FRONTAL FIBROSING ALOPECIA

What is frontal fibrosing alopecia (FFA)?

  • This is a type of scarring hair loss condition that affects the frontal hairline in women as well as other areas such as the sides of the scalp and sometimes the eyebrows, lashes and body hair. 
  • The hair loss in the bald areas is permanent

Who gets frontal fibrosing alopecia?

  • Females between 45-65 are most likely to develop FFA
  • Caucasian women seen predominantly affected

What are the symptoms and signs of frontal fibrosing alopecia?

  • Many patients with FFA are asymptomatic but rarely there is burning, pain and tenderness in the affected areas scalp.  
  • Most patents come to notice loss of hair in the frontal hairline or sides or loss of the eyebrows.
  • There may be redness in the affected areas, mainly around the hair follicles

How does the doctor arrive at the diagnosis of frontal fibrosing alopecia?

  • Several features  lead to this diagnosis, including the pattern of hair loss (the areas that are affected), and the appearance of the affected hairs and skin when examined at high magnification. 
  • A biopsy is sometimes used to confirm the diagnosis

How is frontal fibrosing alopecia treated?

How long will I be on these treatments?

  • Your disease will be carefully monitored. If the disease does not appear to be spreading, the doses of medications will be reduced and possibly stopped.
  • However, if there is any evidence the disease is increasing, increased doses or even new medications may be prescribed.

 



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