Frontal Fibrosing Alopecia: Clinical and Prognostic Classification

The study on frontal fibrosing alopecia (FFA) aimed to create a clinical and prognostic classification by analyzing differences in clinical presentation and evolution among patients. A retrospective analytical study was conducted on 242 female patients with a mean age of 61.4 years, classifying them into three clinical patterns: pattern I (linear) with 118 patients (48.8%), pattern II (diffuse) with 109 patients (45%), and pattern III (double line) with 15 patients (6.2%). A cohort of 106 patients treated with oral dutasteride and topical corticosteroid was followed for 12 months, achieving stabilization in 37.3% of cases. Pattern III patients exhibited less hairline recession and eyebrow involvement, indicating a better prognosis, while pattern II patients had the worst prognosis. The study's retrospective design was noted as a limitation.