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Primary HIV Infection rash

Thank you for reading and answering this post. Exactly 1 month ago, I had unsave insertive oral sex with a prostitute for over 20 minuts. Since 1 week, I am having lasting sore throat and a "light" and non pruritic skin rash on back, breast and arms. No fever, no diarrhea, no fatigue, no vomits, nothing strange on mouth or genitals and no other symptoms, except may be for swollen lymph nodes (how to check them?). Syphilis, gonorrhea and Hepatitis tests are negative. It is too early for the HIV-test and I need to wait. But I am getting very anxious and it is killing me, so I would really appreciate some advise very much. The sore throat could be caused by inappropriate use of airconditioning at home (I really abused it the day before it started). I have read a lot about the HIV prymary symptoms and I still do not understand how does exactly look the HIV-caused maculopapular or erithematous rash. I will describe my "light" skin rash: the macules not confluent, red (not pink, not orange, not dark red. My skin is white, by the way), from 2 millimeters to 1 centimeter, they are all round, some of them develop a diminute aqueous pus bleb in their center (you can burst it) and they are much more visible at evening and when I sweat than in the morning when I wake up. Tactile sensitivity is only possible by the ones with the bleb. The exanthem (so called it my doctor, but unfortunately he did not know more), is symmetric. The macules loose their coloration while pressing with the finger next to them. Does my exanthem look like the Primary HIV Infection rash? Is it possible to have this rash without fever? Could my exanthem just be caused by my actual high-stress situation? And, for last, could somebody tell me how to find detailed pictures or descriptions of the Primary HIV Infection rash on the net? Thank you very much for your help and informations, thank you. Take care.
6 Responses
Avatar universal
if you had just oral sex.. then there is no risk..
the rash you describe are not hiv rash..
186166 tn?1385262982
hiv is NOT transmitted through oral sex.  if you are having health concerns...see your doctor...it's not hiv related.
Avatar universal
Thank you for your interest and good words!
Avatar universal
HIV CAN be transmitted by having unprotected oral sex, you have to use protection at  all times.
186166 tn?1385262982

hiv is not transmitted through oral sex
Avatar universal
No incident HIV infections among MSM who practice exclusively oral sex.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. WePpC2072)??Balls JE, Evans JL, Dilley J, Osmond D, Shiboski S, Shiboski C, Klausner J, McFarland W, Greenspan D, Page-Shafer K?University of California, San Francisco, San Francisco, United States

Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
Oral Diseases (2006) 12, 219–228

AIDS: Volume 16(17) 22 November 2002 pp 2350-2352
Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men

Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.

Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:

Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;

Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.

There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD

"I am sure you can find lots of people who believe that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK

"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." Dr. Hook
"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK
"I would not say your risk ,if he had HIV is "slim to none"- that's too high.  I would say they are effectively zero.  How much of his ejaculate or other genital  secretions you may have swallowed makes no difference.  EWH "
"As far as HIV is concerned, there is no known risk of getting HIV from performing oral sex on an infected partner, even if that person's genital secretions get into your eyes or if you swallow." Dr.Hook
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