Glabellar red dots in frontal fibrosing alopecia: a further clinical sign of vellus follicle involvement

Successful Treatment of Facial Papules in Frontal Fibrosing Alopecia with Oral Isotretinoin

“…A progressive frontal or frontotemporal symmetric band of alopecia is the usual presentation, with eyebrows being commonly involved [1]. Currently, several authors consider FFA as a generalized skin condition, and many features other than hair loss have been associated with the disease, including facial papules [2]. Facial papules as a sign of facial vellus hair follicle involvement in FFA was first recognized by Abbas et al [3] in 2007 and was later confirmed by Donati et al [4].…”

Isolated Body Hair Loss: An Unusual Presentation of Lichen Planopilaris

“…The possibility of body hair involvement is well established in some variants of LPP, such as FFA and LGLPS. FFA is mainly characterized by progressive recession of the frontotemporal hairline with eyebrow involvement; noninflammatory body hair loss is reported in up to 24% of FFA patients [5,6]. In LGLPS, patches of scarring hair loss on the scalp and disseminated follicular hyperkeratosis are classically described in association with noncicatricial alopecia of the axillary and pubic regions [1,7].…”

Clinical and Histopathological Findings of Frontal Fibrosing Alopecia-Associated Lichen Planus Pigmentosus

“…Later, in 2013, Dlova [5] reported her cases of facial LP pigmentosus associated with FFA; in 2014, Pirmez et al [13] described follicular red dots in the glabellar and forehead areas, and, in 2015, López-Pestaña et al [12] reported perifollicular and diffuse erythema and the gradual appearance of pigmented macules on facial skin, whose biopsies showed perifollicular and interfollicular lichenoid infiltrate. The description of facial lesions in FFA shows us that FFA is not restricted to the scalp and that facial involvement can be the first sign of FFA, which allows us to make an early diagnosis of FFA.…”