Frontal Fibrosing Alopecia: Clinical and Prognostic Classification

    April 2017 in “ JEADV. Journal of the European Academy of Dermatology and Venereology/Journal of the European Academy of Dermatology and Venereology ”
    Ó.M. Moreno-Arrones, David Saceda‐Corralo, Pablo Fonda‐Pascual, Ana Rita Rodrigues-Barata, Diego Buendia‐Castaño, A. Alegre-Sánchez, Cristina Pindado‐­Ortega, M Molins, D. Perosanz, Gonzalo Segurado‐Miravalles, Pedro Jaén, Sergio Vañó‐Galván
    TLDR Researchers found three patterns of Frontal fibrosing alopecia, with Pattern III having the best prognosis after treatment.
    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.
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