Alopecia frontal fibrosante. Hallazgos dermatoscópicos

Mireles-Rocha, H.; Sánchez-Dueñas, Luis Enrique; Hernández-Torres, M.

doi:10.1016/j.ad.2011.01.018

Cited by 12 publications

(3 citation statements)

References 9 publications

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“…[5] As already was pointed by other authors, the presence of certain dermoscopic findings can settle a characteristic diagnostic pattern versus other alopecic disorders, such as AA,[5] this situation does not occur in FFA, basically because the diagnosis is based on clinical appreciations, mainly on the presence of a receding FTHL. [6] However, the presence of typical dermoscopic findings would describe a typical diagnostic pattern, as some authors have recently referred,[789] but can be also useful to assess if the disease is active or not or if the prescribed treatment is being advantageous. [1011] In our series, the trichoscopical findings in FFA include absence of follicular openings, follicular hyperkeratosis, perifollicular scaling and perifollicular erythema.…”

Section: Discussionmentioning

confidence: 99%

Perifollicular erythema as a trichoscopy sign of progression in frontal fibrosing alopecia

2013

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Introduction:Frontal fibrosing alopecia (FFA) in an entity characterized by the recession of the frontotemporal hairline (FTHL) with alopecic scarring change. In recent years there are numerous articles discussing the usefulness of dermoscopy for the clinical diagnosis of different types of scarring alopecia.Materials and Methods:We value 79 patients diagnosed with FFA, evaluating some trichoscopical findings described as typical for FFA: Absence of follicular opening, follicular hyperkeratosis, follicular plugs and erythema.Results:In a population of 79 women, 100% showed no follicular opening, 72.1% follicular hyperkeratosis, 66.3% perifollicular erythema and 44.8% follicular plugs. Thus, 100% of patients had at least one of the dermoscopic elements described as suggestive of FFA, 53% two of them, 45% three and 27%, all those elements. Perifollicular erythema was present in 95% of cases in which the disease was active.Conclusions:We consider that the presence of perifollicular erythema will be a direct marker of FFA activity.

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Section: Discussionmentioning

confidence: 99%

Perifollicular erythema as a trichoscopy sign of progression in frontal fibrosing alopecia

2013

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“…The activity and the evolution stage are also estimated by trichoscopy. Indeed, perifollicular erythema, blue-gray pigmentation and follicular hyperkeratosis, which respectively reflect inflammation, pigment incontinence and hyperkeratosis, are considered favorable prognostic factors for hair regrowth, whereas the disappearance of follicular openings and the white patches correspond to fibrosis, and thus to advanced stages of the lesions that are not easily reversible (33,34).…”

Section: Trichoscopic Featuresmentioning

confidence: 99%

Frontal Fibrosing Alopecia: A prospective observational study

Kerouach¹,

Hali²,

Chiheb³

2023

World J. Adv. Res. Rev.

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Introduction: Frontal fibrosing alopecia (FFA) is a scarring alopecia of unknown etiology that affects mainly postmenopausal women. It is responsible for progressive recession of the frontotemporal hairline and sometimes occipital hairline with inconsistent eyebrow hair loss. We aimed to investigate the demographics, clinical and trichoscopic features of FFA in the Moroccan population. Patients and methods: We conducted a prospective study over a period of 2 years and 1/2, from January 2020 to July 2022. We enrolled twenty four patients, with clinical and/or histopathological diagnosis of FFA, seen at the dermatology department of Ibn Rochd University Hospital in Casablanca, Morocco. Data regarding demographics, clinical and trichoscopic findings were collected. Results: Twenty Four patients with FFA met the inclusion criteria. There were all women and half of them were postmenopausal (50%). The average age of disease onset was 46,95 years old. Pruritus was the most reported symptom (80%). An emotional factor was found in 40% of the cases and 45% of the patients reported the use of traditional products to their hairs. All patients presented with frontotemporal hairline recession with parietal or occipital involvement in 70% and 50% of the cases respectively, and 16 patients experienced eyebrow loss. Facial micropapules were found in 9 patients (45%), followed by patchy hyperpigmentation in 6 patients (30%) and follicular hyperpigmentation in 4 patients (20%). The majority of patients presented mild FFA (grades I and II), with a recession of less than 3 cm of the frontotemporal hairline (85%). The most frequent trichoscopic findings were perifollicular erythema (80%) and follicular hyperkeratosis (70%), followed by decreased or absence of vellus hairs (60%), lonely hairs (45%), perifollicular blue-gray pigmentation (35%), perifollicular brownish pigmentation (30%) and loss or absence of follicular openings (30%). Tufted hairs and white patches of scarring alopecia were found in 25% and 20% patients, respectively. Conclusion: Our study supports the role of cosmetic products or emotional factors in the physiopathology of FFA. Trichoscopy seems a valuable tool in the diagnosis of AFF. Perifollicular erythema, follicular hyperkeratosis and decreased of absence of vellus hairs are easily identified and are very suggestive of the diagnosis.

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“…Of the remaining neighbouring follicles, there are follicular hyperkeratosis, perifollicular erythema, and follicular plugs. 3,[36][37][38][39] Active disease is noted to have perifollicular erythema. 36,40 An independent marker of disease severity is the presence of cicatricial white patches.…”

Section: Trichoscopymentioning

confidence: 99%