Application of the New Clinical Guidelines in Frontal Fibrosing Alopecia of the Male

This study applied the new clinical guidelines of the International FFA Cooperative Group to 18 men diagnosed with frontal fibrosing alopecia (FFA) to identify potential shortcomings in their application to males. The study found that the absence of vellus hairs (72%) and frontal perifollicular erythema (67%) were the most common diagnostic criteria. A type I hairline recession pattern was observed in 72% of patients. The beard was affected in 56% of the patients, with sideburns being the most frequently affected area (78%). The median frontal recession was 7.7 cm. The ALODEX III scale revealed that the most lateral hairline was involved in 40-50% of patients, which is not included in standardized measures. The study concluded that the evaluation of the beard and early involvement of the sideburns might be underrepresented in current diagnostic criteria.