Frontal Fibrosing Alopecia: a Disease That Remains Enigmatic
Overview
Affiliations
Frontal fibrosing alopecia (FFA) is recognized to represent a generalized process of inflammatory scarring alopecia. Apart from the classic form affecting the frontal hairline, there are a range of disease manifestations involving loss of eyebrows and of eyelashes, loss of peripheral body hair, fibrosing alopecia in a pattern distribution, facial and extrafacial skin, mucous membrane, and nail involvement. Classic linear, diffuse "zigzag", pseudo "fringe sign", androgenetic alopecia-like, cockade-like, ophiasis-like and incomplete patterns are distinguished. The aetiology of FFA remains obscure, but a number of pathogenetic hypotheses and treatments to halt disease progression have been proposed.
Kolcz K, Krawczyk-Woloszyn K, Reich A, Zychowska M J Clin Med. 2024; 13(16).
PMID: 39201040 PMC: 11355708. DOI: 10.3390/jcm13164898.
Trichoscopy of Androgenetic Alopecia: A Systematic Review.
Kuczara A, Waskiel-Burnat A, Rakowska A, Olszewska M, Rudnicka L J Clin Med. 2024; 13(7).
PMID: 38610726 PMC: 11012765. DOI: 10.3390/jcm13071962.
Roman A, Petca R, Dumitrascu M, Petca A, Ionescu Miron A, Sandru F J Pers Med. 2024; 14(1).
PMID: 38248773 PMC: 10817300. DOI: 10.3390/jpm14010072.
Dunn C, Griffith V, Coican A, Dane A, Chow W, Aneja S JAAD Case Rep. 2023; 40:47-52.
PMID: 37701887 PMC: 10493233. DOI: 10.1016/j.jdcr.2023.07.037.
Frontal fibrosing alopecia coexisting with vitiligo: is there a true association?.
Pauli Damke J, Ossanai Schoenardie B, Figini Maciel R, Peruzzo J An Bras Dermatol. 2023; 98(6):853-855.
PMID: 37479631 PMC: 10589473. DOI: 10.1016/j.abd.2021.10.018.