A Man with Frontal Fibrosing Alopecia

In a study from 2011, a 60-year-old male patient with a history of androgenetic alopecia of the vertex for over 30 years presented with hair loss along his frontal hairline. The patient, who also had diabetes and hypertension, exhibited symptoms of frontal fibrosing alopecia (FFA), a condition characterized by recession of the frontal and frontoparietal hairline, often with loss of eyebrows, typically seen in postmenopausal women. Dermoscopic examination revealed signs of androgenetic alopecia on the vertex but identified yellow and white dots and an absence of follicles on the frontal parietal hairline. Histopathology showed a reduced number of hair follicles, perifollicular lymphocytic infiltrate, and periinfundibular fibroplasia. This case was notable for the occurrence of FFA in a male patient with concurrent androgenetic alopecia, highlighting the need for clinical-pathologic correlation in diagnosis. No commercial support was identified for this study.