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Skin Rashes Due to HIV

HIV infection can lead to a number of skin rashes of varying intensity and duration. These can occur both during acute (primary) infection and much later, as the effects of the virus deplete the immune response.

  1. Rash in Acute Infection

    • As part of the acute stage of HIV infection (generally within 1 month after infection), some people will experience a skin rash. According to the Australian College of Dermatologists, this rash is similar to other viral rashes, begins on the upper body, may or may not be itchy and can lead to ulceration.

    Infections

    • Infections such as herpes simplex, herpes zoster and molluscum contagiosum can all lead to or contribute to rash symptoms in HIV-positive persons. A rash may sometimes appear around molluscum contagiosum bumps, according to the Australian College of Dermatologists.

    Other Rash Causes

    • Other conditions like psoriasis and seborrhoeic dermatitis may affect HIV-positive persons very strongly. Kaposi's sarcoma, a skin cancer that is an AIDS-defining illness, may lead to rash around lesions. Sun sensitivity also contributes to rash in HIV-positive persons.

    Treatment

    • According to Sfaf.org, the development of highly active antiretroviral therapy (HAART) for HIV infection greatly reduced the incidence of a number of skin issues, including rash, in HIV-positive persons.

    Drug Rashes

    • Although drug therapies for HIV reduced the incidence of skin problems, some of these drugs, like antiretrovirals as well as antibiotics used during the treatment of HIV, can themselves cause rash. This may be due to an allergic reaction, and treatment should be sought immediately.

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