Frontal Fibrosing Alopecia: Clinical and Therapeutic Considerations - Case Series

Frontal Fibrosing Alopecia (FFA) is a rare, scarring hair loss condition primarily affecting the frontal hairline and eyebrows, mostly in postmenopausal women. This case series reports on four cases, highlighting progressive frontal hairline recession and eyebrow loss, with dermatoscopic and histopathological findings confirming perifollicular erythema, hair shaft changes, and lichenoid inflammation. Patients were evaluated for autoimmune conditions, hormonal imbalances, and potential triggers. A multidisciplinary approach is recommended for diagnosis and management, involving dermatologists, endocrinologists, and autoimmune specialists. Treatment options include topical and systemic corticosteroids, immunomodulators, and minoxidil, with varying success. Early intervention and monitoring are crucial to prevent further hair loss and manage symptoms like pruritus and burning.