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Author Topic: Skin issues  (Read 2513 times)

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Offline Betelgeuse

  • Member
  • Posts: 163
Skin issues
« on: June 10, 2011, 05:10:04 PM »
Ok so I have these reddish/brownish dots on my forearm skin.  I kinda figured they were healing scars that I create every winter when I incessantly scratch my dry skin.

I took pictures - I can post them.  Not sure if everyone wants to see them tho.

There's no pain or discomfort associated with these rash looking things.  It's ONLY on my forearm.  And the dots aren't raised above the skin. It just looks ugly and I end up having to put some cover up on them if I go out with a short sleeve shirt.

In talking to both my HIV and my PCP doctors, they quickly dismissed it as something that's probably nothing.  And it probably isn't.   But I can't help but to think it might be related to my low CD4 numbers. I use a hydrocortisone cream on my arm twice a day with no success.

Anyone here have unexplainable skin discoloration/rashy/dotty things on their skin?  
04/19/11 - Diagnosed positive
04/29/11 - CD4 188 @ 12.5% / VL 18k
05/03/11 - CD4 171 @ unk% / VL 7k
06/04/11 - Start Truvada/Isentress
07/11/11 - CD4 not tested / VL UD
09/07/11 - CD4 252 @ unk% / VL UD

Offline Assurbanipal

  • Member
  • Posts: 2,173
  • Taking a forums break, still see PM's
Re: Skin issues
« Reply #1 on: June 10, 2011, 05:34:55 PM »
If you are worried about it, ask for a referral to an HIV-experienced dermatologist.  It took about 5 seconds for the one I saw to diagnose molluscum back when I saw him -- an experienced dermatologist can be very reassuring about minor issues and help prevent major ones.
5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

Offline J.R.E.

  • Member
  • Posts: 7,277
  • Joined Dec-2003 Living positive, since 1985.
Re: Skin issues
« Reply #2 on: June 10, 2011, 05:45:20 PM »
If you are worried about it, ask for a referral to an HIV-experienced dermatologist.  

I agree with the above statement. This would be your best bet.

Have you been spending a lot of time in the sun?  I noticed in on one of your threads, that you're on Bactrim.  Prolonged exposure to sunlight , may cause some rash conditions while on bactrim.

try limiting your sun-exposure , while on bactrim

Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 25 mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


Diagnosed positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of 8/25/14,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 63 years young.

Offline Betelgeuse

  • Member
  • Posts: 163
Re: Skin issues
« Reply #3 on: June 10, 2011, 05:55:04 PM »
Thank you for your responses.  I've started Bactrim only recently.  I've had these dots now for about 6 months. 

Here in Seattle, there hasn't been very many sunny days.

Next time I see my HIV doc, I think I just might ask for a referral.  :)
04/19/11 - Diagnosed positive
04/29/11 - CD4 188 @ 12.5% / VL 18k
05/03/11 - CD4 171 @ unk% / VL 7k
06/04/11 - Start Truvada/Isentress
07/11/11 - CD4 not tested / VL UD
09/07/11 - CD4 252 @ unk% / VL UD

Offline buginme2

  • Member
  • Posts: 3,279
Re: Skin issues
« Reply #4 on: June 11, 2011, 12:12:46 PM »
Hey I'm in Seattle also!! And yes there is no such thing as sun here.  Especially this year.  I don't have anything to add except.  Hydrocortisone cream wont help.
Don't be fancy, just get dancey

Offline flip408

  • Member
  • Posts: 21
Re: Skin issues
« Reply #5 on: June 14, 2011, 02:07:03 AM »
i used diphenhyldramine hydrochloride, for me much better than hydro cortisone, i had red dots that itched like hell.  bactrum also worked for me. 
Start where you are, use what you have, do what you can.    A Ashe
05/14/11  501  <50  20%
4/14/11  483  <50  19%
2/10/11    523  <50 18% start Rilpivr/trvda
11/15/10  470  <50
1/6/10    430  <50  16%
7/13/09  345  <50  12%
1/26/09  347  <50  16%
7/22/08  306  <50  6%
11/26/07 238 <50  8%
6/11/07  253  <50  5%
11/9/06  122  <50 7%
9/05/06  <25 >100000  PCP

Offline weasel

  • Member
  • Posts: 1,723
Re: Skin issues
« Reply #6 on: June 14, 2011, 11:43:08 AM »


               See a GOOD skin Specialist !

              Some skin Cancer looks rather plain .....

             Do not wait , as skin cancer is easy to cure while it is  beginning to form .

                  it KILLS  once it gets hold !

                                         be safe , be well

                                                                             Carl

           
" Live and let Live "

Offline Betelgeuse

  • Member
  • Posts: 163
Re: Skin issues
« Reply #7 on: June 14, 2011, 09:06:22 PM »
Your "c" word sent me into kind of a panic.  I'll be seeing a specialist tomorrow.  I'm glad they were able to fit me in on such short notice.

As someone whose lab results came back with <200 CD4 numbers, am I more prone to this type of cancer?

