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HIV diagnosis: why and how do we miss important clues?
  1. S J Winceslaus1,
  2. A J Pinching2,
  3. A Harris3,
  4. V Ankrett4,
  5. Mark5
  1. 1
    Maidstone and Tunbridge Wells NHS Trust, UK
  2. 2
    Peninsula Medical School, Royal Cornwall Hospital, UK
  3. 3
    Kent & Sussex Hospital, Tunbridge Wells, Kent, UK
  4. 4
    The Beacon Surgery, Crowborough, UK
  5. 5
    The patient
  1. Dr S J Winceslaus, Consultant GUM physician, Department of GU Medicine, Culverden Suite, Kent & Sussex Hospital, Mount Ephraim, Tunbridge Wells, Kent TN4 8AT, UK; joseph.winceslaus{at}


Research has found that a significant proportion of patients diagnosed late with HIV infection had been in contact with healthcare professionals in the preceding year with symptoms attributable to HIV. We report a unique case of late HIV diagnosis missed when seen by a number of specialists and discuss whether with better communication the diagnosis could have been alerted earlier.

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  • Competing interests: None.

  • Patient consent: Mark is the patient and wanted to be named as the last author.

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