Flushing Episodes in the Context of Frontal Fibrosing Alopecia with Facial Papules

    August 2021 in “ Case Reports
    Thales Lage Bretas, Maria Claudia Almeida Issa, Thiago Henrique Moroni Vargas, Maria José Sousa
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    TLDR A woman thought to have rosacea was actually suffering from Frontal Fibrosing Alopecia, a hair loss condition. Despite treatment, her condition didn't change, showing the importance of accurate early diagnosis.
    The document presents a case study of a 38-year-old woman initially diagnosed with rosacea, but later confirmed to have Frontal Fibrosing Alopecia (FFA), a condition causing hair loss and facial papules. Despite rosacea treatment, her symptoms worsened, leading to a second biopsy and FFA diagnosis. She was treated with finasteride and oral hydroxychloroquine, but after a year, her condition neither improved nor worsened. The case highlights the need for thorough physical examination and dermoscopy of hair follicles for early FFA diagnosis, and the risk of misdiagnosis due to symptom overlap with conditions like rosacea.
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