Frontal Fibrosing Alopecia in Males: A Systematic Review

This systematic review of frontal fibrosing alopecia (FFA) in males analyzed 40 articles with 362 male patients, revealing that FFA, previously thought to mainly affect postmenopausal women, also significantly impacts men. The average age of onset was 50.3 years, with common hair loss sites being the eyebrows (70.4%), beard (49.4%), and sideburns (41.2%). Comorbidities like androgenetic alopecia and rosacea were present in 46.7% of patients. Only 19.6% of patients were undergoing treatment, primarily with topical corticosteroids and oral finasteride. Monotherapy led to partial resolution, while combination therapy achieved complete resolution in 17.9% of cases. The study calls for further research due to small sample sizes and inconsistent outcome reporting.