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What Causes Rashes On The Face And Neck In A Person With HIV?

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Posted on Mon, 11 Jul 2016
Question: Hi, im currently an hiv patient and last week, i got a rash on my face and neck and i was wondering if it is affiliated with the virus or if its an allergic reaction? Ive uploaded several pictures
doctor
Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Possible normal allergic reaction or beginning of a herpes infection

Detailed Answer:
Hello,

Thank you for using HCM to post your health query.

I saw carefully your pictures.
What I am noticing, seems like a common allergic reaction. I don't see pus, not doesn't seem serious to think of a viral or bacterial infection.

I can not tell for sure though if it is from HIV. Actually in HIV you can get all common reaction, but with an exaggerated effect.

-- If it is not producing pus, then it is not a bacterial infection most probably.
-- If it does burn, and does explode in blisters in 24 hours, means that it may be the beginning of a herpes infection, which may happen in HIV and in that case you may need to take oral treatment.
-- On the other side, if you are taking your HIV medications regulatory it is rare for you to have an reaction because of the low immunity caused by HIV.

These are my thoughts.
If worse or not better, I would recommend seeing a local doctor. If it doesn't have the feeling of burning but only itching you can apply a steroid cream or anti-itch cream, thin layer, but I repeat- only if it doesn't feel like burning.

Hope this is helpful.
Let me know if you need more clarifications.
Otherwise please close and rate the answer.

Regards,
Dr. Papaqako

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (2 hours later)
Ok i understand. It does not itch at all and it only burns when i apply aftershave to my face (which is common for after shave). I am taking my medications regularly and got blood work done back in feb with an undetectable viral load
doctor
Answered by Dr. Klarida Papaqako (43 hours later)
Brief Answer:
Not typical of an allergic reaction

Detailed Answer:
Hello,

Thank you for the follow up question.

Generally an allergic reaction would itch, and its true that that burning after shave does not count as part of an infection because its normal.

My suggestion would be to not apply anything for now and watch it closely. If worse or not better then consider a follow up here or visit to your local doctor.
I don't think it is a flare up from HIV, but also it is not a typical allergic infection. It may be a viral which may heal by itself in a few days.
Let me know with updated pictures if anything has changed during these two days.

Regards.
Note: Get personalized answers to your HIV related queries You can choose to talk face to face with your doctor. Book a Video Call now.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1801 Questions

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What Causes Rashes On The Face And Neck In A Person With HIV?

Brief Answer: Possible normal allergic reaction or beginning of a herpes infection Detailed Answer: Hello, Thank you for using HCM to post your health query. I saw carefully your pictures. What I am noticing, seems like a common allergic reaction. I don't see pus, not doesn't seem serious to think of a viral or bacterial infection. I can not tell for sure though if it is from HIV. Actually in HIV you can get all common reaction, but with an exaggerated effect. -- If it is not producing pus, then it is not a bacterial infection most probably. -- If it does burn, and does explode in blisters in 24 hours, means that it may be the beginning of a herpes infection, which may happen in HIV and in that case you may need to take oral treatment. -- On the other side, if you are taking your HIV medications regulatory it is rare for you to have an reaction because of the low immunity caused by HIV. These are my thoughts. If worse or not better, I would recommend seeing a local doctor. If it doesn't have the feeling of burning but only itching you can apply a steroid cream or anti-itch cream, thin layer, but I repeat- only if it doesn't feel like burning. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Regards, Dr. Papaqako