Frontal Fibrosing Alopecia in Men: Presentations in 12 Cases and a Review of the Literature

    October 2016 in “ Actas Dermo-Sifiliográficas ”
    N. Ormaechea‐Pérez, A. López-Pestaña, J. Zubizarreta-Salvador, Ane Jaka, A. Panés-Rodríguez, A. Tuneu-Valls
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    TLDR FFA in men, often mistaken for other hair loss types, may be more common than thought and needs larger studies for confirmation.
    The study investigated Frontal Fibrosing Alopecia (FFA) in 12 men with a mean age of 75 years, finding that it is characterized by a receding hairline, eyebrow loss, and is less common in men. The men in the study also frequently had androgenetic alopecia, facial papules, and loss of body hair. Only 4 men sought treatment specifically for alopecia, with the hairline receding by an average of 3 cm. Treatments included topical corticosteroids for 66% of patients and minoxidil for 33%. The study concluded that FFA in men might be underdiagnosed due to its similarities with androgenetic alopecia and that the men in this study were older than those in other studies, which may account for the higher prevalence of associated conditions. The study suggests that FFA is more common in men than previously thought and that larger studies are needed to confirm these findings.
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