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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Rare presentations of scarring alopecia in the frontal hairline may be due to pustular scarring alopecia. Although most women with alopscia disease are postmenopausal and elderly, premenopausal women have also developed FFA.

Dermoscopy may also be useful in detecting loss of follicles. The cause of frontal fibrosing alopecia is unknown. Eyebrows and eyelashes can be variably affected, and alopecia sometimes develops over the axillary and pubic regions. Unlike the usual noninflammatory clinical presentation of vellus involvement over other body areas, facial vellus involvement can lead to surface changes that may be recognized both by patients and dermatologists.

British Association of Dermatologists – Patient Information Leaflets (PILs)

It most commonly affects postmenopausal women, although it has also been reported in men and premenopausal women. Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more. C, Recession of hairline and papules on the right lateral face of patient 2.


Your local hospital orthotic surgical appliances department will be able to advise you on the range of hairpieces available on the NHS. To our knowledge, ours is the first report on the involvement of facial vellus of patients with FFA. Critical revision of the manuscript for important intellectual content: Biopsies of both the frontal hairline and preauricular region were performed.

B, Follicular papules over the right temporal region of patient 1 arrows indicate 2 follicular papules.

Frontal Fibrosing Alopecia

frobtal Demographics, clinical aspects, and other findings Tableas well as results of histopathologic testing of all cases, are presented. A year-old black woman had developed recession of her frontal hairline, scalp pruritus, and loss of body hair after menopause, 3 years before evaluation in our clinic. Histologic evaluation of scalp tissue detected chronic perifolliculitis with perifollicular fibrosis.

Preservation of follicular orifices, black dots, exclamation mark hairs, and small infundibular cystic structures are seen in alopecia areata and may be better appreciated with dermoscopy. Frontal fibrosing alopecia is characterised by a usually symmetrical band of hair loss on the front and sides of the scalp, and loss of eyebrows.

The histopathological features are identical to those of lichen planopilaris. Histologic testing of facial alopecka in these patients showed LLP features similar to scalp FFA and to the alpoecia vellus involvement shown in previous studies 1 – 3 and in 2 of our patients patients 3 and 4.

Unfortunately, there is no treatment that cures frontal fibrosing alopecia. Get free access to newly published articles Create a personal account or sign in to: For all other comments, please send your remarks via contact us.


Frontal fibrosing alopecia

The biopsy should be taken at the receding hairline, within the area where there is evidence of perifollicular erythema. In a few patients, it fibroing after a few years. Frontal fibrosing alopecia is a specific form of scarring alopecia that affects the frontal hairline, most often in postmenopausal women.

Back Why do research in dermatology? Further studies are needed to determine the prevalence of this involvement in patients with frontal fibrosing alopecia.

Frontal Fibrosing Alopecia

Frontal fibrosing alopecia FFA is considered a particular clinical form of lichen planopilaris LPP that primarily involves the scalp hair over the frontal hairline.

They can help to relieve the symptoms and redness of the scalp. Analysis and interpretation of data: How do you choose a research theme? The newly affected hair follicles are surrounded by a lichenoid pattern of inflammation associated with scarring. Biopsy of skin papules may show a lichenoid pattern of inflammationfibrosing alopeciaor sebaceous fibfosing hyperplasia. What are the symptoms of frontal fibrosing alopecia?

Purchase access Subscribe to the fibrrosing. Postmenopausal frontal fibrosing alopecia.