Navigating diagnostic challenges in syphilitic alopecia: insights from dermoscopy

Abstract

This report emphasizes the diagnostic difficulties in differentiating syphilitic alopecia from alopecia areata, as exclamation mark hairs that have previously been known to be the diagnostic hallmark and discriminating sign of alopecia areata can also be seen in syphilitic alopecia. A holistic evaluation is vital in improving diagnostic accuracy, especially in a resource-poor setting.