Red blood spots on the hands are not necessarily AIDS. AIDS may cause red blood spots on the hands, but the symptoms are not specific and you cannot tell if you have AIDS based on this symptom, as other diseases can also cause red blood spots on the hands. AIDS is a sexually transmitted disease (STD) that is mainly transmitted through sexual contact, mother-to-child transmission, and blood transmission. In the acute stage of AIDS, there may be a red rash, and in the AIDS stage, there may be a combination of diseases and symptoms of the corresponding diseases, which may appear as red blood spots on the hands. However, you can’t be sure if it’s AIDS just from one symptom. If you have had high-risk contacts before, you need to go to the hospital in time to check if it’s AIDS. There are many causes of red blood spots on the hands, such as: allergic purpura, contact dermatitis, eczema, drug rash, malassezia folliculitis and other diseases. Therefore, if you have red blood spots on your hands, you need to go to the hospital for examination to determine the cause of the disease.