Facial and Extrafacial Lesions in an Ethnically Diverse Series of 91 Patients with Frontal Fibrosing Alopecia Followed at a Single Center

The retrospective study analyzed 91 patients with frontal fibrosing alopecia (FFA), revealing that facial papules were the most common lesion, especially among Hispanic/Latino patients and premenopausal women, suggesting a link to more severe disease. Hispanic/Latino ethnicity was significantly associated with facial papules and premenopausal status, indicating a potential ethnic susceptibility to severe FFA. Extrafacial lesions were more prevalent in those with facial lesions, supporting the systemic nature of FFA. Additionally, 25% of patients had concomitant Lichen Planopilaris (LPP), and 37% experienced body hair loss. The study highlighted the need for further research to understand the implications of facial and extrafacial lesions in FFA.