Frontal Fibrosing Alopecia: A Prospective Observational Study

    Amal Kerouach, F. Hali, Soumiya Chiheb
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    Studysummary This study in Morocco found that all women with frontal fibrosing alopecia presented frontotemporal hairline recession, with trichoscopic features such as perifollicular erythema and follicular hyperkeratosis being indicative of the condition, and suggested a potential link between cosmetic products or emotional factors and the disease.
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    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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