Does HIV Cause Black Spots?

Black spots on your skin or elsewhere on your body are not a sign of recent HIV infection.

A range of dermatological conditions may cause black spots. You should see a dermatologist in order to find out the cause of any spots you may have.

Dark spots on the face, chest, shoulders, and back of hands may be the result of prolonged exposure to the sun. They may be accentuated by hormonal changes, for example during pregnancy or while using birth control pills.

If a person with HIV has not received antiretroviral treatment, several years later their immune system may be so severely weakened that other skin conditions are possible. This would only occur several years (around ten years) after infection.

Skin conditions are extremely common and have many possible causes. They are rarely caused by HIV.

More on Skin Problems at

To find out more about black spots and other skin problems, we recommend the following articles:

In addition, our Q&A experts sometimes address questions about black spots in our "Ask the Experts" forums. Here are some of those questions and our experts' responses:

  • Black spot
    I had unprotected sex two days ago and now I have a single black spots on my belly. Is this a sign of HIV/AIDS?
  • Black Spots: Does it Mean I have AIDS?
    My brother is HIV positive. He is not taking HIV treatment and he recently started having some black spots on his skin (chest, back, forehead). He is worried he is developing AIDS.
  • Am I at risk??? Should I take PEP?
    I had protected sex with the girl but I noticed she had a rash and black spots on the foot. I swallowed fluids from the mouth while kissing; am I at risk?

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