This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Medicine
[{'content': 'Moth eaten alopecia is seen \nSelect and explain. \nA. Black dot tinea, B. Telogen effuvium, C. Alopecia areata, D. Secondary syphilis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The hair loss can be moth-eaten, diffuse or both. The "moth-eaten" pattern is the most common type and is considered to be a pathognomonic manifestation of secondary syphilis. The alopecia, which is nonscarring, can occasionally affect hair-bearing areas other than the scalp Ref Davidson 23rd edition pg 238', 'role': 'assistant'}]