“My hair is falling out, and they told me I have syphilis!”

Abstract

Sexually transmitted infections (STIs) significantly impact persons living with HIV and occur at relatively high incidence among persons living with HIV. Bacterial STIs, namely, chlamydia, gonorrhea, and syphilis, have increased tremendously since the advent of safe and effective antiretroviral therapy. Thus, while persons living with HIV are living much longer and healthier lives, many are experiencing a higher burden of STIs. The majority of STIs are asymptomatic, which raises challenges in screening and diagnosis and consequently the potential for delayed treatment. Taking a sexual history including sexual practices, partners, and symptoms should be a part of routine care of persons living with HIV. Annual screening for STIs is essential and should be more frequent as determined by sexual history. Prompt treatment can prevent further morbidity and adverse outcomes.