Frontal Fibrosing Alopecia: Prospective Study of 20 Cases

This prospective study examined 20 cases of frontal fibrosing alopecia (FFA) over 16 months at the dermatology department of Hassan II University in Fez, Morocco. All patients were women with an average age of 46 years, and 65% were premenopausal. Dermoscopic examination revealed specific signs of FFA, and skin biopsies confirmed the diagnosis. Half of the patients had immune dysfunctions or other disorders. Treatments included topical corticosteroids, tacrolimus ointment, minoxidil 2%, hydroxychloroquine, and oral finasteride, with satisfactory results observed within one year. The study concluded that FFA is increasingly common in premenopausal women and that dermoscopy is valuable for diagnosis, guiding biopsies, evaluating treatment efficacy, and establishing prognosis.