Alopecia Areas in the Frontal Region

    Maribet González-González, Diana Miroslava Zamora-Benze, Lourdes Martínez-Ordaz
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    TLDR Early diagnosis and treatment can help manage fibrosing alopecia in older women.
    The document presents a clinical case of a 71-year-old woman with fibrosing alopecia in a pattern distribution (FAPD), a scarring type of alopecia affecting the frontal region. It highlights the condition's distinction from androgenetic alopecia through its scarring nature and specific histological features, such as lymphocytic infiltration and follicular degeneration. FAPD is more prevalent in postmenopausal women and lacks definitive treatment guidelines. Current treatments, including oral minoxidil, spironolactone, and topical steroids, focus on halting progression rather than promoting hair regrowth in scarred areas. Early diagnosis and intervention are essential for improving outcomes.
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