TLDR The baby's hair loss was due to congenital syphilis, which was treated with penicillin.
A 4-month-old girl presented with patchy hair loss, initially diagnosed as neonatal occipital alopecia, but later identified as congenital syphilis after further testing. Despite the absence of typical syphilitic facies, she exhibited hepatomegaly, splenomegaly, and skeletal abnormalities. Laboratory tests confirmed syphilis, and she was treated with intravenous penicillin G. Her parents, who had no recent sexual activity, were also diagnosed with syphilis and treated. The case highlighted that congenital syphilis, typically not associated with hair loss, can present with "moth-eaten" alopecia due to untreated maternal syphilis.
7 citations
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November 2006 in “Pediatric Dermatology” A newborn with congenital syphilis had unusual hair loss possibly caused by the infection.
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November 2006 in “Pediatric Dermatology” A newborn with congenital syphilis had unusual hair loss possibly caused by the infection.
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May 2017 in “InTech eBooks” The chapter explains common scalp conditions, including infections, infestations, and tumors.
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November 2011 in “Expert Review of Dermatology” The document concludes that early diagnosis and a comprehensive treatment plan are crucial for managing hair loss in children, with a focus on both medical and psychological support.
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October 2013 in “Expert Review of Dermatology” Diagnosing alopecia areata is challenging and requires careful examination and various tests to distinguish it from other hair loss types.
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July 2011 in “Survey of Ophthalmology” The document concludes that periocular hair disorders have various causes and treatments, and proper evaluation by specialists is important for management and prognosis.