Cicatricial Alopecia by Vera Price & Paradi Mirmirani

Author:Vera Price & Paradi Mirmirani
Language: eng
Format: epub
Publisher: Springer New York, New York, NY

Loss of eyebrows may be complete or partial and is supportive of the diagnosis of FFA. It appears at the same time as the hairline recession in most cases; however, it may precede the hairline recession by years, or appear after the onset. Patients may also report loss of limb hair, and loss of eyelashes. Histologic findings in FFA are indistinguishable from those of LPP and the other lymphocytic cicatricial alopecias (See Chap. 3).

Lichen planopilaris may develop in some patients with FFA. Cutaneous or mucous membrane lichen planus may also occur but is less common in patients with FFA than in patients with LPP.

At present, there is no explanation for the curious association of frontal hairline recession and associated eyebrow loss and occasional limb and eyelash loss. Histology of affected eyebrows and limbs has shown a scarring process rather than features of alopecia areata.

The increased incidence of this acquired, nonhereditary, distinctive cicatricial alopecia described for the first time in 1994 has been noted in North America, Europe, and Australia. We suspect that an environmental factor may be involved in FFA, and if so, it appears to have an affinity for the pilosebaceous follicle.

A review of the clinical features of 36 patients with FFA (35 females and 1 male) is shown in Table 6.3. Table 6.3Frontal fibrosing alopecia patient demographics and clinical findings

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