Frontal Fibrosing Alopecia: A Retrospective Study of 75 Patients

This retrospective study analyzed 75 patients (73 women and 2 men) with frontal fibrosing alopecia (FFA) at a hospital in Madrid, Spain, from 2016 to 2018. The median age of symptom onset was 61 years. Eyebrow involvement was common (93.3%), and 9.6% showed signs of oral and genital lichen planus. Hypothyroidism was present in 14.7% of patients, and 20% had signs of rosacea. Patients with a linear pattern of FFA had less severe disease. Oral medications were used in 24 patients with unstable or symptomatic disease, achieving stability in 75% of cases. Facial papules and rosacea were more common in younger patients and were associated with a greater need for oral treatment. The study highlighted a higher prevalence of oral and genital lichen planus compared to the general population and noted that most patients were postmenopausal women.