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What to do about dermatitis associated with AIDS

Dec 02, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
AIDS-related dermatitis should be managed through standardized antiviral therapy, topical symptomatic medications, avoidance of irritating triggers, enhanced skin care, and immune function regulation. Its occurrence is associated with immune deficiency and requires systematic intervention. If the rash is widespread, itching is severe, or accompanied by infection or fever, prompt medical attention is recommended. The fundamental treatment for AIDS-related dermatitis lies in controlling the underlying disease.

HIV-related dermatitis should be managed through standardized antiviral therapy, topical symptomatic treatment, avoidance of triggering factors, enhanced skin care, and immune function regulation. Its occurrence is associated with immune deficiency and requires systematic intervention. If the rash is widespread, itching is severe, or there are signs of infection or fever, prompt medical attention is recommended.

1. Standardized Antiviral Therapy: The fundamental treatment for HIV-related dermatitis involves controlling the underlying disease. Patients must strictly follow medical advice in taking antiviral medications to suppress viral replication and restore immune function, thereby reducing the occurrence of skin lesions at the root cause.

2. Local Symptomatic Treatment: Choose medications according to the type of rash. Use mild anti-itch agents for itching and anti-inflammatory creams for evident inflammation. Avoid self-administering potent corticosteroids, which may worsen skin damage or lead to side effects.

3. Avoidance of Irritating Triggers: Avoid spicy foods, alcohol, and overheated environments. Do not scratch rashes, use harsh skincare products, or wear irritating clothing. Minimize skin friction to prevent rupture and secondary infection of skin lesions.

4. Enhanced Skin Care: Maintain clean and moisturized skin by gently cleansing with lukewarm water and applying non-irritating moisturizers. Wear loose, breathable cotton clothing to support healthy skin barrier function.

5. Immune Function Regulation: Under medical guidance, maintain proper nutrition with adequate intake of high-quality protein and vitamins. Avoid staying up late and excessive fatigue, and engage in moderate, gentle exercise to help improve overall immunity.

In daily life, keep living areas clean and well-ventilated, practice good personal hygiene, avoid sharing personal care items with others, maintain emotional stability, and strictly adhere to prescribed medication and follow-up appointments to reduce the risk of dermatitis recurrence and worsening.

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