Frontal Fibrosing Alopecia: A Prospective Observational Study

    Amal Kerouach, F. Hali, Soumiya Chiheb
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    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.
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