When Hair Loss Is More Than Skin Deep

A 35-year-old male presents with paranoia and patchy hair loss. Explore the Differential Diagnosis for this unusual combination of symptoms.

Syphilitic alopecia


A 35-year-old male presented to the emergency psychiatry service with paranoid delusions and was found to have patchy, irregular alopecia of the scalp. What is the most likely diagnosis?

What is the most likely diagnosis?

Androgenic alopecia
Central centrifugal cicatricial alopecia
Syphilitic alopecia
Trichotillomania
Hypothyroidism

Alopecia, Infectious Disease, Neurosyphilis, Secondary syphilis, Syphilitic alopecia

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