Though both partners are non-reactive to HIV spot test, is it necessary to do other HIV tests?

Hello,

Welcome to icliniq.com.

Thanks for sharing your medical info with us.

In terms of HIV detection tests, ELISA (enzyme-linked immunosorbent assay test) is the first test to be done and then if positive, western blot is recommended.

You and your partner have both tested negative with rapid HIV test which guarantees the exclusion of HIV. You mentioned burning sensation on soles and palms. I am wondering if you also have lesions in these areas. The bumps you are experiencing are however, due to some other etiologies most likely molluscum contagiosum. These lesions have an umbilicated appearance they might itch and sore. They are extremely contagious but fortunately, they resolve on their own without any treatment. You might or might not have these lesions at the moment. Keep in mind these lesions could also be stress rashes, common after sexual activities.

If the lesions still exist and hurt and do not have the typical umbilicated appearance. I recommend taking a biopsy so investigate the pathology. If they do not exist at the moment, plan on taking a biopsy when they reappear. The burning sensation you feel in your palms and soles is due to a different pathology, most likely a neuropathy.

Further information needed to put the right diagnosis on these symptoms, most importantly a detailed history of when and how they started? And how long have you been experiencing this burning sensation? Do you have any medical history or family history of diabetes? Nonetheless, these symptoms are not related to HIV infection.

All I can recommend for assuring a reliable HIV test result is to repeat the test three months after exposure and see if you are still test negative. (Rarely antibody formation might take longer than usual).