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
Moth eaten alopecia is seen 
Select and explain. 
A. Black dot tinea, B. Telogen effuvium, C. Alopecia areata, D. Secondary syphilis
D: Secondary syphilis
Answer: D: Secondary syphilis 
Explanation: 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