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Sick for months
May 5, 2012

I am a male. I was assaulted in Feb 2011. I was given PEP. Since finishing pep i have been tested with rapid fingerstick antibody tests every three months, always negative. At this time I continue to suffer from chronic sinusitis. I have suffered on and off for 25 years.(surgeries, shots, antibiotics, etc). This week my allergist tested my IGG, IGA and IGM. He said he was making sure my immune system was working properly and if i had a deficiency. The tesults came back and my levels were normal.

My question is this, since he didnt check my igg, iga igm subclasses, if they were deficient could my antibody tests have missed my infection? Do i need a pcr test?

This bout of sinus infections started in december and continues today.

Thanks!!!!

Response from Dr. Young

Hi and thanks for posting.

One doesn't diagnose HIV via immune globluliin levels or subclasses. Indeed, it's not recommended to use HIV PCR (viral load) tests to look for chronic (more than 3 months after infection) HIV infection.

HIV antibody tests are very accurate. If you've had negative tests 3,6,9 and 12 months after a possible exposure, you're negative. Period.

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