Frontal Fibrosing Alopecia in an African Man

August 2013 in “ International Journal of Dermatology ”

Ncoza C. Dlova, C. J. Goh

frontal fibrosing alopecia hair loss frontal hairline clinical presentation diagnosis treatment options

TLDR Frontal fibrosing alopecia can affect African men and may be underdiagnosed.

The case report detailed an instance of frontal fibrosing alopecia (FFA) in an African man, a condition characterized by progressive hair loss along the frontal hairline. The report highlighted the rarity of FFA in African populations and discussed the clinical presentation, diagnosis, and potential treatment options. The authors emphasized the importance of recognizing this condition in diverse ethnic groups to ensure timely and appropriate management. No conflicts of interest were reported by the authors.

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Research cited in this study

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research Frontal Fibrosing Alopecia in a Man: Results of Follicular Unit Test Grafting

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Hair transplantation may not work for Frontal Fibrosing Alopecia as transplanted hair was lost when the disease came back.

research Frontal Fibrosing Alopecia: Clinical Presentations and Prognosis

155 citations, September 2008 in “British journal of dermatology/British journal of dermatology, Supplement”

FFA is more common in postmenopausal women, can affect younger women, and may stabilize over time.

research Frontal Fibrosing Alopecia: Treatment with Oral Dutasteride and Topical Pimecrolimus

69 citations, August 2008 in “Journal of The European Academy of Dermatology and Venereology”

Oral dutasteride and topical pimecrolimus can safely and effectively treat Frontal Fibrosing Alopecia, leading to significant hair regrowth.

research Frontal Fibrosing Alopecia Developing After Hair Transplantation for Androgenetic Alopecia

64 citations, January 2005 in “International Journal of Dermatology”

Hair transplant destroyed by lichen planopilaris.

research Fibrosing Alopecia in a Pattern Distribution

158 citations, February 2000 in “Archives of dermatology”

Some people with pattern hair loss may also have scalp inflammation and scarring similar to lichen planopilaris.

research Postmenopausal Frontal Fibrosing Alopecia: A Frontal Variant of Lichen Planopilaris

329 citations, January 1997 in “Journal of the American Academy of Dermatology”

Frontal fibrosing alopecia is a hair loss condition in postmenopausal women, similar to lichen planopilaris, with ineffective treatments.

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The 2015 Hair Research Congress concluded that stem cells, maraviroc, and simvastatin could potentially treat Alopecia Areata, topical minoxidil, finasteride, and steroids could treat Frontal Fibrosing Alopecia, and PTGDR2 antagonists could also treat alopecia. They also found that low-level light therapy could help with hair loss, a robotic device could assist in hair extraction, and nutrition could aid hair growth. They suggested that Alopecia Areata is an inflammatory disorder, not a single disease, indicating a need for personalized treatments.