Frontal Fibrosing Alopecia: A New Association with Lichen Sclerosus in Men.

Autor: Rossi A; Drs. Rossi, Fortuna, Caro, Magri, and Grassi are with the Department of Internal Medicine and Medical Specialties, Dermatology at the Sapienza University of Rome in Rome, Italy.; Dr. Tadiotto Cicogna is with the Unit of Dermatology at the University of Padua in Padua, Italy., Tadiotto Cicogna G; Drs. Rossi, Fortuna, Caro, Magri, and Grassi are with the Department of Internal Medicine and Medical Specialties, Dermatology at the Sapienza University of Rome in Rome, Italy.; Dr. Tadiotto Cicogna is with the Unit of Dermatology at the University of Padua in Padua, Italy., Caro G; Drs. Rossi, Fortuna, Caro, Magri, and Grassi are with the Department of Internal Medicine and Medical Specialties, Dermatology at the Sapienza University of Rome in Rome, Italy.; Dr. Tadiotto Cicogna is with the Unit of Dermatology at the University of Padua in Padua, Italy., Fortuna MC; Drs. Rossi, Fortuna, Caro, Magri, and Grassi are with the Department of Internal Medicine and Medical Specialties, Dermatology at the Sapienza University of Rome in Rome, Italy.; Dr. Tadiotto Cicogna is with the Unit of Dermatology at the University of Padua in Padua, Italy., Magri F; Drs. Rossi, Fortuna, Caro, Magri, and Grassi are with the Department of Internal Medicine and Medical Specialties, Dermatology at the Sapienza University of Rome in Rome, Italy.; Dr. Tadiotto Cicogna is with the Unit of Dermatology at the University of Padua in Padua, Italy., Grassi S; Drs. Rossi, Fortuna, Caro, Magri, and Grassi are with the Department of Internal Medicine and Medical Specialties, Dermatology at the Sapienza University of Rome in Rome, Italy.; Dr. Tadiotto Cicogna is with the Unit of Dermatology at the University of Padua in Padua, Italy.
Jazyk: angličtina
Zdroj: The Journal of clinical and aesthetic dermatology [J Clin Aesthet Dermatol] 2021 Sep; Vol. 14 (9), pp. 54-58.
Abstrakt: Background: Frontal fibrosing alopecia (FFA) is a scarring alopecia that has been reported mostly in postmenopausal women and is characterized by frontotemporal hairline. Currently, there are only a few reports about FFA in male patients.
Objective: This study sought to analyze clinical and trichoscopic features of FFA in a case series of men and to describe the main features of FFA in male patients through a review of the literature.
Methods: Male patients with clinical and trichoscopical signs of FFA, histologically confirmed, who attended to our clinic from 2014 to 2019 were included in our study. From each patient, clinical and trichoscopic data were collected.
Results: Eight men with an average age of 59 years were recruited. In five patients, serrated hairline recession (i.e., a "zig-zag" pattern) was present, while three presented with linear hairline recession. Also, the eyebrows (n=3 patients), sideburns (n=2 patients), and beard (n=2 patients) were involved. Surprisingly, in two patients, an association with lichen sclerosus (LS) was present.
Conclusion: To the best of our knowledge, this is the first report of a serrated hairline recession pattern in male patients with FFA. A new association between FFA and LS in men was also found. Further studies need to establish the extent of this association and facilitate a better comprehension of the pathophysiologic mechanisms underlying these two diseases.
Competing Interests: DISCLOSURES: The authors report no conflicts of interest relevant to the content of this article.
(Copyright © 2021. Matrix Medical Communications. All rights reserved.)
Databáze: MEDLINE