When I showed my HIV doctor these marks on my arm, he said he was pretty sure it wasn't Karposi's Sarcoma. 
04/19/11 - Diagnosed positive
04/29/11 - CD4 188 @ 12.5% / VL 18k
05/03/11 - CD4 171 @ unk% / VL 7k
06/04/11 - Start Truvada/Isentress
07/11/11 - CD4 not tested / VL UD
09/07/11 - CD4 252 @ unk% / VL UD

Offline Betelgeuse

  • Member
  • Posts: 163
Re: Skin issues
« Reply #8 on: June 15, 2011, 03:06:14 AM »
With each passing day, these marks seem to be getting just a little better.  I don't know whether these marks are bacterial or viral in nature, but I am taking both antivirals and antibacterials so I guess I'm headed in the right direction.
04/19/11 - Diagnosed positive
04/29/11 - CD4 188 @ 12.5% / VL 18k
05/03/11 - CD4 171 @ unk% / VL 7k
06/04/11 - Start Truvada/Isentress
07/11/11 - CD4 not tested / VL UD
09/07/11 - CD4 252 @ unk% / VL UD

Offline alberche

  • Member
  • Posts: 216
  • a distancia del mundo incierto, saludo mi suerte
Re: Skin issues
« Reply #9 on: June 18, 2011, 06:11:27 PM »
Hi there,

I've been having something very similar, also in forearms, since 4 years ago. It is mild, but noticeable. Seems to appear and extend, and tend to fade some days later, but never goes away.

Doctor says it is not due to meds (during these years I have changed meds 3 times), and suspects it could be due to an increased sensibility in the skin, due to unespecific cause.

A dermathologist told me more or less the same thing.

I have observed it gets worst during summerdays, when taking a hot shower and when doing excercise.

Conclusion: I keep skyn hydrated, avoid using parfums in that area and do not give it too much importance.

 :D
love is blindness...  a wonderful song!

Offline randym431

  • Member
  • Posts: 1,125
Re: Skin issues
« Reply #10 on: June 20, 2011, 09:52:15 AM »
Even a good dermatologist can be hard to find. I suspected my one spot, I had long ago when my lab numbers were close to yours, was KS. Seen a dermatologist. He looked at it and said "bug bite". I told him it had been there for 3 months and was slowly growing. He wanted to put me on some stuff for bug bites. I said no. I just wanted a bio sent to a lab. He thought that was a waste of time, but went ahead after I insisted. Well it was a KS spot as I suspected. I could tell by his reaction that he never dealt with KS. Probably he was only use to dealing with cute little pimples on barbie girls noses. That seemed to be the extent of his background. And this dermatologist had been suggested by my ID doc.   ::)

But as my numbers climbed, improved, the spot turned brown and faded away all by itself.
I think people with low numbers have a lot of skin issues...  I know I certainly did.
And they pretty much all faded away, over time, as those numbers improve and recover.

I would try to see a good experienced dermatologist, but I wouldn't really worry about it.
Considering you just started meds, and your current lab numbers are still low.

Usually these issues are treated by skin creams and lotions, maybe pills, to lesson the problem, but it all takes care of itself over time. Yes.. even for KS, the best treatment is just sticking with your hiv meds. I think worry itself is the biggest issue to deal with. The bottom line, chill out and stick to the meds. As time goes by, you will see a lot of improvement. Especially with the skin issues.
« Last Edit: June 20, 2011, 10:07:16 AM by randym431 »

Offline Jeff64

  • Member
  • Posts: 255
Re: Skin issues
« Reply #11 on: June 22, 2011, 05:40:18 PM »
I also get spots on my forearms. They start out as a little blister (painless) then turn reddish brown. I have been told it is from age.
They ooze a little then crust over then vanish.
 Skin is weird. I had this even prior to meds.

Offline RoughNCountry

  • New Member
  • Posts: 1
Re: Skin issues
« Reply #12 on: June 23, 2011, 12:50:29 AM »
Randym431, I been dealing with KS for about a year now, luckily none in my lungs, just topical but really need someone to tell me how to find a dermatologist that will be knowledgeable about KS and possible laser treatments to remove the scars. I finished my chemo and still on my meds and everything is above what it should be, undetectable etc... I just want to remove the few obvious ones that people ask me about all the time. It's definitely affecting me mentally, I feel like I am constantly hiding.

Even a good dermatologist can be hard to find. I suspected my one spot, I had long ago when my lab numbers were close to yours, was KS. Seen a dermatologist. He looked at it and said "bug bite". I told him it had been there for 3 months and was slowly growing. He wanted to put me on some stuff for bug bites. I said no. I just wanted a bio sent to a lab. He thought that was a waste of time, but went ahead after I insisted. Well it was a KS spot as I suspected. I could tell by his reaction that he never dealt with KS. Probably he was only use to dealing with cute little pimples on barbie girls noses. That seemed to be the extent of his background. And this dermatologist had been suggested by my ID doc.   ::)

But as my numbers climbed, improved, the spot turned brown and faded away all by itself.
I think people with low numbers have a lot of skin issues...  I know I certainly did.
And they pretty much all faded away, over time, as those numbers improve and recover.

I would try to see a good experienced dermatologist, but I wouldn't really worry about it.
Considering you just started meds, and your current lab numbers are still low.

Usually these issues are treated by skin creams and lotions, maybe pills, to lesson the problem, but it all takes care of itself over time. Yes.. even for KS, the best treatment is just sticking with your HIV meds. I think worry itself is the biggest issue to deal with. The bottom line, chill out and stick to the meds. As time goes by, you will see a lot of improvement. Especially with the skin issues.

 


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