Tertiary syphilis is associated with severe medical problems. 12 there are 2 types of secondary syphilitic alopecia.
We are going to look at secondary syphilis causing hair loss.
Secondary syphilis hair loss. Syphilitic alopecia sa is considered an uncommon manifestation of secondary syphilis. This imperceptible hair loss can easily be overlooked by the patient and careful evaluation of hair loss by the experienced clinician is of utmost importance to diagnosis. Known as syphilitic alopecia this is not one of the big symptoms and its not typical.
The signs and symptoms of primary and secondary syphilis can be mild and they might not be noticed. It is caused by bacteria which forms lesions on the skin resulting in hair fall. A key aspect of hair loss with age is the aging of the hair follicle.
Sa can present in a diffuse form resembling telogen effluvium or in a moth eaten form that mimics a variety of conditions ie alopecia areata trichotillomania lichen planus pilaris or tinea capitis. The first is an uncommon symptomatic type found in association with an actual secondary lesion usually papulosquamous on the scalp. When the disease is allowed to move on to the next stage it will cause hair loss.
A doctor can usually diagnose tertiary. Symptomatic type where hair loss is associated with other symptoms of secondary syphilis and. Syphilis is a sexually transmitted disease that results in hair loss too.
Hair loss in secondary syphilis also known as latent syphilis occurs infrequently. In the first stage syphilisit does not cause any hair loss except if the hair happens to be where the chancre is. The frequency of hair loss in secondary syphilis ranges from 29 to 7.
The moth eaten pattern is the most common type and is considered to be a pathognomonic manifestation of secondary syphilis. During the latent stage there are no signs or symptoms. Ordinarily hair follicle renewal is maintained by the stem cells associated with each follicle.
Chancres can also however occur in the mouth and lips. Treatments like prp therapy in conjunction with medicines like minoxidil and finasteride would be prescribed by a dermatologist post treating the syphilis infection. 1 the precise pathogenesis is unknown.
In the secondary stages of syphilis you might find patchy bald spots on your scalp. However in the secondary and tertiary stages of syphilis hair loss is common and obvious. There are two types of syphilitic alopecia.
The hair loss can be moth eaten diffuse or both. Aging of the hair follicle appears to be primed by a sustained cellular response to the dna damage that accumulates in renewing stem cells during aging. Symptoms of secondary syphilis include skin rash swollen lymph nodes and fever.
Hair loss is not a common feature of secondary syphilis. Various series report an incidence of 29 to 7.