Alopecia Frontalis Fibrosans is a frontotemporal-onset receding hairline that has subsequently spread to the entire hairline in a slowly progressive manner.
This pathology is characterized by follicular hyperkeratosis of the affected hairs, with variable perifollicular erythema and subsequent scarring, resulting in irreversible alopecia. In addition, in 75% of cases there is concomitant alopecia of the eyebrows, in 25% hair loss, and in 3% of eyelashes.
Causes of Frontal Fibrosing Alopecia
The causative factor of frontal fibrosing alopecia remains unknown. Biopsies show features similar to those of lichen planus pilaris, so it is considered a site-specific variant. However, no signs of lichen planus are observed in locations such as the nails or mucous membranes, which are common.
Treatment of Alopecia Frontalis Fibrosans
The objective of the treatment of Alopecia Frontalis Fibrosans is to slow its progression. The best results are found with the combination of different drugs, topical treatments and mesotherapy.
Once the disease has stopped, surgical treatment with hair micrografting can be performed.