Demographic details: 50-year-old Caucasian male drainlayer with Fitzpatrick type 2 skin Medical history: Recent diagnosis of HIV (4 months ago) and commencement of HAART therapy (2 months ago). No other medical conditions. Symptoms and signs: Nil. Patient was not aware of any skin issues and presented for a routine skin examination given his outdoor occupation. Three pigmented lesions suspicious for melanoma were identified on his trunk, which turned out to be melanoma in situ (MIS). Treatment or intervention and outcomes: following wide excision of the MIS sites, the patient is well and is being followed up 3-monthly with skin examinations. Another MIS and a nodular basal cell carcinoma (BCC) have since been diagnosed, and excised.