Familial Frontal Fibrosing Alopecia Treated With Dutasteride, Minoxidil, and Artificial Hair Transplantation

June 2016 in “ Australasian Journal of Dermatology ”

William Cranwell, Rodney Sinclair

familial frontal fibrosing alopecia dutasteride minoxidil artificial hair transplantation folliculitis hydroxychloroquine methotrexate Propecia Rogaine

TLDR Treatment with dutasteride, minoxidil, and artificial hair transplantation improved appearance but caused folliculitis.

This case report describes a premenopausal patient with familial frontal fibrosing alopecia (FFA) who was treated with dutasteride and minoxidil, which stabilized her hair loss. Artificial hair transplantation was then performed, which led to significant cosmetic improvement but also caused folliculitis. The implants were removed, and the patient became symptom-free. The report suggests that hydroxychloroquine and methotrexate play little role in preventing or altering the progression of FFA, and further research is needed to identify the optimal treatment for arresting the progressive recession of the frontotemporal hairline.

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