Frontal Fibrosing Alopecia Associated with Lichen Planus Pigmentosus – Report of 2 Cases

August 2016 in “ Journal of the Portuguese Society of Dermatology and Venereology ”

D. C. Paniagua, Tainá Silva dos Santos, T. S. V. Jeunon, Juliana Marques‐da‐Costa, Daniel Fernandes Melo

frontal fibrosing alopecia lichen planus pigmentosus scarring alopecia lichen planopilaris dermoscopy

TLDR Two women with darker skin had both frontal hair thinning and skin discoloration.

The document reported two cases of the rare association between frontal fibrosing alopecia and lichen planus pigmentosus in two female patients, aged 59 and 76, with darker skin tones. Both patients exhibited marginal fronto-temporal hair thinning and brownish hyperpigmentation on the face, neck, and trunk. Frontal fibrosing alopecia, a scarring alopecia variant of lichen planopilaris, was first described in 1994 and is characterized by progressive hairline recession. Dermoscopy was highlighted as a crucial diagnostic tool to differentiate it from other conditions. Lichen planus pigmentosus, another variant, is uncommon and primarily affects women with skin types III and IV in their 30s and 40s.

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Research cited in this study

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research Frontal Fibrosing Alopecia and Lichen Planus Pigmentosus

March 2014 in “Journal of The American Academy of Dermatology”

Mycophenolic acid may help hair growth, a combination treatment improves hair thickness in male hair loss, and early treatment of frontal fibrosing alopecia is important.

research Frontal Fibrosing Alopecia: A Multicenter Review of 355 Patients

339 citations , February 2014 in “Journal of The American Academy of Dermatology”

Most patients with frontal fibrosing alopecia are postmenopausal women, and treatments like finasteride and dutasteride can improve or stabilize the condition.

research Coexistence of Frontal Fibrosing Alopecia with Lichen Planus Pigmentosus

22 citations , April 2013 in “International Journal of Dermatology”

Frontal fibrosing alopecia can occur with lichen planus pigmentosus, needing careful diagnosis and treatment.

research Frontal Fibrosing Alopecia and Lichen Planus Pigmentosus: Is There a Link?

86 citations , July 2012 in “British journal of dermatology/British journal of dermatology, Supplement”

There may be a connection between Frontal Fibrosing Alopecia and Lichen Planus Pigmentosus, and more research is needed to confirm this.

research Frontal Fibrosing Alopecia: A Review of 60 Cases

166 citations , April 2012 in “Journal of The American Academy of Dermatology”

Mostly postmenopausal Caucasian women get Frontal Fibrosing Alopecia, which often includes eyebrow loss and has limited treatment success.

research Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential Diagnosis

33 citations , January 2010 in “Case reports in dermatology”

Dermoscopy helps diagnose frontal fibrosing alopecia by distinguishing it from other hair loss conditions.

research Frontal Fibrosing Alopecia: A Survey in 16 Patients

123 citations , August 2005 in “Journal of the European Academy of Dermatology and Venereology”

The study found that Frontal Fibrosing Alopecia affects a broader age range of women and early treatment can help stop hair loss.

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