Are there physical signs of HIV?

  • MikemikeMike

    Posts: 6932

    Jul 04, 2009 7:49 AM GMT
    A gym buddy said there are:

    1) He said small hard pot belly.
    2) loss of any fat on upper inside if both thighs.
    3) moons missing from all finger nail beds
    4) loss of any fat in facial strucure.

    Is there a Dr. in the house??? I mean a real MD- infectious disease guy!!

    I just wondered if he's right???
    Thanks in advancer,
    Mike3
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    Jul 04, 2009 11:15 AM GMT
    I have AIDS and it was because of my homosexual life-style. But I am happy and I will never regret being borned Gay....

    Arriba Mexico...Ayyy..

    P.S.
    I love you Carlos Adrián Núñez Sánchez or as I call you XipeTotec88 !!!
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    Jul 04, 2009 11:36 AM GMT
    HIV medications can cause fat redistribution or lipodystrophy syndrome. Fat tends to be lost on the arms, legs and buttocks and accumulates centrally. The accumulation centrally causes a pot belly. Protease Inhibitors can contribute to the fat redistribution. Indinavir sulfate (CRIXIVAN ) could cause pot belly and it was named Crix belly phenomenon. Fat is also lost in the cheeks resulting in a sunken look. There are nail changes. One of the more common nail changes is "white nails" or leukonychia. I'm assuming this is what your friend is talking about. Other nail changes include clubbing and transverse lines. The most common nail change is due to fungal infections .

    I'm not a real MD- infectious disease guy.icon_smile.gif I do have some experience with HIV and AIDS patients.
  • t0theheights

    Posts: 428

    Jul 04, 2009 12:00 PM GMT
    kneedraggen saidHIV can cause fat redistribution or lipodystrophy syndrome. Fat tends to be lost on the arms, legs and buttocks and accumulates centrally. The accumulation centrally causes a pot belly. Protease Inhibitors can contribute to the fat redistribution. Indinavir sulfate (CRIXIVAN ) could cause pot belly and it was named Crix belly phenomenon. Fat is also lost in the cheeks resulting in a sunken look. There are nail changes. One of the more common nail changes is "white nails" or leukonychia. I'm assuming this is what your friend is talking about. Other nail changes include clubbing and transverse lines. The most common nail change is due to fungal infections .

    I'm not a real MD- infectious disease guy.icon_smile.gif I do have some experience with HIV and AIDS patients.


    Regardless I think it should be made clear that this is NOT a reliable diagnostic indicator of being HIV+ or -. Some people I know have the symptoms above and are still negative, whereas other HIV+ people I know don't show any of these indicators at all. There is simply no obvious outwardly physical way to distinguish between someone who has HIV or not.
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    Jul 04, 2009 12:21 PM GMT
    t0theheights saidRegardless I think it should be made clear that this is NOT a reliable diagnostic indicator of being HIV+ or -. Some people I know have the symptoms above and are still negative, whereas other HIV+ people I know don't show any of these indicators at all. There is simply no obvious outwardly physical way to distinguish between someone who has HIV or not.

    Correct. While some of these changes may be seen in some individuals, these are usually the result of long-term exposure to HIV, and may include the results of AIDS. Initially HIV produces no obvious symptoms, except upon first exposure some people may develop something similar to a common cold, but even this is not universal.

    Another outward sign, a pot belly, may in reality be due to the treatment regimen, not HIV itself. In fact, since I have put on some ordinary middle-age spread myself lately, I've subsequently learned some gay friends erroneously assumed I was on HIV meds. Yet I know a number of gay men who have had HIV for many years, on full meds and a few with full-blown AIDS, and even I forget they are POZ, because they reveal no outward signs whatsoever.

    Bottom line: physical appearance is not a reliable indicator of HIV. HIV & AIDS effects may look like other things, and other things may look like HIV/AIDS. Only a test can provide a firm diagnosis.
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    Jul 04, 2009 1:04 PM GMT
    I checked the medical literature for the prevalence of lipodystrophy syndrome in HIV+ individuals.

