Postmenopausal frontal fibrosing alopecia: A frontal variant of lichen planopilaris

Examination of Clinical and Demographic Characteristics of 14 Cases with Frontal Fibrosing Alopecia

“…However, this measurement was not taken in our cases. 96% of the published cases were reported to have paleness in alopecic skin, destruction of follicular orifices, and skin atrophy without clinical induration and sclerosis (1,5,6,20). All our cases had cicatricial alopecia.…”

“…In cases with long-term FFA, the performed biopsies are only reported as cicatricial alopecia, and fibrous tracts without follicle and inflammatory infiltrate are seen (13). Therefore, while some authors show several clinical presentation, they accept FFA as a special variant of lichen planopilaris (5,20). The histopathological examinations of our cases who underwent biopsy could not be distinguished from LPP.…”

“…This traction increases even more over time (2,6,7). Traction on the hairline may vary, progresses slowly and spontaneously stop years after onset (6,7,20). The severity of the disease may also be identified by measuring glabellar-frontal distance which is normally 5.9 cm on average (7).…”

“…Eyelash loss in FFA is occasional and may indicate poor prognosis. Investigators reported that these cases require systemic treatment (14,20,23). In some studies, eyelash loss was detected in 3-26% of the cases (12,13).…”

“…Graham-Little-Piccardi-Lassueur characterized by diffuse follicular plug or papules, and non-cicatricial alopecia causes including alopecia mucinosa, keratosis follicularis spinulosa decalvans neutrophilic type cicatricial alopecia, alopecia areata, androgenetic alopecia, female-type hair loss, chronic telogen effluvium and familial high hairline should be considered (2,3,6,20). Very little is known about the natural progression and history of FFA.…”