Based on your description, the small red pinhead spots (likely petechiae or insect bite-like lesions) are non-specific and not a typical or early sign of
HIV seroconversion, especially considering your negative HIV Duo 4th-gen tests at both 17 and 42 days post-exposure. You completed the full 28-day PEP course promptly and correctly, which significantly reduces the risk of seroconversion.
Next Steps
You can repeat the
HIV Duo 4th-gen test at 12 weeks post-exposure (i.e., mid-June 2025) for full conclusive confirmation, though the negative 6-week test is already highly reliable (>95%).
If the red spots persist or increase, consult a dermatologist to rule out other causes such as viral exanthema, drug reaction, or unrelated dermatological conditions.
Health Tips
Avoid excessive self-monitoring or internet searching, as it can amplify anxiety. Stay well hydrated, get adequate rest, and observe for any systemic symptoms (fever, malaise, etc.). Remember: seroconversion typically involves systemic signs, not isolated skin dots. Your
HIV risk in this context is extremely low, and your current status is HIV-negative.