Frontal Fibrosing Alopecia Mimicking Alopecia Syphilitica

The document discussed a case of frontal fibrosing alopecia (FFA) in a woman, which mimicked the appearance of alopecia syphilitica. FFA is a scarring alopecia typically affecting postmenopausal women, characterized by hair loss in the frontotemporal region, and sometimes eyebrows or other body areas. The patient exhibited a traditional FFA pattern but also had hair loss in the occipital scalp resembling the moth-eaten pattern of alopecia syphilitica. Despite negative syphilis tests and biopsies confirming FFA, her condition persisted with conservative treatment, leading her to wear a wig. The study suggested that an alopecia syphilitica-like pattern could be considered among the atypical patterns of FFA.