What Does an HIV Rash Look Like?
Medically reviewed by Linda Girgis | MD, Girgis Family Medicine on August 21st, 2026.
HIV rash typically appears as small, flat, red or purple spots on the skin during acute infection. The rash most commonly develops on the trunk, face, and upper arms within 2-4 weeks of initial infection. These spots are usually painless and may be slightly raised, resembling other viral rashes. The rash can also manifest as tiny red bumps, hives, or larger patches of discolored skin. In later stages of HIV, rashes may indicate opportunistic infections like thrush, shingles, or Kaposi's sarcoma. The acute HIV rash typically lasts 1-2 weeks and often accompanies other flu-like symptoms including fever, fatigue, and swollen lymph nodes.
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