Secondary Logo

Journal Logo

Syphilitic Alopecia

Sebaratnam, Deshan, Frank, FACD; Wong, Xin, Lin

Sexually Transmitted Diseases: July 2018 - Volume 45 - Issue 7 - p e49
doi: 10.1097/OLQ.0000000000000850
Photo Submission

From the University of New South Wales, Kensington, Australia

Conflict of Interest and Sources of Funding: None declared.

Correspondence: Deshan Sebaratnam Frank, FACD, The Skin Hospital. 7 Ashley Lane, Westmead, 2145 NSW Australia. E-mail:

Received for publication March 20, 2018, and accepted March 29, 2018.

A 35-year-old man presented with an 8-week history of hair loss. Examination demonstrated discrete patches of nonscarring alopecia, with a “moth-eaten” appearance. Trichoscopy demonstrated focal atrichia and yellow dots (Fig. 1). He was also noted to have a focal palmoplantar keratoderma and reported an erythematous macular exanthem that had erupted 2 weeks before presentation which abated spontaneously. Secondary syphilis was confirmed with a positive enzyme immunoassay and positive venereal disease research laboratory titer of 1:32 (having been negative 5 months prior). The patient was treated with benzathine penicillin with resolution of the alopecia observed thereafter.

Figure 1

Figure 1

© Copyright 2018 American Sexually Transmitted Diseases Association