Abstract
In the United States, 1.2 million people are living with HIV, with gay and bisexual men and transgender women disproportionately affected by the virus. While efforts are underway to improve the quality of care in lesbian, gay, bisexual, and transgender (LGBT) HIV-positive patients and address healthcare disparities in this population, innate institutional and societal stigmas often halt the progression of clinical reform. As physicians who are responsible for the management of the cutaneous manifestations of HIV and the adverse dermatologic effects of anti-retroviral therapy, dermatologists are in a unique position to treat HIV-positive LGBT patients. In an effort to improve the dermatologic care for HIV-positive LGBT patients, our review highlights a dermatologist’s role in HIV-positive LGBT care, addresses HIV and LGBT-related stigma in healthcare, and discusses three clinical interventions that can be implemented to decrease HIV-associated stigma, promote cultural competence, and improve the therapeutic alliance between HIV+ LGBT patients and dermatologists.
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