treatments - issue 79
defend your skin
positive nation

The old song goes...'You've got to have skin - It keeps your outside out and your inside in.'

Martin Flynn looks at your body's biggest organ, and how to keep it healthy

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Your skin is the largest organ of your body, one of the most important parts of your immune system. It provides the body's first line of defence against a vast range of bugs that attack us every day.
We all value our looks, and skin problems are often the first visible signs of deeper problems. Every time we look in the mirror, there's a reminder of our HIV status and the dreaded infection. And red blotches or dry flaking skin are a sure-fire way to further hit self-esteem and self-confidence.

illustration by raffaele teo

There are literally dozens of skin problems that can affect people living with HIV and they fall into three categories: interactions between the immune system and the virus, infections (bacterial, fungal or viral) and the side effects of antiretroviral and other medications.
When people first get HIV, they may have flu-like symptoms, called a seroconversion illness. This illness can include a non-itchy red rash lasting two to three weeks. During ongoing infection, the immune system becomes screwed up and chaotic and this can lead to red and itchy skin. Skin problems can also occur when the

immune system starts to recover following suppression of viral replication by anti-HIV drugs.