Frontal Fibrosing Alopecia: A Prospective Observational Study
April 2023
in “
World Journal Of Advanced Research and Reviews
”
frontal fibrosing alopecia scarring alopecia postmenopausal pruritus frontotemporal hairline recession parietal involvement occipital involvement eyebrow loss trichoscopy perifollicular erythema follicular hyperkeratosis vellus hairs FFA itching hairline recession eyebrow thinning trichoscopic examination redness around hair follicles thickened skin around hair follicles fine hair
TLDR Cosmetic products or emotional factors might contribute to Frontal Fibrosing Alopecia, and trichoscopy is useful for diagnosis.
The study "Frontal Fibrosing Alopecia: A prospective observational study" conducted over 2.5 years at Ibn Rochd University Hospital in Casablanca, Morocco, involved 24 female patients with Frontal fibrosing alopecia (FFA), a scarring alopecia that mainly affects postmenopausal women. The average age of disease onset was 46.95 years, and 50% of the patients were postmenopausal. The most common symptom was pruritus (80%), and emotional factors were found in 40% of the cases. All patients experienced frontotemporal hairline recession, with 70% and 50% also having parietal or occipital involvement, respectively. Eyebrow loss was reported in 16 patients. Trichoscopic findings included perifollicular erythema (80%), follicular hyperkeratosis (70%), and decreased or absence of vellus hairs (60%). The study concluded that cosmetic products or emotional factors could play a role in FFA's physiopathology, and trichoscopy could be a valuable diagnostic tool.