Profuse dermathophytosis can be observed on people infected by HIV. The socio-economic context of Burkina Faso pushes the patients to primarily adopt traditional treatments that modify the clinical aspect of the lesions.It was about a patient of 47 years old, a farmer, admitted at hospital for squamous pruritic skin lesions of the face and the chest, in a context of general alteration. The lesions were evolving since three years in a chronic and slowly extensive mode. A traditional treatment (black powder of Khaya senegalensis with shea butter) was done without any improvement of the lesions. The patient was seropositive to the HIV type 1, known since two years, and irregularly treated by TDF/ FTC/ EFV since six months with a voluntarily interruption one month ago. The examination showed large closets of various size skin flakes highly pigmented with clear limits, with circinate skin flakes borders on the face and the chest. The mycological examination of the skin flakes isolated a Trichophyton rubrum. The diagnosis of a circinate dermatophytosis profuse chronic modified by the traditional treatments to a person infected with HIV was established. The recovery was obtained after 3 months of antifungal local and general treatment.The clinical atypia of this dermatophytosis was induced by the traditional treatments. The therapeutic vagrancy was responsible of the chronicity of this table. It is recommended to the people infected by HIV extended antifungal treatment in order to obtain an optimal efficiency. These patients are indeed a slow response to the treatments and a frequent recurrence.