Syphilitic alopecia: uncommon trichoscopic findings
Syphilitic alopecia (SA) is considered an uncommon manifestation of secondary syphilis. SA can present in a diffuse form, resembling telogen effluvium, or in a moth-eaten form that mimics a variety of conditions (i.e., alopecia areata, trichotillomania, lichen planus pilaris or tinea capitis). When...
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oai:doaj.org-article:3f601822c80f49ae866e5c681aabce5c2021-11-17T08:30:37ZSyphilitic alopecia: uncommon trichoscopic findings10.5826/dpc.0703a122160-9381https://doaj.org/article/3f601822c80f49ae866e5c681aabce5c2017-08-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/309https://doaj.org/toc/2160-9381 Syphilitic alopecia (SA) is considered an uncommon manifestation of secondary syphilis. SA can present in a diffuse form, resembling telogen effluvium, or in a moth-eaten form that mimics a variety of conditions (i.e., alopecia areata, trichotillomania, lichen planus pilaris or tinea capitis). When the two forms coexist, we observe a mixed pattern. Essential SA manifests without evidence of mucocutaneous syphilis manifestations and its diagnosis is often delayed. To date, trichoscopic description of SA forms are based on very few cases (i.e., five patients with moth-eaten SA and one with diffuse SA). This is the first report of a mixed pattern of essential SA: some new trichoscopic features—such as tapered bended hairs, erythematous background, diffuse scaling and perifollicular hyperkeratosis—are described in a 32-year-old man. In the absence of secondary syphilis manifestations, dermoscopy can be a useful tool that helps suspect and differentiate SA from its common mimickers. Linda TognettiElisa CinottiJean-Luc PerrotMarco CampoliPietro RubegniMattioli1885articlesecondary syphilismoth-eaten and diffuse syphilitic alopeciatrichoscopyDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 7, Iss 3 (2017) |
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secondary syphilis moth-eaten and diffuse syphilitic alopecia trichoscopy Dermatology RL1-803 |
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secondary syphilis moth-eaten and diffuse syphilitic alopecia trichoscopy Dermatology RL1-803 Linda Tognetti Elisa Cinotti Jean-Luc Perrot Marco Campoli Pietro Rubegni Syphilitic alopecia: uncommon trichoscopic findings |
description |
Syphilitic alopecia (SA) is considered an uncommon manifestation of secondary syphilis. SA can present in a diffuse form, resembling telogen effluvium, or in a moth-eaten form that mimics a variety of conditions (i.e., alopecia areata, trichotillomania, lichen planus pilaris or tinea capitis). When the two forms coexist, we observe a mixed pattern. Essential SA manifests without evidence of mucocutaneous syphilis manifestations and its diagnosis is often delayed. To date, trichoscopic description of SA forms are based on very few cases (i.e., five patients with moth-eaten SA and one with diffuse SA). This is the first report of a mixed pattern of essential SA: some new trichoscopic features—such as tapered bended hairs, erythematous background, diffuse scaling and perifollicular hyperkeratosis—are described in a 32-year-old man. In the absence of secondary syphilis manifestations, dermoscopy can be a useful tool that helps suspect and differentiate SA from its common mimickers.
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format |
article |
author |
Linda Tognetti Elisa Cinotti Jean-Luc Perrot Marco Campoli Pietro Rubegni |
author_facet |
Linda Tognetti Elisa Cinotti Jean-Luc Perrot Marco Campoli Pietro Rubegni |
author_sort |
Linda Tognetti |
title |
Syphilitic alopecia: uncommon trichoscopic findings |
title_short |
Syphilitic alopecia: uncommon trichoscopic findings |
title_full |
Syphilitic alopecia: uncommon trichoscopic findings |
title_fullStr |
Syphilitic alopecia: uncommon trichoscopic findings |
title_full_unstemmed |
Syphilitic alopecia: uncommon trichoscopic findings |
title_sort |
syphilitic alopecia: uncommon trichoscopic findings |
publisher |
Mattioli1885 |
publishDate |
2017 |
url |
https://doaj.org/article/3f601822c80f49ae866e5c681aabce5c |
work_keys_str_mv |
AT lindatognetti syphiliticalopeciauncommontrichoscopicfindings AT elisacinotti syphiliticalopeciauncommontrichoscopicfindings AT jeanlucperrot syphiliticalopeciauncommontrichoscopicfindings AT marcocampoli syphiliticalopeciauncommontrichoscopicfindings AT pietrorubegni syphiliticalopeciauncommontrichoscopicfindings |
_version_ |
1718425729285226496 |