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I am sorry to hear that you are your girl friend is troubled by a number of recent onset symptoms. I will try my best to help you out here :
The good news is that I do not see any signs , symptom patter or blood tests results are NOT suggestive of a serious infection.
balanitis or atleast a male yeast infection - Probably a STD.
seborraich dermatitis on scalp and glans - Non infectious
dishydrosis on palms and soles. - Non infectious
My 3 year old daughter has peeling soles and palms, - Non infectious
We all had a circular rash, - If the rash is persisting it could be a dermatophyte infection. A kind of fungal infection
Neurological symptoms : The neurological symptoms are non specific. Need not indicate and infection at all. It could be due to mild peripherlal neuropathy or a compression neuropathy from bad posture. Unless this is (1) persisting for more than 1month (2) assoaited with other neurological signs like weakness you need not worry about it for the time now.
I understand you are trying to find a root cause or a single etiologic bacteria or virus which is causing all these findings. But from the above information a single infection is highly unlikely. The blood tests are suggestive of previous viral infections. In view of this I would recommend a basic blood panel investigation which should include :
1.Complete Blood count
3.Liver function tests
4. Renal function tests
5. Peripheral smear study
If you have any of these reports available please share it with me. I would also like to know when was the last HIV test done, and when was your last high risk sexual encounter (unprotected sex)
Hope this helps
Feel free to ask followup
Patient replied :
Hi, these are the results of the immunological panel (see attached)
My last hiv test was 17 months after risc, no risc since then. It was p24 antigen/antibody test. It should be very reliable I am told, but do you question this?
Yes i tend do agree with multiple pathogens.
I had also a hepatitis vaccination 3 months after exposure, which i had an reaction, I am struggling with numbness in hands and feet afterwards, maybe this is my main issue, it could that my immune system is damaged after the vaccination. I have read that adverse reaction are rare, but GBS, and MS are linked to the hepatitis vaccine, I am schedueled to meet a neurologist in 1-2 months, maybe this will lead me to a diagnoses, I hope so
The blood panel looks good. Let me note down few of my observations here. I think you are bit over concerned / worried about the symptoms . The positive fact is that you are well evaluated and all the parameters are within normal limits. Only the neurological symptoms, if persisting needs evaluation. Glad that you are consulting a Neurologist. This should shed some light into the problem. There is no life threatening or damaging signs or symptoms. So you can just observe how the symptoms evolve over time. Most likely this will disappears on its-own.
The combo HIV test you have done is good enough. But you can go for a repeat simple antibody test after 6 months just to be sure. I do not think a reaction to Hep A vaccine will manifest like this. Sure, in rare cases it can cause MS /GBS, but this neuropathy pattern is not suggestive. If persisting a NCS (nerve conduction study ) might be a good idea. Your Neurologist will suggest this if required.
Hope this helps
Feel free to ask followups
Patient replied :
Yes, There is one more question I would like to ask. Me and my girlfriend and my 5 and 3 year old daughters are having peeling on our palms and soles, also all our scalps are itchy. My dermatologist told me I had dishydrosis on my Palms and soles, and mild seborraich dermatitis on scalp and glans. My girlfriend has just recently had her blood donated, and her blood is testef with the NAAT test. So my 17 months past exposure and my girlfriends is also negativ, so Hiv is not the explanation her. I was thinking at the start about scabies, but there noting in my finger webs or waistline e.t.c so I think the derm. was correct on this not beeing scabies. Is it possible somehow that we have staph on our skin? Why do we keep peeling??? Probably I have to go back and get my skin scraped for analysis. can you give me some ideas to get tested for? staph,fungal......Yes I will go for 1 more hiv and syphilis test, just to get this permanently out of my OCD brain. Also my and girlfriend have headaches all the time and chills, could this be urinary tract infection even if my complete std´s panel is negativ???
I can upload you some pictures, but keep them confidential alright :)
You can see mild peeling on this pictures, but it´s more severe some times. the derm on this site it was keratolysis exfoliativa, but how can we all develop the same condition at the same time????
also a picture of my balanitis, which is better looking now than this pic.....
Since you 3 have the skin peeling, look for any allergens that are causing this. May be some soap or cleaning fluids or disinfectants which all of you might be coming in contact with. I agree with your Dermatologist. This does not look like scabies, although scabies would be my first suspicion for an dermatological illness that occur in a group . Staph or fungal infection is unlikely to cause this. You can test for a fungal infection (Candida specifically ). Bacterial infection will not cause this and anyway there will be plenty of bacteria on the skin surface.
If your girlfriend has chills with pain while passing urine she can be having a UTI. But in that case the urine routine test would have show some features / findings. Headache is unrelated. Probably a tension type headache or migraine headache.
As I said do consider an allergic reaction.
keratolysis exfoliativa is very possible. But still it is usnsual for all of you to develop it. That's why it makes sense to look for allergens or irritants precipitating this condition.
Hope this helps