Unusual Cause for Baldness Inspires the Muse
July 1993
in “
JAMA
”
TLDR Hair loss can be a sign of syphilis, and self-diagnosing based on ads can be risky.
A 29-year-old man experienced diffuse hair thinning and sought a prescription for Rogaine (minoxidil) after seeing television advertisements, without wanting a medical examination. Upon examination, his hair loss was identified as the only clinical manifestation of secondary syphilis, confirmed by a reactive serological test for syphilis at a 1:320 dilution. This case highlighted the potential consequences of direct consumer advertising of prescription drugs, where patients may demand specific treatments without understanding the underlying causes of their symptoms.