    A 2007 meta-analysis found a prevalence rate of 14-40% in HIV-positive patients on HAART.
    In untreated patients, the incidence is only 4%
    Waters L, Nelson M. Long-term complications of antiretroviral therapy: lipoatrophy. Int J Clin Pract. Jun 2007;61(6):999-1014. [Medline].


    Like Red said, you certainly can have a pot belly and not be HIV +..the notorious beer belly is a good exampleicon_lol.gif
    White nails are a finding in individuals with kidney disease so you also don't have to be HIV+ to have the nail disorder
    Even Kaposi's sarcoma (the skin lesions Tom Hanks had in the movie Philadelphia) which is usually associated with AIDS can occur in HIV negative individuals. Before AIDS, Kaposi sarcoma was found most often in middle-aged and older American men of Mediterranean and Eastern European (Ashkenazi) Jewish lineage

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    Jul 04, 2009 1:11 PM GMT
    kneedraggen saidHIV can cause fat redistribution or lipodystrophy syndrome.


    That would be the HIV medication that does that and not the virus itself.
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    Jul 04, 2009 1:48 PM GMT
    BetterThanOne said
    kneedraggen saidHIV can cause fat redistribution or lipodystrophy syndrome.


    That would be the HIV medication that does that and not the virus itself.


    I corrected my post. I forgot the word medication.
    Most experts presently believe that HIV type 1 protease inhibitors (PIs) and nucleoside reverse transcriptase inhibitors (NRTIs) are the culprits in most cases of lipodystrophy syndrome.

    Now to muddy the waters.
    There is new evidence that HIV-1 can cause the problem without the influence of medications. I found the following article:
    HIV-1 may cause dyslipidemia and lipodystrophy in the absence of HAART therapy, via impaired cholesterol efflux from macrophages and increased tumor necrosis factor-alpha, which modulates free fatty acid metabolism and lipid oxidation and attenuates insulin-mediated suppression of lipolysis.

    Oh J, Hegele RA. HIV-associated dyslipidaemia: pathogenesis and treatment. Lancet Infect Dis. Dec 2007;7(12):787-96. [Medline].

    4% of cases of lipodystrophy occurred in individuals that never received medications.

    If there are any HIV experts on RJ, I would like to hear what they have to say about the topic.
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    Jul 04, 2009 2:25 PM GMT
    How to tell if a person is HIV positive in 2 easy steps:

    1.) Look at the subject and determine if it is a human male or female.

    2.) If the subject is determined to be human assume subject to be HIV+

    Once the determination is made:

    A.) Treat all humans with equivalent dignity and respect.

    B.) Do not ever engage in unprotected sex with humans.
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    Jul 04, 2009 2:38 PM GMT
    your gym buddy is wrong

    those are drug side effects
    not all of us poz guys get them
  • joggerva

    Posts: 731

    Jul 04, 2009 8:42 PM GMT
    muchmorethanmuscle said
    UrsaMajor saidHow to tell if a person is HIV positive in 2 easy steps:

    B.) Do not ever engage in unprotected sex with humans.



    But...this statement sort of implies that other species can be engaged without protection. icon_eek.gificon_eek.gificon_eek.gif


    LOL. That was all based on "if yes" to step 1. "If no" - don't have sex with it! There, better?
  • barriehomeboy

    Posts: 2475

    Aug 11, 2009 1:34 AM GMT
    How disappointing that such a serious question would get such bullshit answers. This is obviously not the place to gather data on a medical issue, or even fitness issues, quite frankly, after reading answers on here for a year or so. You need to open your front door, and put one foot in front of the other until you find a real doctor. They can order the tests and help you deal with the test results.
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    Aug 11, 2009 1:38 AM GMT
    Most of the signs in your original post are side effects from certain medications. HIV itself does not have visible signs and the only reliable way to diagnose HIV is through a blood or saliva based test.
  • MikemikeMike

    Posts: 6932

    Aug 13, 2009 8:04 PM GMT
    SeaSon saidMost of the signs in your original post are side effects from certain medications. HIV itself does not have visible signs and the only reliable way to diagnose HIV is through a blood or saliva based test.


