Frontal fibrosing alopecia is a condition that is increasing in epidemic proportions, says Jerry Shapiro, M.D., in a presentation given at the 2018 AAD Summer Meeting.
Is frontal fibrosing alopecia a rare disease?
Frontal fibrosing alopecia (FFA) is a rare variant of lichen planopilaris (see this term) characterized by symmetrical, progressive, band-like anterior hair loss of the scalp.
How many years does frontal fibrosing alopecia last?
Usually, frontal fibrosing alopecia is slowly progressive although it seems to be self-limiting in most cases after several years. The hair line recedes on average of 1.8-2.6 cm. As it is a scarring alopecia, hair does not regrow unless treatment is instituted early in the process.
Does frontal fibrosing alopecia ever stop?
Although it has been suggested that FFA may be due to hormonal changes or an autoimmune response, the exact cause of this condition is not yet known. There is currently no cure for FFA; however, treatment with certain types of medications may stop or slow hair loss in some cases.
Do you always lose your eyebrows with frontal fibrosing alopecia?
FFA includes frontal hair loss for over 99% of diagnosed patients and, for women, often begins with the loss of eyebrows. Typically, other symptoms occur alongside these primary indicators.
What can be done about frontal fibrosing alopecia?
How can frontal fibrosing alopecia be treated?
- Topical corticosteroids. …
- Topical Tacrolimus. …
- Intralesional steroids. …
- Antibiotics e.g. tetracycline, doxycycline. …
- Hydroxychloroquine. …
- Immunomodulatory drugs e.g. mycophenolate mofetil. …
- Antiandrogen treatments e.g. oral finasteride and dutasteride.
Does minoxidil work for frontal fibrosing alopecia?
Currently, the combination of finasteride and topical minoxidil (particularly in women with combined female pattern hair loss) or hydroxychloroquine are the main treatments that appear to help stabilize FFA. Intralesional steroids for partial hair loss may be helpful.
Is frontal fibrosing alopecia common?
An increasingly common type of hair loss in older women is a receding hairline, called frontal fibrosing alopecia (FFA). It’s a form of lichen planopilaris.
Can you lose all your hair with lichen planopilaris?
How is lichen planopilaris treated? The goal of treatment is to stop the disease. Hair regrowth in the bald areas is not possible in most cases. Even with treatment, some hair loss can still occur, albeit very slowly.
What are the signs of frontal fibrosing alopecia?
What are the signs and symptoms of frontal fibrosing alopecia?
- Itchy or painful scalp. …
- Rash along hairline, face, or scalp. …
- Loss of eyebrows. …
- Receding hairline (early) …
- Hair loss spreads. …
- Advanced hair loss. …
- Small, raised bumps on the face. …
- Loss of hair in beard area.
What autoimmune disease causes frontal fibrosing alopecia?
Causes of Frontal Fibrosing Alopecia
FFA is considered a subtype of another disease called lichen planopilaris (LPP), an autoimmune disease that leads to progressive hair loss. The microscopic appearance of FFF closely resembles that of LPP, suggesting that autoimmunity may also play a part.
Is frontal fibrosing alopecia itchy?
Frontal fibrosing alopecia may cause no symptoms at all or may cause an itchy, painful or burning sensation in a band across the frontal hairline. Many people find the experience of hair loss to be distressing.
Will my hair grow back with scarring alopecia?
Scarring alopecias are typically caused by inflammation that results in destruction of the hair follicle leading to irreversible hair loss. If the condition is treated early in the disease course, it is sometimes possible to regrow hair.
Does FFA burn out?
The condition may burn itself out after several years but slow progression over many years is common. There are treatments aimed at stopping further destruction of the hair follicles. How can FFA be treated? FFA can be treated with topical treatments, such as steroid lotions and tablets.
Is FFA genetic?
FFA is often referred to as a dermatological epidemic with possible environmental trigger(s) implicated3. Nevertheless, the pathogenesis of FFA also includes a genetic component, as evidenced by frequent familial segregation4,5,6,7,8,9,10,11.
Which lack of vitamin causes hair fall?
Research shows that a lack of vitamin D in your body can lead to hair loss. One role vitamin D plays is stimulating new and old hair follicles. When there isn’t enough vitamin D in your system, new hair growth can be stunted.