Frontal Fibrosing Alopecia Associated with Cutaneous Lichen Planus in a Premenopausal Woman

February 2002 in “ Australasian journal of dermatology ”

Catherine Faulkner, N. J. E. Wilson, Stephen Jones

frontal fibrosing alopecia cutaneous lichen planus hair loss frontoparietal scalp eyebrows histopathology pruritic papules topical corticosteroids lichen planopilaris FFA LPP

Studysummary This case report describes the first known instance of fibrosing alopecia associated with cutaneous lichen planus, suggesting fibrosing alopecia may be a variant of lichen planopilaris.

Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer

A 45-year-old premenopausal woman presented with frontal fibrosing alopecia (FFA) and later developed cutaneous lichen planus, marking the first reported case of FFA associated with cutaneous lichen planus. The patient exhibited progressive hair loss on the frontoparietal scalp and eyebrows, with histopathology confirming FFA. Subsequent development of pruritic papules on the wrists and feet led to a diagnosis of cutaneous lichen planus. Treatment with topical corticosteroids stabilized the conditions. This case supports the notion that FFA is a variant of lichen planopilaris (LPP).

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research Fibrosing Alopecia in a Pattern Distribution

158 citations , February 2000 in “Archives of dermatology”

This study reports that some patients with androgenetic alopecia may also exhibit clinical and histological features of inflammation and fibrosis, similar to those found in lichen planopilaris.

research Postmenopausal Frontal Fibrosing Alopecia: A Frontal Variant of Lichen Planopilaris

329 citations , January 1997 in “Journal of the American Academy of Dermatology”

This study reports that progressive frontal fibrosing alopecia, a distinct and gradually stabilizing form of lichen planopilaris affecting elderly women and often involving eyebrow hair loss, lacks effective treatments.

research Postmenopausal Frontal Fibrosing Alopecia

325 citations , June 1994 in “Archives of Dermatology”

This study observed that progressive frontal recession in postmenopausal women may exhibit features of fibrosing alopecia, suggesting a distinct reaction pattern from typical lichen planopilaris.