    I know that!! I have been tested twice a year since 2002.

    However since alot of people lie about their status, it is good to know even if the side effects are from the medication. I have always treated everyone as if they were +, and have been with the same guy for 4.5 yrs. I still wear a condom every time! Being safe/safer is a choice!
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    Aug 14, 2009 4:22 PM GMT
    MikemikeMike saidA gym buddy said there are:

    1) He said small hard pot belly.
    2) loss of any fat on upper inside if both thighs.
    3) moons missing from all finger nail beds
    4) loss of any fat in facial strucure.

    Is there a Dr. in the house??? I mean a real MD- infectious disease guy!!

    I just wondered if he's right???
    Thanks in advancer,
    Mike3


    No there are not. Period.

    What your friend is identifying are the side-effects of some HIV drugs. Many people with HIV (including moi) are very healthy looking and do not exhibit these physical attributes.
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    Aug 14, 2009 4:49 PM GMT
    SurrealLife said
    MikemikeMike saidA gym buddy said there are:

    1) He said small hard pot belly.
    2) loss of any fat on upper inside if both thighs.
    3) moons missing from all finger nail beds
    4) loss of any fat in facial strucure.

    Is there a Dr. in the house??? I mean a real MD- infectious disease guy!!

    I just wondered if he's right???
    Thanks in advancer,
    Mike3


    No there are not. Period.

    What your friend is identifying are the side-effects of some HIV drugs. Many people with HIV (including moi) are very healthy looking and do not exhibit these physical attributes.


    Yup. I'm over 10 years poz now and I still got me some plump Sally Struthersesque thighs and chipmunk cheeks. I'm trending towards being classified as a treatment naive long term non progressor. I'm happy I've never been on PIs or any other lipodistrophy inducing med for that matter. If I'm going to be fat and sassy, I would rather be proportionately fat and sassy as long as I can.
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    Aug 18, 2009 7:58 PM GMT
    my spouse has been pos for close to 20 years now and went on meds 6 years ago. He doesnt look pos in any way shape or form.

    So...you cant really tell who is or isnt pos.
  • Primemuscle

    Posts: 1

    Jun 26, 2012 8:08 PM GMT
    "Before AIDS, Kaposi sarcoma was found most often in middle-aged and older American men of Mediterranean and Eastern European (Ashkenazi) Jewish lineage." -unknown


    I had a growth which instantaneously appeared on the bottom of my foot excised three days after it appeared. Lab work diagnosed it as Karposis Sarcoma. I am HIV-. However, over the course of 8 months of seeing different doctors, I was retested for HIV several times. Each time the results were the same, negative.

    Although not all of the growth was excised it healed over in a few days. By the time I was referred for radiation 8 months later, there was no sign anything ever existed there. The doctor decided that since it appeared there was nothing to radiate, I didn't need to do that.

    The final diagnosis was that I had Classic Kaposi's Sarcoma. It has been several years now and there has been no sign of any repeat occurrences, thank goodness. I am not, to the best of my knowledge of Mediterranean decent nor am I Jewish. I am lightly olive skinned with sandy blond hair (it is white these days since I am a senior citizen). icon_neutral.gif
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    Jun 26, 2012 10:45 PM GMT
    MikemikeMike saidA gym buddy said there are:

    1) He said small hard pot belly.
    2) loss of any fat on upper inside if both thighs.
    3) moons missing from all finger nail beds
    4) loss of any fat in facial strucure.

    Is there a Dr. in the house??? I mean a real MD- infectious disease guy!!

