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I had a patient in his 50s who came to be seen for a recurring rash on his back.

He had it for years and had never been told what it was.

I knew in a second it was a herpes infection that had migrated from an earlier contact.

Most likely it had been a genital contact with someone who didn't even know they had herpes.

HIV and AIDS The CDC estimates that more than one million people in America may be infected with HIV and that as many as 250,000 of these may not know that they are infected and can pass on the virus to others.

Signs and Symptoms of HIV infection HIV initially causes an acute illness with nonspecific or flu-like symptoms such as fatigue, headache, fever, and enlarged lymph nodes.

Chlymidia is a common STD and most people have never heard of it. It is largely the stigma and fear around these diseases that prevent their early detection and treatment.

Venereal diseases are often undiagnosed or hidden by symptoms that are common to other diseases. Testing usually consists of a simple blood or urine test.

A landmark paper was published the which showed for the first time the fact that patients with genital herpes "shed" virus from the genital tract, even when they don't have any obvious symptoms.

Early viral shedding and eruptions on the mouth, genital, anal areas or even on the back can be mistaken for other skin eruptions.

One patient complained of an eruption on his lower back he'd had for years off and on.

It is not complicated now to know what is going on in your body.

But if you don't get tested you are putting yourself and your loved one at risk.

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