Moth-Eaten Essential Syphilitic Alopecia
July 2014
in “
QJM
”
TLDR A 35-year-old man had patchy hair loss that was actually due to syphilis, not alopecia areata.
A 35-year-old man experienced progressive patchy hair loss over 5 months, initially diagnosed as alopecia areata and treated unsuccessfully with minoxidil. Despite no recent sexual activity or history of genital or mouth ulceration, physical examination revealed diffuse non-scarring, ‘moth-eaten’ patches of alopecia across his scalp.
