Frontal Fibrosing Alopecia Associated with Pigmented Lichen

    November 2012 in “ Annales de Dermatologie et de Vénéréologie ”
    W. Raffas, Ahmed Ouazzani, F. Tbatou, J. Bouhllab, Mouna Rimani, Karima Senouci, Badredine Hassam
    TLDR Frontal fibrosing alopecia can occur in children, not just postmenopausal women.
    Frontal fibrosing alopecia, typically seen in postmenopausal women, was reported in three pediatric cases, including 14-year-old twin sisters and a 7-year-old girl. The twins had symmetric frontotemporal alopecia with noninflammatory micropapules since age 5, treated with monthly betamethasone injections. The 7-year-old had a frontotemporal alopecia band and partial eyebrow loss, treated successfully with six monthly oral steroid boluses. Histological findings in all cases were consistent with lichen planopilaris. These cases were notable as the first pediatric instances of this condition, previously thought to affect mainly postmenopausal women.
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