Nonscarring Alopecia and Hypopigmented Lesions May Be Unusual Signs of Secondary Syphilis

Autor: Justyna Skibińska, Mariusz Sikora, Leszek Blicharz, Lidia Rudnicka, Magdalena Ciupińska, Maja Kotowska
Rok vydání: 2021
Předmět:
Zdroj: Skin Appendage Disord
ISSN: 2296-9160
2296-9195
Popis: Noncicatricial patchy alopecia of the scalp and focal areas of skin hypopigmentation imply a diagnosis of alopecia areata and vitiligo. We present a case of a 22-year-old patient in whom these symptoms were associated with positive spirochete reactions, which allowed making a diagnosis of syphilitic alopecia coexisting with leukoderma syphiliticum. Skin lesions and hair loss resolved after the treatment with benzathine benzylpenicillin. Trichoscopy in syphilitic alopecia is nonspecific, but the absence of features typical for alopecia areata such as exclamation mark hairs may be important on an early stage of the clinical workup.
Databáze: OpenAIRE