Frontal Fibrosing Alopecia
August 2015
in “
Dermatología Argentina
”
frontal fibrosing alopecia lymphocytic cicatricial alopecia scarring alopecia topical steroids intralesional triamcinolone acetonide doxycycline 5-alpha reductase inhibitors methotrexate oral lichen planus vulvar lichen planus FFA steroid creams triamcinolone injections antibiotics 5-ARI immunosuppressants
TLDR Frontal fibrosing alopecia causes hairline recession and eyebrow loss in postmenopausal women.
Frontal fibrosing alopecia (FFA) is a primary lymphocytic cicatricial alopecia characterized by progressive frontotemporal hairline recession. A retrospective review of 18 postmenopausal women diagnosed with FFA between June 1, 2008, and June 1, 2014, revealed an average age of 69 years. All patients exhibited frontotemporal recession with scarring alopecia, and 16 experienced partial or complete eyebrow loss. Additional findings included non-inflammatory skin-colored papules on the face in one patient, oral lichen planus in one, and vulvar lichen planus in two. Treatments administered were topical steroids, intralesional triamcinolone acetonide, doxycycline, 5-alpha reductase inhibitors, and methotrexate.
