Is AIDS rash itchy?

Jun 09, 2025 Source: Cainiu Health
Disease description:

Recently, I've developed some small red rashes on my chest and back. They're slightly itchy, but not severely. Could this be an HIV rash?

Doctor's answer (1)
Dr. Liu Wenmin

In general, HIV-related rashes may cause itching, although not all rashes in people living with HIV are accompanied by pruritus.

During the acute phase of HIV infection, which occurs approximately 2 to 4 weeks after initial infection, some individuals may develop a rash. These rashes typically appear as red or reddish-brown macules or papules and commonly occur on the face, neck, and trunk; in severe cases, they may appear over the entire body. These rashes are usually not itchy and tend to improve spontaneously after approximately 1 to 3 weeks.

As the disease progresses and the immune system becomes compromised, patients may become more susceptible to various skin infections such as fungal infections or herpes zoster. Rashes associated with these conditions often cause significant itching. Furthermore, long-term antiretroviral therapy may lead to drug-related rashes, which can vary in presentation and associated symptoms, including the possibility of pruritus.

In daily life, it is recommended to keep the skin clean and dry, and to avoid excessive scratching or squeezing of rash-affected areas in order to prevent worsening symptoms or secondary infections.