There are many reasons why HIV carriers have acne on their face, such as folliculitis and acne. 1. Folliculitis: folliculitis caused by bacterial or fungal infection, which leads to acne on the face. 2. Acne: related to androgen-induced exuberant sebum secretion, Propionibacterium acnes multiplication, and hyperkeratosis of hair follicles, which can cause blockage of follicular pores and secretions that cannot be discharged in a timely manner, thus leading to pimples on the face of people living with HIV. HIV carriers face acne, there may be other reasons, you should go to the hospital in time to check, clarify the cause of the disease, and follow the doctor’s instructions for treatment.