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

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

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Hair transplant destroyed by lichen planopilaris.

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

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

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community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

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Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

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community I’ve been on dutesteride and oral minoxidil for two years now and I’ve only lost ground… 25m What should I do?

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A user on dutasteride and oral minoxidil for two years has experienced worsening hair loss and an itchy scalp. Suggestions include increasing medication doses, trying other treatments like RU58841, getting a scalp biopsy, and addressing potential inflammation through diet and topical treatments.

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The conversation discusses the theory that scalp fibrosis contributes to male pattern baldness (MPB) by increasing DHT concentration, and mentions treatments like Minoxidil. The user seeks opinions on the theory and the effectiveness of scalp massages.

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Scalp tension potentially affecting hair loss, and potential treatments for male pattern baldness such as Minoxidil, Finasteride and RU58841. Evidence from a study was discussed which suggests that the cause of MPB lies within the follicle itself and is not dependent on its surrounding environment.

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