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Avatar universal

A few short questions

I recently just had what is considered a low risk exposure and I have a few questions.

1) When is the latest you have experienced or read that a person can experience ARS after the initial infection (ie. 8-10-12-14 weeks)?  I know from the threads that ARS may happen some time after 2-6 weeks and then it seems to go away...but when is the lastest after infection that is can ocurr, if it occurs at all?  Can ARS begin at 14 weeks after infection?  

2) Also, if true ARS were ocurring (ie. fever,rash,throat, ect) would not one's WBC drop as all these infections are ocurring and after they go away the WBC resumes normal?  

3) With early HIV, why are the suggested areas for lymph node enlargement the groin, armpits, neck areas?  What about other areas of the body?  Is it becasue these areas are easily checked by an MD?  Or is there a medical reason why these nodes seem to be the choice for this virus?  What is expected with the retroperitoneal lymph nodes during early HIV infection, enlargement as well but not easily felt?  

4) Last, are there any statistics on asymtomatic periods?  Does everyone go into asymptomatic period?  are there statistics as to how many infected do ro do not go directly into asymptomatic period after ASR is done?I thank you in advance for your God given patience will all of our questions.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
No, people who have acquired HIV typically feel perfectly normal for years after acquisition of infection.

THis is the last answer.  EWH
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Avatar universal
Promise, last question!!!  

You mention: If ARS were to occur it would most typically show at 2-3 weeks following exposure and perhaps, rarely as far out as 6 weeks. Beyond that ARS would not be expected to occur. You also write: All who suffer ARS have their symptoms ressolve.  

My last and final question is:  After ARS resolves, when do most who are infected realize that they have some unusual health problems taking place.  I think I have read that somewhere around 10 yrs. after infection AIDS may begin to develop.  But between ASR & AIDS when do "tell tale" health problems occur that should cause the infected to be concerned?

Thanks for all your patients and information and I promise, this "is" my last question!!!!!!!!

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300980 tn?1194929400
MEDICAL PROFESSIONAL
All who suffer ARS have their symptoms ressolve.  There are no data that ARS leads to a precipitous decline in anyone.  EWH
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Avatar universal
Wanted to clarify my 4th question.  When newly infected people happen to experience ARS (I know some do and some don't get ars) there in then the asymtomatic period.  My question was more about any research regarding the people that do go into asymptomatic period versus those that do not go into the asymptomatic period.  Do all who suffer from ARS go into the asymptomatic period or are there a percentage of individulas that really never recover after ARS and remain sickly.  Is there any reseached data regarding those that do experience the asymtomatic period and those that continue to remain sick after ARS and therefore never recovering.  Basically, does everyone who gets ARS become asymtomatic and if not what's the percentage of folks that nerver recover after ARS.  What I have read is that "generally" everyone goes into the asymtomatic period.  That leads me to believe that some do not become asymptomatic.  What are the numbers behind this???
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome back to the Forum. Let’s work through your questions directly:

1.  The ARS does not occur in everyone who gets HIV.  When it does occur it would occur most typically at 2-3 weeks following exposure and perhaps, rarely as far out as 6 weeks. Beyond that ARS would not be expected to occur. Certainly not at 14 weeks.

2.  During the ARS the WBC goes up or sometimes own. Either way, as the ARS resolves, the WBC tends to return to the normal range.

3.  The lymph node swelling of the ARS is generalized, i.e. it involves lymph nodes in many areas. The ones that are easiest for most clinicians to feel are in the neck, axillae, and groin.  Swelling of lymph nodes can certainly occur in other areas but is more difficult to detect.

4.  Not sure what you mean. The ARS typically resolves over a week or two and then the person feels normal.  HIV then progresses slowly, typically over a period of years, before HIV-related problems begin to become apparent.

I hope these comments are helpful. EWH
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