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friend in need of treatment.

Aug 22, 2003

Hi, I have a friend that has been hiv pos, for a long time, he was on treatment for a couple years and quit. He now has advanced hiv. T cells 46, viral load over 500, thousand. He has a terrible rash on his body.And is losing weight.His doctor tells him to use benedryl and will not put him back on treatment til the rash is gone. Well the rash will not go away. I thought he should have a skin biopsy and get a second opinion. Can he get back to where he was or is this a death sentence for him. Need help, please... Thanks

Response from Dr. Pierone

You are right that the rash should not delay treatment of HIV infection. In fact, severe dermatitis in this setting may well be HIV-related and treatment with antiretroviral medication alone may clear up the rash. Depending on the nature of the rash, biopsy may be necessary. This situation is not a death sentence for him, but he needs a second opinion.

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