Moth eaten alopecia is seen: (A) Black dot tinea, (B) Telogen effuvium, (C) Alopecia areata, (D) Secondary syphilis
Answer is D. 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