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Psoriasis and infection risk
Jul 16, 2001

Hi, I have a fairly well behaving skin prosiasis. Abt half of the leesions are in buttocks and around the rectum -- I find it a bit difficult to apply the usually fairly effective local medication accurately in these difficult-to-see areas.

1) Can the HIV enter body via non-bleeding psoriatic leesions?

2) It seems that it doesn't need much to get a scaling leesion bleeding -- even some very light scratching seem to cause some bleeding every now and then. If I have scaling psoriasis leesions in my buttocks, should I avoid public toilets?

3) If I have a possibly bleeding psoriatic leesion, is there a risk of infection if I find myself in swimming pool or bubble path with an infected woman?

Thank you for your time!

Response from Dr. Feinberg

I know of no scientific data that apply to non-bleeding skin lesions such a psoriasis. If the lesions are closed (not bleeding), I think there is n o real infection risk by this route. If your lesions are bleeding and are in an area that would contact the seat, then i think out of sheer courtesy you should either avoid public toilets or use a paper seat cover-- no one wants to sit where your psoriatic lesions have bleld-- in this case, I think it's more a matter of what they'd get from you rather than what you'd get from them. Ditto for the hot tub/swimming exposure question. Although much of what our mothers told us about the dangers on public toilets, you should keep other people's sensitivities in mind as well as your own.

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