Erythema Multiforme, Tongue Lesions, Purpura on Buccal Mucosa

[neveragain22]

Hi there,

I've been sick for six weeks. Doctors think I must have caught a strange virus. Tested for HIV, Mono, Hep A,B,C. All Negative. Liver and Kidney function within normal limits.

Six weeks ago my symptoms began with fever, night sweats, diarhhea, and strange lesions on the tip of my tongue. Basically my tongue looks like erythema multiforme, kinda like this, only without the scarring on the lip:
http://www.studydroid.com/imageCards/0b/87/card-11803657-front.jpg

Here's a photo of my actual tongue, 3 weeks later:
http://www.medhelp.org/photos/show/7769562?type=posts

Night sweats went away but the tongue illness remains and rises and falls in terms of severity. but numbness on the tip of my tongue, swollen (grooved) tongue edges, and enlarged red papuliae on the tip of the tongue are a constant. Lately, in the last 3 weeks, I also began getting blood blisters/purpura on the inside of my cheeks, i.e., on my buccal mucosa, and occasionally on my upper and lower lip.

My complete blood count was thrown off, but seems to be improving. Right now everything is within normal range except my lymphocytes (my lymphocytes are currently @ 1.3 ... normal is 1.5-4.0). My lymphocytes have been low for several weeks consistently. I'm wondering if anyone has had similar symptoms or can offer any insights.

Thanks!

[maatson]

Extremely unlikely- with your results mentioned.ok?

[neveragain22]

Hi Maatson

Would you agree with others that HIV is an unlikely cause? I had four incidents of unprotected vaginal sex in three months preceding the onset of symptoms. 4th generation combo tests at 4 12 18 28 and 42 days post symptom onset were all negative.

I will have my doctors look into TB And the test you mentioned

[maatson]

Do get a mantoux test to rule out a tubercular aetiology with special reference to night sweats.
With not much leads this seems another option here.
Hope we have a name to your condition and initiate therapy.
My good wishes.

[neveragain22]

Hi again. Just thought I would add that after 6 weeks of peace at night my night sweats have returned. They started again two nights ago seem to be getting worse. Tonight I'm back to having to change my shirt  

[maatson]

Do not worry and things will turn out to be localized.Regards.

[neveragain22]

Hi Maatson

According to the internal medicine specialist the murmur is not very pronounced and may have been pre existing. I have an echocardiogram scheduled for this coming Monday. I also had a lot of new blood tests ordered by the internist so I shoul have those results by the end of next week. I'll let you know what I find out!  Thanks for your help and ongoing attention!