| Summary: | Introduction: Fibrosing Frontal Alopecia (FFA) is a form of scarring alopecia, in which
patients have an irreversible loss of hair follicles, especially in the
frontal and temporoparietal regions. The etiopathogenesis is not fully
understood, although hypotheses about genetic, hormonal, and behavioral
factors, such as the use of sunscreen and facial moisturizers, have already
been described.
Methods: A case-control study was conducted using an objective questionnaire with 33
questions. Sixty women were evaluated, 30 diagnosed with FFA, and 30 not
affected by the disease.
Results: The mean age of the sample was 64 years old. 76.7% of patients with FFA and
23.3% of controls used facial sunscreen and the difference was statistically
significant (p<0.001). Also, the use of facial moisturizer was
significantly higher in patients with alopecia (63.3%) when compared to
controls (33.3%; p=0.038). The frequency of use of regular soap on the face
was significantly lower in patients with FFA (46.7%) when compared to the
control group (83.3%; p=0.006).
Conclusion: Results suggest a possible association between FFA and the use of facial
products, such as sunscreen and moisturizer, in this population. All
patients were menopausal, reinforcing the hormonal relationship with the
disease.
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