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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Symptoms Of Swelling And Itching Of Face A Result Of HIV?

Dear Doctor,

a friend of mine recently got +ve HIV and we are in delimma. we took him to a doctor and on medication howver, his swelling of his face and itching doesn't stop. worst when he takes good food sweeling and increases and he takes little food. though we advised him to take good food to incease his immune system.



our main presenrt complaint and woorry: swelling of his face and dark blish in color, this change even twice in a day. we are thingking of taking him to a best specialist but don't know who could / is the best doctor who has been treating the HIV patients for the last 10-20 yrs.



Waiting fing for your generous pious advice when arwe are in delimma/ going through the worst part of our life.



David

Plz help.



Mon, 13 Oct 2014
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General & Family Physician 's  Response
Hello
As diagnosis is established , so deal according to the situation .
Your patient ( friend ) is having swelling on the face and also bluish discoloration twice in day .
The main characteristic feature if HIV infection is erythematous maculopapular rashes on the face and mucocutaneous ulceration on the tongue and in the mouth .
Since rashes is common but swelling on the face may be due to anemia or some other opportunistic .
Hypoproteinaemia may be the another cause of such swelling. I recommend , please get in serum creatinine level as well as urine culture and sensitivity test to rule out any kidney involvement .
As you know the diagnosis , so what had happened ,has happened .
Consult a physician and get his opinion and antiretoviral treatment .
As I have noted that , now a day prognosis ( life expectancy ) in HIV IS VERY GOOD and patient can survive at least 20-30 years Provided good treatment , diet and up to date monitors of CD4+ T cell count.
Measurement of plasma HIV RNA levels should be made at the time of HIV diagnosis and every 3-4 months there after in untreated and treated cases.
Patient with CD4+T cell counts
So regular monitor of CD4+T cell counts and HIV R NA is an important tool in the management of HIV INFECTION TREATMENT .
Hope this will help you.
Good luck.
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Do Symptoms Of Swelling And Itching Of Face A Result Of HIV?

Hello As diagnosis is established , so deal according to the situation . Your patient ( friend ) is having swelling on the face and also bluish discoloration twice in day . The main characteristic feature if HIV infection is erythematous maculopapular rashes on the face and mucocutaneous ulceration on the tongue and in the mouth . Since rashes is common but swelling on the face may be due to anemia or some other opportunistic . Hypoproteinaemia may be the another cause of such swelling. I recommend , please get in serum creatinine level as well as urine culture and sensitivity test to rule out any kidney involvement . As you know the diagnosis , so what had happened ,has happened . Consult a physician and get his opinion and antiretoviral treatment . As I have noted that , now a day prognosis ( life expectancy ) in HIV IS VERY GOOD and patient can survive at least 20-30 years Provided good treatment , diet and up to date monitors of CD4+ T cell count. Measurement of plasma HIV RNA levels should be made at the time of HIV diagnosis and every 3-4 months there after in untreated and treated cases. Patient with CD4+T cell counts So regular monitor of CD4+T cell counts and HIV R NA is an important tool in the management of HIV INFECTION TREATMENT . Hope this will help you. Good luck.