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Rash and ARS - Repost
I (male) had an episode of unprotected oral sex (I was insertive Partner) with 2 females of unknown HIV status 15 days ago - no blood on my penis after this - at times they had beer in their mouth when they were performing on me) Also had protected intercourse - Think Condom did not tear-could not feel skin to skin contact.
Day 1-Reddish eruption on entire upper chest below neck (could be sunburns for swimming in hot afternoon for 2 hours).This subsided in 2 days. Day 4– 6 Diarrhea that settled in 2 days with antibiotics.
Day 4-15 - Rash of 2 or 3 eruptions in a day for this period-described below
•Patches of reddish skin with small macula appear on neck/beard/ face/Nose/arms (once or twice also on the thighs and legs)- size of patch 1 cm-comes once or twice during the day - mildly itchy but these subsided in a few hours-almost no trace or very minor discoloration of skin - one or 2 developed small purplish macula that again subsided in a couple of days
•Along with this there was STINGY small patches of red skin on shoulders /upper chest /thigh region (small in size around ½ -1 cm) that came and subsided in a few hours leaving behind 1 or 2 very miniscule small red crusts the size of hair follicles-again only 1 or 2 patches a day
Day 8-Sharp muscle pain in right shoulder that subsided in 24 hours with heat pack
No marked fever (measured from Day 10-13 it was not more that 98/98.5) No itchiness or red patches in groin area, no eruptions in mouth, throat or tongue. No enlargement of lymph nodes No marked night sweats or muscle or joint pain or headache. No flu like symptoms, except above - No sore throat also, but from Day 10 to 13 there has been a feeling of little irritation in the throat that subsides in a couple of hours. I am horribly worried about the Rash (is it HIV/STD) -Is rash in such cases generalized on entire trunk or body or can it come and go (subsides in a few hours) comes back again next day etc
Is this ARS ?
Day 1-Reddish eruption on entire upper chest below neck (could be sunburns for swimming in hot afternoon for 2 hours).This subsided in 2 days. Day 4– 6 Diarrhea that settled in 2 days with antibiotics.
Day 4-15 - Rash of 2 or 3 eruptions in a day for this period-described below
•Patches of reddish skin with small macula appear on neck/beard/ face/Nose/arms (once or twice also on the thighs and legs)- size of patch 1 cm-comes once or twice during the day - mildly itchy but these subsided in a few hours-almost no trace or very minor discoloration of skin - one or 2 developed small purplish macula that again subsided in a couple of days
•Along with this there was STINGY small patches of red skin on shoulders /upper chest /thigh region (small in size around ½ -1 cm) that came and subsided in a few hours leaving behind 1 or 2 very miniscule small red crusts the size of hair follicles-again only 1 or 2 patches a day
Day 8-Sharp muscle pain in right shoulder that subsided in 24 hours with heat pack
No marked fever (measured from Day 10-13 it was not more that 98/98.5) No itchiness or red patches in groin area, no eruptions in mouth, throat or tongue. No enlargement of lymph nodes No marked night sweats or muscle or joint pain or headache. No flu like symptoms, except above - No sore throat also, but from Day 10 to 13 there has been a feeling of little irritation in the throat that subsides in a couple of hours. I am horribly worried about the Rash (is it HIV/STD) -Is rash in such cases generalized on entire trunk or body or can it come and go (subsides in a few hours) comes back again next day etc
Is this ARS ?
MEDICAL PROFESSIONAL
You are overthinking it. You came here for reassurance. I gave it. Please accept it and stop trying to talk me (and yourself) into believing you have HIV or were at risk. You were not. I won't have any further replies.
Thanks for the reply . Just one follow up question. Really request you to consider
Would it also be correct to say that HIV rash ( even the non itch kind) would appear all at once and not intermittently over the trunk ( ie couple of spots one day, another couple of spots tomorrow) - spots also would be slightly larger and noticeable and not size of small hair follicles . Further feeling feverish during some times of the day ( 98.5- 99) does not qualify as ARS fever... the fever would need to be continue and be at leats above 100 - is this right
Also the risk from a one time oral unprotected encounter ( I was the insertive partner) remain only thoeritical.
By way of history of sexual conduct there has also not been any other episode or sexual encounter in the last 6 months...
Would it also be correct to say that HIV rash ( even the non itch kind) would appear all at once and not intermittently over the trunk ( ie couple of spots one day, another couple of spots tomorrow) - spots also would be slightly larger and noticeable and not size of small hair follicles . Further feeling feverish during some times of the day ( 98.5- 99) does not qualify as ARS fever... the fever would need to be continue and be at leats above 100 - is this right
Also the risk from a one time oral unprotected encounter ( I was the insertive partner) remain only thoeritical.
By way of history of sexual conduct there has also not been any other episode or sexual encounter in the last 6 months...
MEDICAL PROFESSIONAL
Here is the reply to the same question in the STD Forum:
"None of your symptoms, including your description of the skin problems, suggest HIV or any STD. And assuming you are in the US or other industrialized country, there is almost no chance of HIV infection after 2 episodes of sex, even with women of 'unknown HIV status'. See a health care provider if you remain concerned about your symptoms.'"
Although I invited you to re-post your question here, there really isn't much more to say. In response to a few points: HIV symptoms cannot start the next day after exposure; 7-10 days is the minimum. Further, the sorts of skin rash you describe do not sound like the rash of ARS, which is painless and non-itchy, generally appears as subtle red spots all over the body, and does not come and go. Shoulder and muscle pain or throat tickle do not suggest HIV. Finally, ARS almost always includes fever.
If you remain concerned, see a health care provider. You can be HIV tested starting about 3-4 weeks after the expousre, if you remain nervous. In the meantime, if you are able to identify and locate your partner, you should speak with her. Most likely you will learn that she has no reason to assume she is infected. In the meantime, I really would not lose any sleep over this. You don't have HIV.
Regards-- HHH, MD
"None of your symptoms, including your description of the skin problems, suggest HIV or any STD. And assuming you are in the US or other industrialized country, there is almost no chance of HIV infection after 2 episodes of sex, even with women of 'unknown HIV status'. See a health care provider if you remain concerned about your symptoms.'"
Although I invited you to re-post your question here, there really isn't much more to say. In response to a few points: HIV symptoms cannot start the next day after exposure; 7-10 days is the minimum. Further, the sorts of skin rash you describe do not sound like the rash of ARS, which is painless and non-itchy, generally appears as subtle red spots all over the body, and does not come and go. Shoulder and muscle pain or throat tickle do not suggest HIV. Finally, ARS almost always includes fever.
If you remain concerned, see a health care provider. You can be HIV tested starting about 3-4 weeks after the expousre, if you remain nervous. In the meantime, if you are able to identify and locate your partner, you should speak with her. Most likely you will learn that she has no reason to assume she is infected. In the meantime, I really would not lose any sleep over this. You don't have HIV.
Regards-- HHH, MD
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