Frontal fibrosing alopecia. Authoritative facts about the skin from DermNet New Zealand. Frontal fibrosing alopecia is a disorder resulting in hair loss at the temples and front of the scalp. Learn about the causes and treatment of FFA. BackgroundFrontal fibrosing alopecia is considered a particular clinical form of lichen planopilaris that primarily involves the scalp hair over the frontal hai.

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It was suggested that the disease could have a hormonal origin, but to date the precise etiology remains fibrosign. Web links to detailed leaflets: Expected results of diagnostic studies Skin biopsy is the main diagnostic test, but is not always necessary because of the distinct clinical features. Frontal fibrosing alopecia may cause no symptoms at all or may cause an itchy, painful or burning sensation in a band across the frontal hairline. Br J Dermatol ; Biopsies were performed in 3 different sites frontal hairline, preauricular region, fibroxing right forearm.

Testing of preauricular specimens showed lichenoid reaction around the follicular infundibulum and isthmus and perifollicular fibrosis Figure 2 B. Tufted groups of hairs and varioliform scars may emerge. Self-skin examination New smartphone apps to check your skin Learn more Sponsored content.

aolpecia Unfortunately, there is no treatment that cures frontal fibrosing alopecia. Etiology The forntal of FFA remains unknown. Mesinkovska, Natasha Atanaskova et al. This may occur with frontal fibrosing alopecia also contributing to hair loss. This leaflet aims to provide accurate information about the subject and is a consensus of the views held by representatives of the British Association of Dermatologists: Who is at Risk for Developing this Disease?


Hair regrowth has been reported in some patients.

Frontal fibrosing alopecia | DermNet NZ

Treatment can be discontinued if the process has stabilized, but relapses may occur. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts.

Frontal fibosing alopecia associated with generalized hair loss. J Investig Dermatol Symp Proc. Check this box if you wish to receive a copy of your message.

Usually, frontal fibrosing alopecia is slowly progressive. Systemic Implications and Complications There are no known systemic associations in FFA, and currently the process is best classified as a variant of lichen planopilaris, with a distinct clinical presentation linked by an identical histopathology. Types of research When to do research?

In addition some patients may have loss of hairs from eyebrows and other parts of the body. This condition usually has aoopecia earlier age of onset and alopecix family history.

Frontal fibrosing alopecia

In some people it can slow or halt hair loss. Once a hair has fallen out, it will not re-grow in this area. No particular inflammatory sign ie, erythema or desquamation is present, and facial vellus are decreased or absent. Further studies are needed to determine the prevalence of skin involvement in patients with FFA.

To our knowledge, ours is the first report on the involvement of facial vellus of patients alopecix FFA. Sign in to save your search Sign in to your personal account. Hypothetically, a late onset of pattern alopecia in elderly women that fbirosing recession of the frontal and temporal hairline may trigger an autoimmune lichenoid response in the setting of age-related diminished immune tolerance.

A year-old black woman had developed recession of her frontal hairline, scalp pruritus, and loss of body hair fibrowing menopause, 3 years before evaluation in our clinic. For all other comments, please send your remarks via contact us. Diagnosis confirmation The differential diagnosis of FFA includes: Approximately half of all cases of FFA also have eyebrow loss; less often there is hair loss in other parts of the body.


Drs Donati and Romiti had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. C, Recession of hairline and papules on the right lateral face of patient 2.

Preferential involvement of vellus and intermediate hair follicles is supported by some authors. A short course of oral steroidsanti- inflammatory antibiotics such as tetracyclinesor antimalarial tablets may benefit patients who have a rapid onset of hair loss.

The prevalence of this association is not known; however, because 4 patients with generalized FFA were seen in our hair clinic within a relatively short period, we believe it is underdiagnosed. Signs of cutaneous lupus on sun-exposed sites is often helpful in the differential. Photographic records are useful in monitoring FFA, as is measuring the depth of hairline recession.

British Association of Dermatologists – Patient Information Leaflets (PILs)

Privacy Policy Terms of Use. What causes frontal fibrosing alopecia? The documents contained in this web site are presented for information purposes only. Biopsies from the pale areas devoid of hair show only fibrous tracts and not the primary pathology. J Am Acad Dermatol ; A skin biopsy may be performed to confirm the diagnosis.