%0 Case Reports %T Moth eaten alopecia as the only manifestation of syphilis: a case from Nepal. %A Shrestha A %A Kusha KC %A Baral A %J Oxf Med Case Reports %V 2024 %N 3 %D 2024 Mar %M 38532753 暂无%R 10.1093/omcr/omae011 %X This paper presents a case of Moth-Eaten Alopecia as the only clinical manifestation of secondary syphilis in a 28-year-old man from Nepal. The patient exhibited progressive hair loss in the occipitoparietal region without associated pain or itching. With a positive Rapid Plasma Reagin (RPR) test (1:256), the patient received a three-week course of Benzathine Penicillin G, resulting in complete hair regrowth within four months. This case underscores the significance of recognizing moth eaten alopecia as a potential dermatological sign of secondary syphilis, especially when it appears as the sole clinical symptom.