Perifollicular Erythema as a Trichoscopy Sign of Progression in Frontal Fibrosing Alopecia

    T. Toledo-Pastrana, María José García Hernández, Francisco José Martínez Martínez
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    TLDR Perifollicular erythema can indicate active frontal fibrosing alopecia.
    The study evaluated 79 women diagnosed with frontal fibrosing alopecia (FFA) and found that 100% exhibited at least one dermoscopic sign typical of FFA, such as absence of follicular opening, follicular hyperkeratosis, follicular plugs, and erythema. Specifically, 66.3% showed perifollicular erythema, which was present in 95% of cases with active disease. The findings suggested that perifollicular erythema could serve as a direct marker of FFA activity.
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