Hey, I need some advice. I had a sexual exposure a while back and I'm kind of freaking out. I've gotten tested multiple times for HIV and STDstwo months, five months, and ten months after exposure, using HIV duo combo, RNA PCR, and ECLIA testsall negative. But now, 14 months later, I've got these weird maculo papular rashes on my chest and shoulders that darkened and peeled off. Could this be related to HIV even after all those negative tests? I'm really worried and don't know what to think.

Understanding Maculopapular Rashes

• These are flat, red areas on the skin covered with small confluent bumps. Common causes include viral infections, drug reactions, and allergies.

Relationship Between Rash and HIV

• HIV-related rashes typically appear within weeks of exposure. A rash appearing 14 months later is unlikely to be directly related to acute HIV infection.

Interpretation of Multiple Negative HIV Tests

• Modern HIV tests are highly reliable. Multiple negative results over time significantly reduce the likelihood of an HIV infection.

Other Possible Causes of Rash

• Consider other infections, allergic reactions, or dermatological conditions as potential causes.

Recommended Next Steps

• Consult a healthcare provider or dermatologist for evaluation. Diagnostic tests or skin biopsies may be necessary.

When to Consider Further HIV Testing

• Repeat testing might be warranted if new risk factors or symptoms arise.

Importance of Comprehensive Medical Evaluation

• A full clinical assessment is crucial to identify the cause and appropriate treatment.

Support and Reassurance

• It's important to seek professional guidance. Multiple negative tests are reassuring, but further evaluation can provide clarity and peace of mind.