Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Systematic Reviews and Meta-analysis
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF
CROSSMARK LOGO Buy Reprints
PDF

Translate this page into:

Images in Clinical Practice
87 (
1
); 125-256
doi:
10.4103/ijdvl.IJDVL_336_18
pmid:
31464198

Case of syphilis with alopecia and folliculitis as manifestations

Department of Dermatology, Xuanwu Hospital, Capital Medical University, Beijing, China
Department of Nursing, I-Shou University, Kaohsiung, Taiwan
Corresponding author: Dr. Wei Zhu, Department of Dermatology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China. zhuwei@xwh.ccmu.edu.cn
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Lin YY, Tseng YS, Zhu W. Case of syphilis with alopecia and folliculitis as manifestations. Indian J Dermatol Venereol Leprol 2021;87:125-6.

A 22-year-old homosexual man presented with increasing hair loss on the bitemporal scalp and scattered red follicular papules on his face over a period of 2 months. He claimed to have no previous history of genital ulcer or other skin lesions or application of medications/home remedies; however, dermatological examination revealed diffused red follicular papulopustules scattered on his face [Figure 1a]. The occipitotemporal scalp showed multiple irregular patches of nonscarring alopecia, with characteristic moth-eaten borders [Figure 1b]. Serological screening for syphilis further showed increased titers for rapid plasma reagin test (1:64), and Treponema pallidum hemagglutination assay and fluorescent treponemal antibody-absorption [Figure 2a] test were positive. serology for other sexually transmitted disorders were negative. Dermoscopy revealed black dots with diffuse telangiectasia in the alopecic patches, as well as brown rings around perifollicular areas [Figure 2b]. The patient denied biopsy on request. Alopecia is a rare clinical manifestation of secondary syphilis; however, with folliculitis it has seldom been mentioned in the literature.

Figure 1a:: Diffuse red follicular pustules or papulopustules on the face
Figure 1b:: Patches of irregular moth-eaten alopecia on the occipitotemporal scalp
Figure 2a:: Fluorescent treponemal antibody-absorption test showed positive
Figure 2b:: Dermatoscopy examination showed small patches of hair loss (blue arrow) with black dots (red arrow), brown rings around perifollicular areas (yellow arrow), and diffused telangiectasia (white arrow) (Dermoscopy-II, Dermat, China; polarized light mode, ×200)

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


Fulltext Views
847

PDF downloads
338
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections