Is Shingles a Sign of HIV? Your Symptoms and Concerns - Dermatology

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I have shingles; could it be HIV?


A few days ago, I developed an unknown lesion under my armpit.
After seeing a dermatologist, I was diagnosed with shingles.
Is this a precursor to HIV? I often feel fatigued (I usually stay up late studying, but even during winter break when I rarely stay up late, I still feel very tired).
A few days ago, I also experienced frequent dizziness, nausea, and a runny nose.
I have not used drugs or engaged in sexual intercourse.
The lesion has already scabbed over, but I am still very anxious.

Niming, 10~19 year old female. Ask Date: 2016/02/02

Dr. Li Yufen reply Dermatology


Hello: Regarding the introduction of shingles, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=30.
Shingles is not a precursor to HIV; however, individuals with HIV may experience shingles more frequently due to their compromised immune system.
Thank you!

Reply Date: 2016/02/02

More Info


Shingles, or herpes zoster, is caused by the reactivation of the varicella-zoster virus, which is the same virus that causes chickenpox. While shingles can occur in anyone who has had chickenpox, it is more common in individuals with weakened immune systems, including those living with HIV. However, having shingles does not automatically indicate that someone is infected with HIV.

Your symptoms of fatigue, dizziness, and nasal congestion can be concerning, but they are not specific indicators of HIV infection. Fatigue can result from various factors, including stress, lack of sleep, or other infections. The presence of shingles, while it can be associated with immunocompromised states, is not a definitive sign of HIV. Many healthy individuals can experience shingles, especially if they are under significant stress or have had a recent illness.

It is essential to understand the context of your symptoms. If you have not engaged in high-risk behaviors, such as unprotected sex or sharing needles, the likelihood of contracting HIV is lower. However, if you are experiencing persistent symptoms that cause you concern, it is crucial to consult a healthcare professional for a comprehensive evaluation. They can perform the necessary tests to rule out HIV and other potential health issues.

In terms of shingles, it typically presents as a painful rash that develops into blisters and can be accompanied by flu-like symptoms. The rash usually appears on one side of the body and follows a dermatomal distribution, meaning it affects a specific area of skin supplied by a single spinal nerve. If you have already seen a dermatologist and received a diagnosis of shingles, it is essential to follow their recommendations for treatment and management.

If you are feeling anxious about your health, especially regarding HIV, it may be beneficial to seek counseling or support. Anxiety can exacerbate physical symptoms and lead to a cycle of worry and discomfort. Mental health professionals can provide strategies to manage anxiety and help you cope with your concerns.

In summary, while shingles can be associated with a weakened immune system, it is not a definitive sign of HIV. Your symptoms warrant further investigation, but they could be attributed to various other factors. Consulting with a healthcare provider will help clarify your situation and provide peace of mind. Regular check-ups and open communication with your doctor about your concerns are essential for maintaining your health and addressing any potential issues early on.

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