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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Dark Spots, White Bumps &Itching bottom of feet
Apr 11, 2014

Hi Dr. Henry,

I tested this past February 2014 and was given an AIDS diagnoses. CD4 was 102 and VL 103,000. I started meds (Stribild and Bactrim) approx March 28. I'm black American. I first noticed a black spot near my eye before diagnoses and before meds. But now Ive recently noticed dark spots on my legs. 1) Similar to a "bleed spot" from an ink pen. 2)And small white bumps near my genital area (but not similar to acne) they are solid with no pus in like a pimple would. 3) And the bottoms of my feet are itching really bad. This is all new to me. So every time I search something it comes across as a whole host of things. I'm concerned,can you give me an idea of what may be the cause of my symptoms?

Response from Dr. Henry

Persons with HIV/AIDS commonly experience many skin problems that often can flare up further after starting effective HIV treatment (can be a part of the spectrum of immune reconstitution syndrome or IRIS). Eczema (very dry skin), folliculitis (hair follicle irritation), and sebeorrhea (redness/flaking of skin) are all common and can flare up after starting treatment. Those conditions are annoying but generally not serious. Other HIV-related skin problems can be of more concern so a thorough clinical assessment by your HIV provider is recommended. If I am uncertain about a diagnosis I have a low threshold for referring to a dermatologist (skin specialist). KH

I have a swollen lymph node just under my left ear.
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