Dermatopathology Quiz: Which Alopecia Does the Patient Have?
January 2016
in “
Indian dermatology online journal
”
New to Dutasteride? There is a guide in the encyclopedia. Read the guide → frontal fibrosing alopecia FFA cicatricial alopecia lichen planopilaris superficial dermal fibrosis peri-infundibular lymphoid infiltrate terminal hair follicles fibrous tracts lymphocytic infiltrate isthmus infundibulum hormonal treatments steroids pioglitazone antimalarials retinoids oral dutasteride scarring alopecia fibrosis lymphoid infiltrate hair follicles Actos Avodart
Studysummary This case study diagnosed a 60-year-old woman with frontal fibrosing alopecia after histopathological analysis showed characteristic scarring patterns in the hairline area. Our plain-language summary of this paper — not a Tressless recommendation.
A 60-year-old woman with bilateral hair loss of the anterior frontoparietal hairline was diagnosed with frontal fibrosing alopecia (FFA) based on histopathological analysis showing superficial dermal fibrosis and peri-infundibular lymphoid infiltrate. FFA, a cicatricial alopecia variant of lichen planopilaris, is characterized by gradual, asymptomatic hair loss in a symmetrical pattern, often seen in postmenopausal women. Histological findings include reduced terminal hair follicles replaced by fibrous tracts and a lymphocytic infiltrate at the isthmus and infundibulum. Treatment options include hormonal treatments, steroids, pioglitazone, antimalarials, and retinoids, with oral dutasteride showing efficacy in about half of the patients.
