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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Evidence of Vellus Follicle Involvement. A small scar is left at the site of the biopsy. Who is at Risk for Developing this Disease? Histologic testing of facial vellus in these patients showed LLP features similar to scalp FFA and to the body vellus involvement shown in previous studies 1 – 3 and in 2 of allpecia patients patients 3 and 4. J Am Acad Dermatol.

J Am Acad Dermatol ; Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. It was suggested that the disease could have a alopeciz origin, but to date the precise etiology remains unknown. The skin left behind may appear slightly paler and smoother than the rest of the skin on the forehead.

This pattern is seen much more frequently in men. Frontal fibosing xlopecia associated with generalized hair loss. It tells you what frontal fibrosing alopecia FFA is, what causes it, what can be done about it and where you can get more information.

Dermatologists must learn to recognize facial surface changes and discuss these with the patients, who may attribute this roughness to aging or hormonal changes associated with menopause.

Results of histologic testing. Frontal fibrosing alopecia usually affects post-menopausal women over the age of Other search option s Alphabetical list. D, Decreased eyebrows and papules on the left temporal region of patient 3. She had noticed no decrease in her eyelashes or eyebrows, fronntal her facial skin had changed during the past 5 years Figure 1 C. Once a hair has fallen out, it will not re-grow in this area. Biopsies were performed on samples taken from her scalp, face, and arm.


Frontal fibrosing alopecia

The process is slow, without evidence of fibrosing hair loss or loss of eyebrows. Our patients referred to it as roughening of the facial skin but did not correlate it with their hair problem, usually alopeica it to aging or menopause.

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. To our knowledge, ours is the first report on the involvement of facial vellus of patients with FFA.

A similar infiltrate surrounding a fibrous tract could be observed in the skin specimen from the fibrosiing. Injections of steroid fronhal the skin on the front of the scalp can be used. Create a free personal account to download free article PDFs, sign up for alerts, and more.

Frontal fibrosing alopecia is a form alopfcia scarring hair loss affecting the hair margin on the front of the scalp. Usually, there is a history of previous episodes of hair loss and recovery.

The exact cause of frontal fibrosing alopecia is unknown. Pirmez, Rodrigo et al. Frontal fibrosing alopecia was originally described in postmenopausal women, but now has been seen in premenopousal women.

British Association of Dermatologists – Patient Information Leaflets (PILs)

Get free access to newly alopecix articles Create a personal account or sign in to: Summary Epidemiology Prevalence is unknown. Frontal fibrosing alopecia describes hair loss and scarring in the frontal tibrosing of the scalp.

Rare presentations of scarring alopecia in the frontal hairline may be due to pustular scarring alopecia. Health care resources for this disease Expert centres 28 Diagnostic tests 0 Patient organisations 4 Orphan drug s 0.

C, Recession of hairline and papules on alopeci right lateral face of patient 2. J Eur Acad Dermatol Venereol. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. Lupus of the scalp usually results in multifocal areas of hair loss, with gross scarring, dyspigmentation, and lipoatrophy.


This is because this could cause hair loss, called traction alopecia. Only comments written in English can be processed.

The edge may appear moth-eaten, and single ‘lonely’ hairs may persist in the bald areas. A year-old white woman reported hair loss fobrosing her frontal hairline for 3 years, as well as decreased density of her eyebrows and eyelashes for 10 years. Physical examination reveals a symmetrical wide band of pale skin, lacking follicular orifices as a result of the receding hairline.

Frontal fibrosing alopecia FFA is considered fronhal particular clinical form of lichen planopilaris LPP that primarily involves the scalp hair over the frontal hairline. Loss of hair over the limbs, pubic skin, and axillae may also be observed. The treatment options are limited, as therapies may potentially stabilize the process, but hair recovery does not occur after follicular destruction.

Sometimes hair loss can also occur from other parts of the body, fihrosing this is less common. Genetichormonal and environmental factors may be involved.

What is frontal fibrosing alopecia? Scalp biopsy and serological tests for lupus are helpful in difficult cases.

Frontal fibrosing alopecia | DermNet NZ

These can help to dampen down the immune system and prevent the inflammation around the hair follicles. What are the symptoms of frontal fibrosing alopecia? This condition usually has an earlier age of onset and a family history. A cross sectional observational case-control study.