Please, please, please, dr. Bob. I'm desperate!!!
Aug 27, 2006
This is the third time I write, i feel really desperate. First of all, excuse my english because i'm not a native speaker. I hope you can understand what i'm going to tell you. What i'm going through.
I'm a 26 old female with lupus and antiphospholipid syndrome. I haven't been in a flair for about 4 years. I saw my rheumy early this year and everything seemed to be just o.k. The thing is that i had sex with this guy last year. He used a condom, but he gave me unprotected oral sex. After the relation i had what i thought was a terrible allergic reaction on my external genital area: rash and burn wich eventually cured with topic corticosteroids. Latter, months after, i had a gastric infection and then the flu.
Early this year (on the first days of january) i had a sexual encounter with the same person and the same happened: protected sex with unprotected oral sex from him to me. Months later i've been suffering a living hell: my stomach is upset all the time (i have bloating, diarrhea alterned with periods of constipation, a lot of gas, burping, etc.) I tested to find any bugs in my stool and they were not found.
I went to the gynecologist and she told me that i had a vaginal infection and she gave me a receipt for some treatmen. I took the treatment but the infection didn't seem to go away. Then i had a cultive for vaginal secretion which came out with negative results for trichomona, gonorrea, candida, etc. I mean, the thing is that i don't have a vaginal infection, but the discharge is still not normal.
Besides i had to go to the ophthalmologist because i had this terrible itching and abnormal secretion from my eyes, and he told me that i have an allergic conjunctivitis.
Now I have, besides these problems, terrible green sputum. I also had again, a few months ago, the flu.
I waited 6 months (24 weeks) to get hiv tested and the result was negative. The thing is that i still have all these symptoms and i'm just going out of my mind.
My questions are:
1. Can lupus can give a false negative result in hiv testing? 2. Do i have to get tested again? 3. What is the risk to contract hiv from receiving oral sex? 4. What other studies can i run to be sure that i don't have hiv. 5. Wich specialist, beside my rheumatologist, should i go to? 6. Can all these symptoms can be related to lupus?
Help me, dr. Bob. I know you are a kind person who gives a huge relieve to all the people in this forum, i hope you won't make an exception on me.
Thanx a lot.
Response from Dr. Frascino
Let me address your specific questions first:
1. No. There is a single case reported in which a false-POSITIVE test was ascribed to autoantibodies in a patient with lupus erythematous and end-stage renal disease; however, lupus or other autoimmune phenomena have not been associated with false-negative HIV test results.
3. Extremely low to negligible.
4. None. HIV is not your problem. No way. No how.
5. Gynecologist for vaginal problems; allergist for allergic conjunctivitis; general internist for your complaints of "green sputum."
6. No, allergic conjunctivitis is an allergy and green sputum usually indicates some type of bacterial respiratory infection. I cannot diagnose the exact causes of your various complains over the Internet. Certainly lupus can play a role in a variety of physical complaints. You should discuss this with your rheumatologist.
Finally, I should point out that your rash on the "external genital area" following protected sex might be a latex allergy from the condom. An allergist will be able to check this out for you. If you are latex sensitive, consider using polyurethane condoms.
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