Facial and Extrafacial Lesions in an Ethnically Diverse Series of 91 Patients with Frontal Fibrosing Alopecia Followed at a Single Center

    November 2018 in “ Dermatology ”
    Joshua S. Mervis, Luis J. Borda, Mariya Miteva
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    TLDR Most patients with frontal fibrosing alopecia had facial bumps, with Hispanic/Latino and premenopausal women being more affected, suggesting a more severe condition.
    The retrospective study analyzed 91 patients with frontal fibrosing alopecia (FFA), revealing that facial papules were the most common lesion, especially among Hispanic/Latino patients and premenopausal women, suggesting a link to more severe disease. Hispanic/Latino ethnicity was significantly associated with facial papules and premenopausal status, indicating a potential ethnic susceptibility to severe FFA. Extrafacial lesions were more prevalent in those with facial lesions, supporting the systemic nature of FFA. Additionally, 25% of patients had concomitant Lichen Planopilaris (LPP), and 37% experienced body hair loss. The study highlighted the need for further research to understand the implications of facial and extrafacial lesions in FFA.
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