Moth-Eaten Symptomatic Syphilitic Alopecia Associated with Human Immunodeficiency Virus—A Case Report  

作　　者：Tomohisa Fukui Yusuke Sakuraba Ken Harada Hajime Nakano Daisuke Sawamura Tomohisa Fukui;Yusuke Sakuraba;Ken Harada;Hajime Nakano;Daisuke Sawamura(Department of Dermatology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;Department of Dermatology, Aomori Central Hospital, Aomori, Japan)

机构地区：[1]Department of Dermatology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan [2]Department of Dermatology, Aomori Central Hospital, Aomori, Japan

出　　处：《Case Reports in Clinical Medicine》2016年第5期188-190,共3页临床医学病理报告（英文）

摘　　要：Syphilitic alopecia (SA) is a rare skin manifestation in secondary syphilis and sometimes indistinguishable from other alopecia. SA is of 2 types, symptomatic and essential, and 3 clinical types, moth-eaten or patchy pattern, diffuse pattern and a combination of both. SA in our case indicated symptomatic SA with moth-eaten hairloss. A 46-year-old Japanese homosexual man experienced hairloss followed by the pruritic skin rash. Physical examination of the scalp showed diffusely spread papulosquamous erythema and incomplete hairloss around the lesions. The scalp lesions appeared as “moth-eaten alopecia”. Serological examination for syphilis and HIV were positive. Thus, SA complicated with HIV infection was diagnosed. He was treated with a single perioral dose of ampicillin for 4 weeks, then his condition improved rapidly and hair regrowth occurred. HIV-infected persons show a high incidence of syphilis. Therefore, HIV test should be considered for patients with alopecia.Syphilitic alopecia (SA) is a rare skin manifestation in secondary syphilis and sometimes indistinguishable from other alopecia. SA is of 2 types, symptomatic and essential, and 3 clinical types, moth-eaten or patchy pattern, diffuse pattern and a combination of both. SA in our case indicated symptomatic SA with moth-eaten hairloss. A 46-year-old Japanese homosexual man experienced hairloss followed by the pruritic skin rash. Physical examination of the scalp showed diffusely spread papulosquamous erythema and incomplete hairloss around the lesions. The scalp lesions appeared as “moth-eaten alopecia”. Serological examination for syphilis and HIV were positive. Thus, SA complicated with HIV infection was diagnosed. He was treated with a single perioral dose of ampicillin for 4 weeks, then his condition improved rapidly and hair regrowth occurred. HIV-infected persons show a high incidence of syphilis. Therefore, HIV test should be considered for patients with alopecia.

关 键 词：ALOPECIA SYPHILIS Syphilitic Alopecia Moth-Eaten Alopecia HIV 

分 类 号：R51[医药卫生—内科学]