The Frontal Fibrosing Alopecia Treatment Dilemma

The document "The Frontal Fibrosing Alopecia Treatment Dilemma" discusses the complexities and challenges in treating frontal fibrosing alopecia (FFA), a type of scarring alopecia primarily affecting postmenopausal women. Various treatments, including topical corticosteroids, calcineurin inhibitors, JAK inhibitors, hair growth modulators, phototherapy, and systemic drugs like 5-alpha-reductase inhibitors and hydroxychloroquine, show mixed results and potential side effects. Combined therapies are generally more effective than monotherapies. Surgical options like hair transplantation are controversial due to follicle rejection. The document emphasizes the need for further research to develop more effective and standardized treatment guidelines, with early therapy implementation being crucial for hair regrowth before extensive fibrosis occurs.