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1451936 tn?1294902315

HIV Rash or Viral Rash - will it clear with Propaderm Cortisteroid Ointment 0.025?

Hello:
I am anxious as i got a rash just below my left chest, like a 2.5 inch welt like band (like a sunburn, non itchy) after a deep kissing exposure with a csw.  The experts on this form have told me to move on as this is not a risk for hiv specifically, however the rash and the timing of the rash is causing me anxiety and i live in Asia, where docs simply say its a rash and dont give details on what rash it is.
The doc did say it was a rash or it was herpes, but since propaderm ointment 0.025% cleared it up within 1-2 days of use, he finally said it is not herpes.
1. Question - Will Propaderm clear up a HIV or a Viral Rash?  Will it clear up so soon like with in 2 days?
I have been getting bouts of Urticaria but the welts are transient and come after a shower or after applying pressure but it isnt anything like this 1st rash under my chest, where the rash remains and is non itchy.  I am not allergic to anything that i know of and have just been very anxious and therefore get hot flashes due to panic from time to time.

1 week after this rash cleared up, i had an itchy left calf and an itchy thigh, which after itching turned into a welt and a bruise due to the itching. For this the doc. gave me more propaderm ointment and allegra 120mg x 2 per day for 3 weeks. I have had no rashes since and this 2nd bout of rash cleared up in 3 days after use of these medications.

I was tested by 4th generation hiv test at 26 days and the results were negative.

The rashes are causing me anxiety.  I know rashes are difficult to diagnose online, however, perhaps a doctor can tell what a rash may have been based on what medication effectively worked on the rash. Pls. try and help me.

Would appreciate your advise / help.  Ps. Am still finishing up my dose of allegra, and have not used the propaderm beyond 5-days of the rashes clearing up.  

What might you make of this and use of Propaderm (Cortisteroid 0.025%) for these rashes?
4 Responses
1318109 tn?1292888573
MEDICAL PROFESSIONAL
Welcome to the Dermatology Expert Forum!

Rash is a word far from being precise enough to help with differential diagnosis but I will try to address more likely options: allergic reaction as well as viral exanthema would improve by use of topical corticosteroids and oral antihistamines; pressure urticaria, as well as urticaria caused by cold or by water would also improve by use of oral corticosteroids and antihistamines.  

Anxiety might be your main issue now. Anxiety is one of triggers for pruritus (itchiness) on otherwise unchanged skin. Consequent scratching can damage skin and cause bacterial or even fungal infection (not treated with corticosteroid and antihistamines).

Information you provided indicates that you should not worry about HIV infection, but you can repeat testing in a month to calm yourself down for good.

Wishing You Optimal Health,
Dr. Jasmina Jankicevic
1451936 tn?1294902315
PS - i have had no fever, along with these rashes, just mouth ulcers and 2 days of diarrhea
in the last 30 days.
1451936 tn?1294902315
Dear Doc,
awaiting my answer.
1451936 tn?1294902315
Followed your advise and took at 4th gen AG/AB DUO test at week 8 and it was negative.
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