Syphilitic Alopecia: Uncommon Trichoscopic Findings

The document from July 31, 2017, describes a case study of a 32-year-old man with syphilitic alopecia (SA), a rare manifestation of secondary syphilis. The study reported new trichoscopic findings for SA, including tapered bended hairs, an erythematous background, diffuse scaling, and perifollicular hyperkeratosis, which were not previously documented in the literature. SA can be difficult to diagnose, particularly when it is the sole symptom of syphilis, and can resemble other hair loss conditions. The use of dermoscopy was emphasized as a valuable diagnostic tool. The patient was successfully treated with benzathine penicillin G and showed hair regrowth after two months, underscoring the need to consider secondary syphilis in cases of unexplained hair loss.