Frontal Fibrosing Alopecia: Report of Three Pediatric Cases

This document reported three pediatric cases of frontal fibrosing alopecia (FFA), a condition typically seen in postmenopausal women. The first case involved 14-year-old twin sisters with symmetric, progressive frontotemporal alopecia since age 5, treated with monthly betamethasone injections. The second case was a 7-year-old girl with frontotemporal alopecia and partial eyebrow loss, who responded well to six monthly oral steroid treatments. Histological examinations confirmed lichen planopilaris in all cases. The study suggested that FFA can occur in children, challenging the notion that it is exclusively postmenopausal and questioning the previously suggested role of androgens in its pathophysiology.