Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential Diagnosis

Frontal fibrosing alopecia (FFA) is more common in postmenopausal women, but it can occur in younger women. Some authors consider FFA to be a distinct frontal variant of lichen planopilaris. From a clinical point of view, this relatively uncommon condition is characterized by progressive frontotempo...

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Main Authors: P. Rubegni, F. Mandato, M. Fimiani
Format: Article
Language:English
Published: Karger Publishers 2010-04-01
Series:Case Reports in Dermatology
Subjects:
Online Access:http://www.karger.com/Article/FullText/298283
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author P. Rubegni
F. Mandato
M. Fimiani
author_facet P. Rubegni
F. Mandato
M. Fimiani
author_sort P. Rubegni
collection DOAJ
description Frontal fibrosing alopecia (FFA) is more common in postmenopausal women, but it can occur in younger women. Some authors consider FFA to be a distinct frontal variant of lichen planopilaris. From a clinical point of view, this relatively uncommon condition is characterized by progressive frontotemporal recession due to inflammatory destruction of hair follicles. Dermoscopy can be very useful, as the differential diagnosis between traction alopecia, alopecia areata, FFA and cicatricial marginal alopecia may be difficult. It is not clear whether or not treatment alters the natural history of the disease – the disease stabilized with time in most of the patients with or without continuing treatment. Here we report a case of a 50-year-old woman with FFA and discuss the relevance of dermoscopy in the differential diagnosis of this disease.
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spelling doaj.art-60827f9e734d406faaf44004257ce8f52022-12-21T23:57:08ZengKarger PublishersCase Reports in Dermatology1662-65672010-04-0121404510.1159/000298283298283Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential DiagnosisP. RubegniF. MandatoM. FimianiFrontal fibrosing alopecia (FFA) is more common in postmenopausal women, but it can occur in younger women. Some authors consider FFA to be a distinct frontal variant of lichen planopilaris. From a clinical point of view, this relatively uncommon condition is characterized by progressive frontotemporal recession due to inflammatory destruction of hair follicles. Dermoscopy can be very useful, as the differential diagnosis between traction alopecia, alopecia areata, FFA and cicatricial marginal alopecia may be difficult. It is not clear whether or not treatment alters the natural history of the disease – the disease stabilized with time in most of the patients with or without continuing treatment. Here we report a case of a 50-year-old woman with FFA and discuss the relevance of dermoscopy in the differential diagnosis of this disease.http://www.karger.com/Article/FullText/298283AlopeciaDermoscopyMenopausalLichen planopilaris
spellingShingle P. Rubegni
F. Mandato
M. Fimiani
Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential Diagnosis
Case Reports in Dermatology
Alopecia
Dermoscopy
Menopausal
Lichen planopilaris
title Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential Diagnosis
title_full Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential Diagnosis
title_fullStr Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential Diagnosis
title_full_unstemmed Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential Diagnosis
title_short Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential Diagnosis
title_sort frontal fibrosing alopecia role of dermoscopy in differential diagnosis
topic Alopecia
Dermoscopy
Menopausal
Lichen planopilaris
url http://www.karger.com/Article/FullText/298283
work_keys_str_mv AT prubegni frontalfibrosingalopeciaroleofdermoscopyindifferentialdiagnosis
AT fmandato frontalfibrosingalopeciaroleofdermoscopyindifferentialdiagnosis
AT mfimiani frontalfibrosingalopeciaroleofdermoscopyindifferentialdiagnosis