    I just wondered if he's right???
    Thanks in advancer,
    Mike3

    Thank goodness this was necroed because I have no moons, I'm skinny but with a tiny belly. Despite never having sex, I had better get tested! I must have sat on the wrong toilet seat.
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    Jun 26, 2012 10:53 PM GMT
    barriehomeboy saidHow disappointing that such a serious question would get such bullshit answers. This is obviously not the place to gather data on a medical issue, or even fitness issues, quite frankly, after reading answers on here for a year or so. You need to open your front door, and put one foot in front of the other until you find a real doctor. They can order the tests and help you deal with the test results.


    +1

    So true...get educated on the facts: http://www.thebody.com/
  • jim_sf

    Posts: 2094

    Jun 26, 2012 10:57 PM GMT
    SkinnyBitch said
    MikemikeMike saidA gym buddy said there are:

    1) He said small hard pot belly.
    2) loss of any fat on upper inside if both thighs.
    3) moons missing from all finger nail beds
    4) loss of any fat in facial strucure.

    Is there a Dr. in the house??? I mean a real MD- infectious disease guy!!

    I just wondered if he's right???
    Thanks in advancer,
    Mike3

    Thank goodness this was necroed because I have no moons, I'm skinny but with a tiny belly. Despite never having sex, I had better get tested! I must have sat on the wrong toilet seat.


    You should have never looked at my RJ profile - now you have the AIDS too.
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    Jun 26, 2012 11:20 PM GMT
    Here's a paste from another current thread, where I posted this guidance from the Mayo Clinic regarding signs of HIV upon initial infection:

    The symptoms of HIV and AIDS vary, depending on the phase of infection.

    Primary infection
    The majority of people infected by HIV develop a flu-like illness within a month or two after the virus enters the body. This illness, known as primary or acute HIV infection, may last for a few weeks. Possible symptoms include:

    Fever
    Muscle soreness
    Rash
    Headache
    Sore throat
    Mouth or genital ulcers
    Swollen lymph glands, mainly on the neck
    Joint pain
    Night sweats
    Diarrhea

    Although the symptoms of primary HIV infection may be mild enough to go unnoticed, the amount of virus in the blood stream (viral load) is particularly high at this time. As a result, HIV infection spreads more efficiently during primary infection than during the next stage of infection.

    (All underline emphasis mine)

    Please note: Primary HIV infection symptoms will NOT develop in 2-3 days, and may be too mild to notice when they do. Also, the viral load "is particularly high" during the initial infection, not low as one might assume. Therefore the infected person is capable of infecting others at this time, even though most HIV tests will return negative results for 3 to 6 months following exposure.

    This is the "black out period" (or window) when a guy can have gotten negative HIV test results that morning, but still be infected and infect you that same day. Therefore, safe sex means assuming EVERY guy is positive.

    On a personal note, it was the Mayo Clinic that correctly diagnosed my late partner with the fatal opportunistic AIDS disease PML, when others had failed to determine what he had. They are leaders in this field.
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    Jun 27, 2012 12:54 AM GMT
    jim_stl said
    SkinnyBitch said
    Thank goodness this was necroed because I have no moons, I'm skinny but with a tiny belly. Despite never having sex, I had better get tested!SkinnyBitch said
    Thank goodness this was necroed because I have no moons, I'm skinny but with a tiny belly. Despite never having sex, I had better get tested! I must have sat on the wrong toilet seat.


    You should have never looked at my RJ profile - now you have the AIDS too.

    KbtN3.png
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    Jun 27, 2012 1:03 AM GMT
    Don't people know how to google and internet search on their own? Why create such a morbid/depressing forum. This is so aggravating when guys do this.
  • gr8hands4you

    Posts: 117

    Jun 28, 2012 12:03 AM GMT
    fasterpace saidDon't people know how to google and internet search on their own? Why create such a morbid/depressing forum. This is so aggravating when guys do this.

    Thank you !