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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Inflamation and skin lesians with atripla
Mar 8, 2012

Hi, i have recently diagnosed with hiv and have cd4 count of 194. i have been taking atripla for 3 weeks and have ha bad inflamation in the joints as well have developed puss like pimples. Are these possibleside effects of the atripla drug and how long do these side effects keep on and would it be ok to get a cortisone injection to help with the inflamation because i get it really bad to the point where i cant walk.

Response from Dr. Henry

The skin lesions you described seen likely to be related to skin effects of immune reconstitution where flare ups of various problems (including skin infections) can be seen in first months on effective therapy. Inflammation in the joints would be unusual to be due to the Atripla. I recommend that you be seen by your HIV provider to see of the skin problem could be due to something like MRSA (drug resistant staph infection) or would be more typical folliculitis seen in HIV+ persons. The joint complaints also merit a clinical evaluation particularly if that worsens or persists. KH

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