Clinical Description of Frontal Fibrosing Alopecia with Concomitant Lichen Planopilaris

    September 2017 in “ Skin appendage disorders
    David Saceda‐Corralo, Pablo Fernández‐Crehuet, Pablo Fonda‐Pascual, Cristina Pindado‐­Ortega, Óscar M. Moreno‐Arrones, Sergio Vañó‐Galván
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    TLDR Some women with Frontal Fibrosing Alopecia also have Lichen Planopilaris, which can lead to more symptoms and affect hair outside the scalp.
    The study analyzed 103 female patients with Frontal Fibrosing Alopecia (FFA), finding that 17 (16.5%) also had Lichen Planopilaris (LPP). The average age of these patients was 67.9 years, with the onset of FFA or LPP at an average age of 63.9 years. It was observed that those with both conditions experienced more frequent involvement of non-scalp hair areas and symptoms such as pruritus and pain, indicating a greater likelihood of intense lichenoid reactions. The research highlighted the potential for misdiagnosis when FFA and LPP coexist and suggested that symptoms and non-scalp hair involvement could be more common in patients with both conditions.
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