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Seroconversion Rash

Posted: Sep 5, 2006

QUESTION:

Hello,

I had posted previously regarding an occupational exposure I had sufferred in South Africa (patient was HIV positive) while takine blood.

Details of the exposure:

-21 gauged phlebotomy needle used for venupuncture (ante-cubital fossa)

-occured on the distal end of the index finger (a fairly shallow injury)

-PEP (2 course regimen) started within 30 min of exposure and continued for 4 weeks.

It is now 3 months since the exposure. My 6 week test was neg. Im due for my test in the next few days.

However, i've been quite worried as of late as I have developed a rash on my foot. It is localized to my left foot. It covers 10 cm on the lateral aspect of my foot. Its characterized by a non-pruritic papular rash (each papule is roughly 2 mm). The papules are red, but the area between each papule is normal in color. Further it has lasted about 1.5 weeks, but is self-resolving.

I know, much like my previous post, nothing can be said with any certainty until im tested, but does this sound anything like a seroconversion rash?

Thanks for your help


  

RESPONSE FROM:   

    This does not sound like a seroconversion rash which is more typically a viral exanthem that is diffuse and not localized. If you want some certainty you can get a viral load done (if possible), to see if you have any evidence of acute HIV infection.

    Good luck,

    DW




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