Moth eaten alopecia is seen
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
Black dot tinea
Telogen effuvium
Alopecia areata
Secondary syphilis
Miscellaneous