FRONTAL FIBROSING ALOPECIA Lidia Rudnicka Department of - - PowerPoint PPT Presentation

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frontal fibrosing alopecia
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FRONTAL FIBROSING ALOPECIA Lidia Rudnicka Department of - - PowerPoint PPT Presentation

Mar 01, 2024 157 likes •393 views

FRONTAL FIBROSING ALOPECIA Lidia Rudnicka Department of Dermatology, Medical University of Warsaw Poland lidiarudnicka@gmail.com I have no conflicts of interest Frontal fibrosing alopecia 97% - women 83% - postmenopausal Average age at

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FRONTAL FIBROSING ALOPECIA

Lidia Rudnicka

Department of Dermatology, Medical University of Warsaw Poland lidiarudnicka@gmail.com

I have no conflicts of interest

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97% - women 83% - postmenopausal Average age at onset Frontal fibrosing alopecia

  • A. Samrao, A-L. Chew, V. Price 2010, Tan et al. 2009
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Regression of the frontal hair line ~ 1 mm / month

K.T. Tan and A.G. Messenger 2009

0.3 – 1.5 mm/month

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Regression of the frontal hair line in FFA

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Moreno-Ramírez et al

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FFA

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Perifollicular scaling & erythema

Frontal fibrosing alopecia

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Lonely hair

Frontal fibrosing alopecia

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Loss of eyebrows in FFA (madarosis)

In 36% of patients eyebrow loss is the firsof FFA sign

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Van~o-Galvan et al. 2015

FFA - Visible frontal veins

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Glabellar red dots in FFA

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no follicular openings

Trichoscopy in FFA

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mild perifollicular scaling

Trichoscopy in FFA

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perifillicular erythema

Trichoscopy in FFA

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Trichoscopy of the eyebrow area in FFA

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Frontal fibrosing alopecia Vulvitis & vaginitis Gingivitis

Vulvovaginal-gingival-pilar LP

Olszewska et al. 2015

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Topical steroids Intralesional steroids

  • ev. 3 – 6 w

Prednisone Antimalarials Teracyclines Mofetyl myco- phenolate Acitretin Finasteride Dutasteride

e

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triamcinolon 2.5 - 10 mg/ml

J . C . DONOVA et al. 2010

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Conclusions

Frontal fibrosing alopecia is a subtype of lichen planopilaris Cicatricial regression of frontal hair line, loss of eyebrows, facial papules Often coexisting with LPP & mucosal lesions Treatment is focused on autoimmunity and/or androgens