Frontal Fibrosing Alopecia in a 46-Year-Old Man

    January 2016 in “ Dermatology online journal ”
    Forrest White, Shields Callahan, Randie H. Kim, Shane A Meehan, Jennifer Stein
    TLDR A 46-year-old man was diagnosed with frontal fibrosing alopecia, a condition usually seen in postmenopausal women.
    Frontal fibrosing alopecia (FFA) is a scarring alopecia characterized by the recession of the frontotemporal hairline and often the loss of eyebrows, predominantly affecting postmenopausal women and rarely men. This case study reported a 46-year-old man with a 10-year history of an erythematous patch and perifollicular erythema at the superior forehead and frontotemporal hairline. A skin biopsy revealed a perivascular, lymphocytic infiltrate with periinfundibular fibrosis, confirming the diagnosis of FFA. The pathogenesis of FFA was poorly understood but might have been hormonally mediated.
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