Is Rash Around Nose Symptom Of HIV?

Brief Answer:
Facial Seborrheic dermatitis is fairly common in general population; not a sign of HIV

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have gone through your query and I have also seen the photograph. Probably the photograph clicked was after you were using cortisone and therefore the condition seems to have largely resolved in this photo.

I will keep a possibility of Facial Seborrheic dermatitis.
Seborrheic dermatitis of face classically presents with itchy, scaly patches and erythema/redness on areas like sides of the nose, eyebrows, glabella, chin and mustache area.

Seborrheic dermatitis is fairly common in general population and is not a specific sign of HIV and therefore no reason to suspect HIV just on the basis of seborrheic dermatitis.
Having said that, Seborrheic dermatitis is more commonly prevalent with sometimes extensive involvement, in HIV.

It is a steroid responsive dermatosis as you must have noticed, your rash has almost cleared with cortisone. Topical steroids usually brings about remarkable improvement in my patients in about 2 weeks.

However, since seborrheic dermatitis is a recurrent condition and because steroids cannot be used on face forever, therefore once significant improvement has been achieved with topical steroids, they may be discontinued.
Subsequent treatment with a topical immunomodulator like pimecrolimus is sufficient to maintain the improvement.

Topical pimecrolimus is a prescription drug, therefore, I suggest that you talk to your dermatologist for the needful

Regards

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