HomeAnswersHIV/AIDS specialisthivI got a red blister after unprotected sex. HIV risk?

I have a red blister on my inner thigh. Is this related to HIV?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At August 6, 2018
Reviewed AtFebruary 16, 2024

Patient's Query

Hi doctor,

Before five months, I had unprotected sex with a sex worker. I did both oral and vaginal sex. I had done an antibody test (ELISA - enzyme-linked immunosorbent assay) for HIV 1 and HIV 2 in the 13th week after exposure, and the result was nonreactive, the value observed was 0.295. Again, in the 20th week, I had done an antibody test for HIV 1, and HIV 2 which also came nonreactive, and the value was 0.385. Does this mean that the HIV antibody is building up gradually? I have a red blister or boil (red non-itchy, no pain, no puss, not like pimples) on my inner thigh. Is this related to HIV? It came in two months after exposure, and till now it remains there for three months. Any chance of being positive later? Is my test conclusive? Should I get tested? I am getting married next week, should I need to postpone my marriage? Worried about the boil in my inner thigh? Should I need to do a p24 antigen test? I am taking the tablet Finasteride for hair loss and vitamin supplements.

Answered by Dr. Sushil Kakkar

Hi,

Welcome to icliniq.com.

I have noted your concern, and I have viewed the image (attachment removed to protect patient identity). Your tests are conclusive. An intervening period of 12 weeks between exposure and screening test is considered good enough for it to be reliable. The index value may vary slightly between tests on different occasions but that does not mean it is going to cross over from a non-reactive result to a reactive result. The raised lesion on your thigh is most likely a dermatofibroma. It is a benign lesion and is not an STD (sexually transmitted disease).

Patient's Query

Hello doctor,

I hope that you remember the last time I consulted you. I had unprotected sex with a sex worker around six months back and got tested for an antibody test at 13 weeks and the 20th week which came negative. After going through the internet, I found that the long-term usage of steroids like Finasteride will damage your immune system. Now I am really afraid that all my antibody tests came negative because my body is unable to produce sufficient antibodies against the virus due to a damaged immune system also the values at the 20-week test have slightly increased from 0.294 to 0.385. If that is the case how long should I wait for the test to be conclusive? What does an impaired system look like? Do you think that long-term usage of Finasteride will delay the production of antibodies? Please kindly address all my concerns, I am getting married next month. I have been dying with fear for the past six months after the exposure. Please explain things in detail.

Answered by Dr. Sushil Kakkar

Hi,

Welcome back to icliniq.com

Finasteride is not a steroid. Moreover, it does not damage the immune system. So, there is no question about the reliability of your screening test. Index values may vary slightly between tests. So nothing to worry about.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sushil Kakkar
Dr. Sushil Kakkar

Dermatology

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