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Fatigue and AnemiaFatigue and Anemia
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Asymptomatic rash
Jan 8, 2009

Hello. I have been on HAART for about 3 years now. I was taking Sustiva/Epzicom but recently switched to Reyetaz/Norvir/Truvada because of unpleasant mental issues with Sustiva. A few weeks before I even considered changing medicines, I developed a macular?? rash (it looks more like hives) on my torso, back, upper legs, backside of my arms, and neck. All of my blood work was normal and the doctor prescribed prednisone. After a 7 day course of the prednisone, the rash is back in full force. It does not seem to itch or be physically bothersome. But in additon to the rash I have a cold sore on my lip and two or three tender spots in my mouth, which appear white but no discharge. Last checked my VL was undetectable and CD4 was in the 700's. I have been in bed the past two days because I've been very tired. Which is nothing unusual, I've had bouts of fatigue every since I began meds 3 years ago. But I'm wondering if it's all connected. Any insight would be appreciated. I have another Dr. Appt. scheduled for next week. Thanks so much, and I love you guys for making this website so informative!

Response from Dr. Frascino


Rashes are nearly impossible to evaluate over the Internet. They really do need to be seen. If your HIV doctor can't help, I'd suggest you see an HIV-knowledgeable dermatologist. As for your HIV-related fatigue, there are many potential underlying causes, including anemia; psychological causes, such as depression and anxiety; unrecognized infection; inadequate sleep and rest; hormonal imbalances, etc. You can read about all of these and other underlying causes of fatigue in the archives of this forum. Make a list of potential underlying causes to bring with you to your doctor's visit next week and discuss the list with him.

Good luck.

Dr. Bob

anemia from peg-interferon and ribavirin
why so angry??? (Blood Electrification, 2008)

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