Abstract
To the Editor.— I was pleased to see one of the recent issues ofThe Journalcontaining a good amount of material on sexually transmitted disease (STDs). Within one issue, there were two articles on atypical manifestations of gonococcal infections (1981; 246:242, 246), an article on secondary syphilis (1981;246:250), and an announcement on the First STD World Congress for November 1981 (1981; 246:217). One dermatology question in the same issue concerned a case of presumed alopecia areata in a 26-year-old man with oral ulcers, cervical lymphadenopathy, arthralgias, anemia, and, possibly, hepatitis (1981; 246:284). All of these signs and symptoms may occur with secondary syphilis, although the moth-eaten alopecia of syphilis may involve more diffuse thinning of the hair rather than the "exclamation point" hairs seen in bald spots in alopecia areata. 1 Syphilitic alopecia, of course, is accompanied by positive serological test results. Since syphilis is so easily treated in
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