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Alopecia in a 36-Year-Old Man With HIV Infection

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
1 Credit CME

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Article Information

Corresponding Author: Wayne L. Gold, MD, Toronto General Hospital, 200 Elizabeth St, 13EN-213, Toronto, ON M5G 2C4, Canada (wayne.gold@uhn.ca).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for providing permission to share his information.

References
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2015 Sexually Transmitted Diseases Treatment Guidelines: syphilis. Centers for Disease Control and Prevention. Published 2015. Accessed December 10, 2020. https://www.cdc.gov/std/tg2015/syphilis.htm
3.
Sparling  PF , Swartz  MN , Musher  DM , Healy  BP . Clinical manifestation of syphilis. In: Holmes  KK , Sparling  PF , Stamm  WE , eds.  Sexually Transmitted Diseases. Vol 53. 4th ed. McGraw Hill Medical; 2008:661-685.
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Sexually Transmitted Disease Surveillance 2018. Centers for Disease Control and Prevention. Published 2019. Accessed June 14, 2021. https://www.cdc.gov/std/stats18/STDSurveillance2018-full-report.pdf
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Sexually Transmitted Disease Surveillance 2019. Tables 26, 28, 29, and 41. Centers for Disease Control and Prevention. Published 2021. Accessed April 15, 2021. https://www.cdc.gov/std/statistics/2019/tables.htm
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National Overview—Sexually Transmitted Disease Surveillance 2019. Centers for Disease Control and Prevention. Published 2021. Accessed April 14, 2021. https://www.cdc.gov/std/statistics/2019/overview.htm#Syphilis
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Sexually Transmitted Disease Surveillance 2019: notifiable condition sets: syphilis. Centers for Disease Control and Prevention. Published 2021. Accessed April 14, 2021. https://www.cdc.gov/std/statistics/2019/figures.htm
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Ghanem  KG , Ram  S , Rice  PA .  The modern epidemic of syphilis.   N Engl J Med. 2020;382(9):845-854. doi:10.1056/NEJMra1901593PubMedGoogle ScholarCrossref
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Cuozzo  DW , Benson  PM , Sperling  LC , Skelton  HG  III .  Essential syphilitic alopecia revisited.   J Am Acad Dermatol. 1995;32(5, pt 2):840-843. doi:10.1016/0190-9622(95)91543-5PubMedGoogle ScholarCrossref
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Dai  S , Wang  H , Lin  Z .  Moth-eaten alopecia in secondary syphilis.   Int J Infect Dis. 2019;82:6. doi:10.1016/j.ijid.2019.02.023PubMedGoogle ScholarCrossref
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