|hiv daignosis reliblity and symtoms
Feb 27, 2008
dear sir i m 30 yrs old gyencologist practising in india had got pric 2-3 times during operating approx 9 yrs back since 2 yr i m suffering from hairy leucoplaqia,giddiness,parastesis,submandibular lymphodenopathy,eye floaters,i have done hiv pcr and westernblot wich both are negative but still i m suffering pl guide me properly and any daignostic test.thanks hopping ur reply.
| Response from Dr. Frascino
The proper test for HIV screening is an ELISA. Western Blot (WB) tests should only be run to confirm a repeatedly reactive ELISA test. (The ELISA is a more "sensitive" test and the WB is more "specific.") I also do not recommend PCR tests for HIV screening, due to their rate of false-positives, other technical considerations and cost. All that said, since you have a negative WB and PCR many years after your potential occupational exposure, you are definitively HIV negative. I cannot diagnose the cause of your persistent symptoms over the Internet. However, one thing is certain: they are not caused by HIV. I would suggest you have one of your internal medicine colleagues evaluate your symptoms.
For future reference I'll post he link to the Updated Guidelines for Occupational Exposure to HIV: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm
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