Frontal Fibrosing Alopecia in a 50-Year-Old Woman: Case Study and Treatment Challenges

January 2016 in “ Indian dermatology online journal ”

Niharika Ranjan Lal, Sudip Das, Satyendra Nath Chowdhury

frontal fibrosing alopecia cicatricial alopecia intralesional triamcinolone topical glucocorticoids histopathology lichen planopilaris lymphocytic infiltrate FFA scarring alopecia triamcinolone injections topical steroids

TLDR Frontal fibrosing alopecia causes hair loss at the front hairline, and no effective treatment exists.

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.

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