FFA Patient Profile Analysis Based on the Authors’ Observations and a Review of the Literature—An Original Survey

This study on frontal fibrosing alopecia (FFA) involved 19 women, primarily postmenopausal, with an average age of 60.58 years. It found that FFA often occurs after menopause, with a significant diagnostic delay of over 5 years. Common comorbidities included hypothyroidism (89.47%), and a notable number of participants had a history of reproductive or breast cancer (42.1%). The study observed a potential link between FFA and the use of β-blockers and levothyroxine. Scalp itching or pain was reported in 47.4% of cases, which may aid in diagnosis. Sunscreen use was frequent and suggested as a potential trigger, though its avoidance is not recommended due to cancer risk. The findings highlight the need for increased clinician awareness and further research into FFA's pathogenesis and risk factors.