Frontal Fibrosing Alopecia in a 50-Year-Old Woman: Case Study and Treatment Challenges
January 2016
in “
Indian dermatology online journal
”
Studysummary This case report describes a 50-year-old woman with frontal fibrosing alopecia who showed no improvement despite multiple treatments, including intralesional triamcinolone and topical glucocorticoids.
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A 50-year-old woman presented with frontal fibrosing alopecia (FFA), characterized by a single patch of cicatricial alopecia and marked frontal hairline recession. Despite various treatments, including intralesional triamcinolone and topical glucocorticoids, there was no improvement. Histopathology confirmed FFA with absent hair follicles replaced by fibrous tracts and a lymphocytic infiltrate. FFA, a variant of lichen planopilaris, typically affects postmenopausal women and presents as progressive frontal hairline recession. No effective treatment has been found, and laboratory tests are usually normal.