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Systemic disease

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • endocrine - not always responsive to endocrine replacement:
    • hypothyroidism - slow growing, coarse, wire-like hair; alopecia may also be a presenting feature in hyperthyroidism
    • hypoparathyroidism - often, total loss of scalp, eyebrow and secondary sexual hair

  • syphilis:
    • diffuse, "moth eaten" pattern
    • positive serology
    • often responsive to antibiotics

  • SLE:
    • hair loss is temporary
    • usually responds to successful systemic therapy

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