Yes, syphilis can cause hair loss. It is called syphilis hair loss, or syphilitic alopecia. This hair loss usually occurs in the secondary stage of syphilis. It can appear in a “moth-eaten” pattern or as diffuse thinning. Syphilis and Hair Loss are connected because the infection affects the hair follicles and the immune system’s response to the disease.
Understanding Syphilis and Hair Loss
Syphilis is known as the “Great Imitator” because it mimics other diseases. The same applies to syphilis hair loss, which can resemble conditions like alopecia areata, telogen effluvium, and traction alopecia. Hair loss in syphilis occurs due to inflammation around hair follicles caused by the infection.
Types of Syphilitic Alopecia
There are three clinical types of syphilis hair loss:
- Focal subtype – Patchy “moth-eaten” hair loss.
- Diffuse subtype – Overall hair thinning across the scalp.
- Mixed subtype – Combination of focal and diffuse hair loss.
Common Symptoms of Syphilitic Alopecia
- Patchy or widespread hair loss
- Hair loss on eyebrows and facial hair
- Scalp lesions (sometimes present)
- Hair thinning without itching or pain
Who is Affected?
Both men and women can experience syphilis hair loss, but the severity may vary. Female syphilis hair loss can be particularly distressing, as it may lead to visible thinning on the scalp.
How Does Syphilis Hair Loss Look?
Type of Hair Loss | Characteristics |
Patchy hair loss syphilis | Moth-eaten or irregular bald spots |
Diffuse hair loss | Overall thinning without distinct patches |
Body hair loss | Eyebrows, eyelashes, and beard hair may fall out |
How to Diagnose Syphilitic Hair Loss
Diagnosis is based on:
- Clinical symptoms and scalp examination
- Dermoscopy (scalp imaging)
- Blood tests for syphilis (serology tests)
How to Differentiate Syphilis Hair Loss from Other Conditions
Condition | Key Symptoms |
Syphilis hair loss | Moth-eaten patches, associated with syphilis symptoms |
Alopecia Areata | Smooth round bald patches, no scalp lesions |
Telogen Effluvium | Diffuse thinning, usually after stress or illness |
Fungal Infections | Scaly, itchy patches with broken hair strands |
Treatment of Syphilitic Hair Loss
The best way to treat syphilis hair loss is to treat the underlying syphilis infection. Doctors follow current guidelines for antibiotic treatment, usually penicillin injections. Once treated, hair often regrows on its own over time.
Key Points About Syphilis Hair Loss in Women
- Female syphilis hair loss may be mistaken for other hormonal conditions.
- Women may experience hair thinning instead of patchy loss.
- Eyebrow and body hair loss can also occur.
Can Syphilitic Hair Loss Be Permanent?
No, syphilis hair loss is usually temporary. Once the infection is treated, hair regrowth occurs within months. However, if left untreated, syphilis can cause severe complications beyond hair loss.
Final Thoughts
If you notice patchy hair loss syphilis, or unexplained hair thinning, consult a doctor for proper diagnosis. Early treatment can prevent complications and restore hair growth.
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FAQs
Can Syphilis Hair Loss Grow Back?
Yes, syphilis hair loss can grow back once the infection is treated. Syphilis alopecia happens because the bacteria affect hair follicles, but it is usually not permanent. After receiving proper antibiotic treatment, most people see hair regrowth within a few months. However, if the infection is left untreated for a long time, hair recovery may take longer.
Does syphilis cause hair loss permanently?
No, in most cases, it is temporary. Hair loss caused by syphilis alopecia usually lasts as long as the infection remains untreated. Once the proper treatment (like penicillin injections) is given, hair regrowth starts within 3 to 6 months. However, if hair loss was severe, it might take longer for full recovery.
What Does Syphilitic Alopecia Look Like?
Syphilitic alopecia can appear in two ways:
- Patchy hair loss (Moth-eaten pattern) – Small, irregular bald spots across the scalp.
- Diffuse thinning – Gradual hair thinning without noticeable bald spots.
Some people may also experience eyebrow, eyelash, or beard hair loss. If you notice sudden, unexplained hair loss, a doctor can help confirm if it’s due to syphilis. The good news is that syphilis hair loss can be reversed with proper medical treatment.
Written By
MD (Skin & VD)
Dr. Chintan Bhavsar is a hair restoration expert specializing in Syphilis and Hair Loss. With extensive experience, he provides expert guidance on diagnosing and managing hair loss caused by syphilis, ensuring effective treatment plans to restore scalp health and promote optimal hair regrowth.
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. See Detailed Disclaimers Here.
