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Cuts and healing
May 17, 2001

Dear Doctor Feinberg

A few questions :

1]I have found since I am HIV+ [7 months since infection] that cuts and sores take much longer to heal, and even small cuts leave a scar. Is this normal ? CD4 ~630

2]My hair and skin have also become very dry. What can I do to resolve this ?

3]A few of my nails are splitting, and the curvature of the nail bed is distorting as time progresses [ becoming increasingly 'wavy'].

4]In addition dark splotches under my skin are appearing on my feet, hands and chest. They are not raised - just discoloured normal skin.Are these the pre-cursor of KS ?

I was an extremely healthy individual prior to this, and never experiencd any other these minor ailments previously.Are the above manifestations of HIV normal so early on in HIV infection ?

Response from Dr. Feinberg

I know of no data that show that people with HIV heal less well, and think that would be especially unlikely with high T cells. Dry skin and nail problelms are associated with the use of indinavir, but not specifically with HIV itself. I have seen people's hair get less curly and finer/softer, especially in the days when AZT alone was commonly used, but not dry hair. There are no known KS "precursor" lesions, and the splotches are probably just skin discoloration.


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