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Author Topic: Lipoatrophy & senile purpura  (Read 9465 times)

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Offline deibster

  • Member
  • Posts: 159
Lipoatrophy & senile purpura
« on: February 04, 2010, 08:56:48 pm »
Hi,
I've been poz since '93 & have always been on the thin side. I was on Zerit for a few years which is known to cause Lipoatrophy, but at the time, when I failed AZT, we didn't know about that. I am 57 yrs old & have NO fat layer on my arms & hands.
    In the summer of 2009, I was taking Ibuprofen and/or aspirin for sinusitis. I know that they tend to thin your blood; I ending up bleeding into my lungs & came down with pneumonia. I lost another 10 lbs and am down to the weight that I was in the military 30 years ago. I am otherwise healthy (CD4 700, VL undetectable), but I get black & blue blotches on the back of my forearms for no reason, even when I don't remember banging or scraping against anything. Of course, I am concerned about getting pneumonia again or another bleeding-associated problem.
    Does anyone else have any similar experience? My infectious disease doctor has no suggestions for me except to put on weight. I have put on several lbs but it all goes into my guts & doesn't help the bruising on my arms. There is a little info on AidsMeds about idiopathic thrombocytopenia purpura & I am going to look into that. Everything else that I've found is about low platelet counts which I do NOT have. Any info would be appreciated. I'm sorry for being so longwinded!  Hugs, Deibster in Provincetown
« Last Edit: February 04, 2010, 09:02:23 pm by deibster »
Logged
Poz since Dec 1992. Meds since 1995. Disability since 2005. Constantly fighting the Lipodystrophy 'beer gut.'

Prezista/Norvir, Epzicom, Cytomel, Prevacid, Coumadin, pravastatin, Fenofibrate, Remeron, Zoloft, Concerta, Flomax, Allegra180, Nasacort, Centrum, Flax Oil, Fish Oil

Offline phildinftlaudy

  • Member
  • Posts: 2,985
  • sweet Ann what you think babe...
Re: Lipoatrophy & senile purpura
« Reply #1 on: February 04, 2010, 09:01:40 pm »
Hi deibster:
In addition to being HIV+ do you have any other health conditions?  The only reason I ask is that my dad has a similar condition or thing that happens to him == he has bruises all on his arms... He is not +; He is 71 but has had the problem for about 20 years; He has rheumatoid arthritis and docs told him it was result of meds he is on/has been on over the years....
Logged
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline deibster

  • Member
  • Posts: 159
Re: Lipoatrophy & senile purpura
« Reply #2 on: February 04, 2010, 09:13:38 pm »
Hello Phild,
I have chronic hay fever-allergies and chronic depression, which runs in my family. Also GERD, the stomach ulcers are one of the reasons that I got disability. None of these should cause the bruising, but they mean I am on 8 additional prescription meds & I'm sure they don't help the situation. Thanks for your support.
deibster
Logged
Poz since Dec 1992. Meds since 1995. Disability since 2005. Constantly fighting the Lipodystrophy 'beer gut.'

Prezista/Norvir, Epzicom, Cytomel, Prevacid, Coumadin, pravastatin, Fenofibrate, Remeron, Zoloft, Concerta, Flomax, Allegra180, Nasacort, Centrum, Flax Oil, Fish Oil

Offline phildinftlaudy

  • Member
  • Posts: 2,985
  • sweet Ann what you think babe...
Re: Lipoatrophy & senile purpura
« Reply #3 on: February 04, 2010, 09:31:55 pm »
no problem.... i have gerd also ---- got it right after being diagnosed + // take nexium for it.  U should probably check with ur doc --- could b one of the drugs causing ur condition or a combination of them or the combination effect of them on one or more of ur body systems.....  best to u and keep us posted.
Logged
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline deibster

  • Member
  • Posts: 159
Re: Lipoatrophy & senile purpura
« Reply #4 on: February 26, 2011, 06:53:07 pm »
It's hard to believe that it has been over a year since I started this thread. I'm happy to report that the bruising has not gotten any worse, and I have not gotten pneumonia again, or any other bleeding related disorder. The bruising has actually gotten a little better; I've probably gotten better at not bumping into or scraping against things.
I've asked my ID doc, and a new GP doc and none of them have come up with any specific suggestions or changes to improve this condition; just the old put on weight and do some arm exercises to get some of the weight there. A friend at my ASO recommended taking Flax seed oil, or fish oil, to help keep the skin soft and flexible. Thanks for the support, Deibster
Logged
Poz since Dec 1992. Meds since 1995. Disability since 2005. Constantly fighting the Lipodystrophy 'beer gut.'

Prezista/Norvir, Epzicom, Cytomel, Prevacid, Coumadin, pravastatin, Fenofibrate, Remeron, Zoloft, Concerta, Flomax, Allegra180, Nasacort, Centrum, Flax Oil, Fish Oil
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