A Case of Hypogonadism Presented with Alopecia Universalis

A 46 year-old male patient attended our outpatient clinic complaining of hair falling out all over his body. He had developed hair loss first on his whole scalp and subsequently on his body. When the patient’s anamnesis was explored further, it was found that he had also experienced a decline in both his sexual drive and levels of physical activity, hot flushes, sweating, and erection problems. The patient had already had these complaints when his alopecia started. His pubertal development was complete. He had no peculiarities in his personal and family history and was not using any medication. The physical examination was normal except for the total loss of hair all over his body (Figure 1).