Alopecia areolaris syphilitica A51.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Alopecia luish; alopecia specifica; alopecia syphilitica; Luish alopecia

Definition
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Reversible, small spotted ("moth-eaten") hair loss (with clinically recognizable hairlessness) in Syphilis acquisita.

Etiopathogenesis
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Toxic or inflammatory damage to hair follicles at the anagen stage. Alopecia develops at the site of regressed syphilitic infiltrates.

Manifestation
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8-12 weeks after the beginning of stage II syphilis.

Localization
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Capillitium: Temples and back of the head, also eyebrows and secondary hair.

Clinical features
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Acute, reversible hair loss, often beginning at the back of the head, usually with small spots, mothlike. Optional diffuse hair loss, see also Alopecia specifica diffusa. The regrowing hairs are usually immediately pigmented.

Differential diagnosis
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Alopecia areata.alopecia of other genesis: S.u. alopecia, early type alopecia, late type alopecia.

Therapy
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According to the Syphilis acquisita.

Progression/forecast
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Spontaneous regression under adequate therapy.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020