Glabellar Clinical and Trichoscopic Findings in Patients with Frontal Fibrosing Alopecia

    May 2025 in “ Skin Appendage Disorders ”
    Luis Enrique Sánchez‐Dueñas, Daniel Jimenez-Zaragoza, Dalia Fabiola Vargas-Chávez, Bryan Salvador Sol-Tlapalamatl, Karen Sánchez-Tamayo
    TLDR Frontal fibrosing alopecia can be diagnosed by examining facial areas and treated with specific medications to stop its progression.
    The study highlights that frontal fibrosing alopecia (FFA) can be diagnosed through various non-capillary findings, particularly in facial areas like the glabella. A case of a 74-year-old patient with progressive frontal hair loss demonstrated specific trichoscopic and histopathological features, such as annular brown pigmentation and thickened collagen fibers. These findings support the diagnosis of FFA and suggest that a detailed clinical and trichoscopic examination of facial areas can help correlate with patient severity and prognosis. Treatment options like 5-alpha reductase inhibitors, oral minoxidil, and high-potency topical corticosteroids are recommended to halt disease progression.
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