患者女，３８岁，离异，因脱发１０月就诊，１０月前患者自觉额部及两额发际处头发渐稀疏脱落，曾在多处按“斑秃”治疗无效。患者无外阴硬结破溃史，否认婚外性生活史，追问病史，患者离婚１年，其前夫有多个性伴侣。体检：系统检查无异常，两耳后见两枚黄豆大肿大的淋巴... Female, 38 years old, divorced, due to hair loss in October treatment, 10 months ago, the patient consciously forehead and two forehead hair thinning sparse, had in many places by “alopecia areata” treatment is invalid. Patients without history of vulvar scleral failure, denied marital sex life history, history, patient divorced for 1 year, her ex-husband has multiple sexual partners. Physical examination: no abnormalities in the system examination, after seeing two ears, two large swollen lymph nodes ...