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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Autores principales: Linda Tognetti, Elisa Cinotti, Jean-Luc Perrot, Marco Campoli, Pietro Rubegni
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Lenguaje:EN
Publicado: Mattioli1885 2017
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic secondary syphilis
moth-eaten and diffuse syphilitic alopecia
trichoscopy
Dermatology
RL1-803
spellingShingle 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.
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
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