|Burning sensation in arms
Jul 22, 2001
Doctors, thank you for your excellent service. I was only recently dianosed as HIV positive (Fall 2000) so I am still coming to grips with my disease. I don't yet know all of the technical jargon and what all the numbers mean, but I will explain it as best I can. My viral load is now undetectible after a high of over 300,000. The blood count that fights off infections is now over 200 and rising after being at zero. I have never been sick, although my doctor says he doesn't know why since I had nothing to fight off infections. Since November, I have been on Sustiva, Zerit, and Ziagen, and I am doing great. But for the past several weeks I have started experiencing a burning and tired sensation in my arms and hands, and to a lesser extent a tingling sensation in my feet (at times). It almost seems like maybe the blood is flowing properly. I have tried exercise and some weight lifting, but whether I do it or not, the sensation is the same. Is this an HIV related cause or a drug related cause? What can I do about it? Will it go away? I feel fine otherwise, and I should mention that I do not drink or smoke, use cafeine or any illegal drug. Thank you so much for your help.
| Response from Dr. Henry
It is not possible to distinguish the cause of your arm complaints from the data you provided and without directly examining you. Zerit and cause a neuropathy but generally the feet are bothered first and worse than the arms/hands. HIV can cause a neuropathy as can several types of HIV related infections and some nerve entrapment syndromes. Usually a complete history and physical can help differentiate between the various possibilities. I often have a neurologist evaluate persons with your complaints to best sort out the most likely cause before trying any treatment. KH
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