Question

A 30-year-old patient presents with a history of flat lesions near the anal canal, rashes on the body, and hair loss that follows a particular pattern, as shown in the image. What is the diagnosis? 

• A. Trichotillomania
• B. Alopecia areata
• C. Secondary syphilis
• D. Malassezia

Hint:

In cases of secondary syphilis, remember the characteristic rash, mucosal lesions, and distinctive hair loss pattern. Confirm with serologic testing for syphilis.

Answer 1

The Correct Option is C

The patient’s symptoms, including rashes on the body, hair loss in a characteristic pattern, and lesions near the anal canal, suggest secondary syphilis. This stage of syphilis often presents with a rash, mucocutaneous lesions, and alopecia, particularly a "moth-eaten" pattern of hair loss.