4 weeks i have had a legitimate fear for my health, my life, and i came here for a professional opinion. This forum exists to help people who are experiencing the same anxiety that i am and however unfounded and lame my situation is, i can assure you that it is real and i am scared.

by H. Hunter Handsfield, M.D., May 19, 2007 12:00AM
To: fishtaxi
I am not a counselor and this site is not intended for emotional support, except to the extent that my clarification of scientific fact helps resolve people's anxieties.  It obvously does that for many questioners, and I am sorry it didn't have that benefit for you, but that is not my fault and not my responsibility to solve.

I deleted a comment that was basically a religious promotion. Take that sort of stuff to the HIV support forum, not here.

This thread is over.

by fishtaxi, May 19, 2007 12:00AM
To: M.D.-HHH
I want to thank you doctor and let you know that your information really did releave some of my stress. I have one more question if you dont mind my asking it.

If my risk assessment is so low, like many others on this site, why is HIV/AIDS growing so rapidly? The odds of have sexual contact with someone who is HIV positive are pretty low. In addition to that, the odds that you will contract HIV from that person are extremely low as well. I guess i just dont understand why the AIDS epidemic is getting worse rather than better with such great odds against contracting HIV.

by monkeyflower, May 20, 2007 12:00AM
Actually, although it's growing in certain ethnic groups, I think overall HIV rates in the US are pretty stable.

And you really were at relatively low risk. The risk of contracting HIV from vaginal intercourse with a *known* HIV positive woman is only 1 in 2000. Most people on these forums were at equal or even less risk. But because we live in a sex-negative culture, I'm sure you've only heard about overinflated dangers of sex. The media makes HIV seem almost inevitable--unless, of course, you're only having straight sex in a straight marriage, and then only to procreate.

But the reality is that sex is nowhere near as scary or unsafe as they say. Believe it or not, sex is actually fun ;-) Be careful, choose partners wisely, use condoms for vaginal and anal intercourse. Enjoy your life.

by fishtaxi, May 20, 2007 12:00AM
Thats very reassuring. Where does information like that come from? I have visited a million websites and none of them say anything about the odds of catching HIV, all that they say is how you can catch it.

by H. Hunter Handsfield, M.D., May 20, 2007 12:00AM
As usual, monkeyflower is right again--this time about the real risks of sex