Frontal fibrosing alopecia: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name            = Frontal fibrosing alopecia
| image          = [[File:Frontal_fibrosing_alopecia.webp|alt=Frontal fibrosing alopecia]]
| caption        = Frontal fibrosing alopecia affecting the hairline
| synonyms        = FFA
| specialty      = [[Dermatology]]
| symptoms        = [[Hair loss]] at the front of the scalp, [[eyebrow]] loss
| onset          = Typically post-menopausal women
| duration        = Chronic
| causes          = Unknown, possibly [[autoimmune disease]]
| risks          = [[Post-menopausal]] status, [[genetic predisposition]]
| diagnosis      = [[Clinical diagnosis]], [[biopsy]]
| differential    = [[Alopecia areata]], [[Lichen planopilaris]]
| treatment      = [[Topical corticosteroids]], [[5-alpha-reductase inhibitors]], [[antimalarials]]
| prognosis      = Variable, often progressive
| frequency      = Increasingly recognized, exact prevalence unknown
}}
'''Frontal fibrosing alopecia''' ('''FFA''') is a type of [[hair loss]] that affects the front of the scalp. It is a scarring form of alopecia, which means it can cause permanent hair loss.  
'''Frontal fibrosing alopecia''' ('''FFA''') is a type of [[hair loss]] that affects the front of the scalp. It is a scarring form of alopecia, which means it can cause permanent hair loss.  
== Causes ==
== Causes ==
The exact cause of FFA is unknown, but it is thought to be related to the immune system attacking the hair follicles. Some researchers believe that it may be triggered by hormonal changes, particularly those associated with menopause.  
The exact cause of FFA is unknown, but it is thought to be related to the immune system attacking the hair follicles. Some researchers believe that it may be triggered by hormonal changes, particularly those associated with menopause.  
== Symptoms ==
== Symptoms ==
The main symptom of FFA is a band of hair loss that extends across the front of the scalp. This can be accompanied by redness, itching, and scaling of the skin. In some cases, the eyebrows, eyelashes, and other body hair may also be affected.
The main symptom of FFA is a band of hair loss that extends across the front of the scalp. This can be accompanied by redness, itching, and scaling of the skin. In some cases, the eyebrows, eyelashes, and other body hair may also be affected.
== Diagnosis ==
== Diagnosis ==
Diagnosis of FFA is usually based on the characteristic appearance of the hair loss. A [[biopsy]] of the affected skin may be performed to confirm the diagnosis and rule out other causes of hair loss.
Diagnosis of FFA is usually based on the characteristic appearance of the hair loss. A [[biopsy]] of the affected skin may be performed to confirm the diagnosis and rule out other causes of hair loss.
== Treatment ==
== Treatment ==
Treatment for FFA aims to slow the progression of the hair loss. This can involve the use of medications such as [[corticosteroids]], [[minoxidil]], and [[finasteride]]. In some cases, a procedure called [[hair transplantation]] may be considered.
Treatment for FFA aims to slow the progression of the hair loss. This can involve the use of medications such as [[corticosteroids]], [[minoxidil]], and [[finasteride]]. In some cases, a procedure called [[hair transplantation]] may be considered.
== Prognosis ==
== Prognosis ==
The prognosis for FFA varies. Some people may experience a slow progression of the hair loss over many years, while others may lose their hair more quickly. Once the hair has been lost, it is unlikely to regrow.
The prognosis for FFA varies. Some people may experience a slow progression of the hair loss over many years, while others may lose their hair more quickly. Once the hair has been lost, it is unlikely to regrow.
== See also ==
== See also ==
* [[Alopecia areata]]
* [[Alopecia areata]]
* [[Androgenetic alopecia]]
* [[Androgenetic alopecia]]
* [[Telogen effluvium]]
* [[Telogen effluvium]]
== References ==
== References ==
<references />
<references />
== External links ==
== External links ==
* [https://www.aad.org/public/diseases/hair-loss/types/frontal-fibrosing Frontal fibrosing alopecia] at the American Academy of Dermatology
* [https://www.aad.org/public/diseases/hair-loss/types/frontal-fibrosing Frontal fibrosing alopecia] at the American Academy of Dermatology
[[Category:Hair diseases]]
[[Category:Hair diseases]]
[[Category:Autoimmune diseases]]
[[Category:Autoimmune diseases]]
[[Category:Skin conditions]]
[[Category:Skin conditions]]
{{stub}}
{{stub}}
<gallery>
File:Frontal fibrosing alopecia.webp|Frontal fibrosing alopecia
</gallery>

Latest revision as of 18:36, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics

Frontal fibrosing alopecia
Frontal fibrosing alopecia
Synonyms FFA
Pronounce N/A
Specialty Dermatology
Symptoms Hair loss at the front of the scalp, eyebrow loss
Complications N/A
Onset Typically post-menopausal women
Duration Chronic
Types N/A
Causes Unknown, possibly autoimmune disease
Risks Post-menopausal status, genetic predisposition
Diagnosis Clinical diagnosis, biopsy
Differential diagnosis Alopecia areata, Lichen planopilaris
Prevention N/A
Treatment Topical corticosteroids, 5-alpha-reductase inhibitors, antimalarials
Medication N/A
Prognosis Variable, often progressive
Frequency Increasingly recognized, exact prevalence unknown
Deaths N/A


Frontal fibrosing alopecia (FFA) is a type of hair loss that affects the front of the scalp. It is a scarring form of alopecia, which means it can cause permanent hair loss.

Causes[edit]

The exact cause of FFA is unknown, but it is thought to be related to the immune system attacking the hair follicles. Some researchers believe that it may be triggered by hormonal changes, particularly those associated with menopause.

Symptoms[edit]

The main symptom of FFA is a band of hair loss that extends across the front of the scalp. This can be accompanied by redness, itching, and scaling of the skin. In some cases, the eyebrows, eyelashes, and other body hair may also be affected.

Diagnosis[edit]

Diagnosis of FFA is usually based on the characteristic appearance of the hair loss. A biopsy of the affected skin may be performed to confirm the diagnosis and rule out other causes of hair loss.

Treatment[edit]

Treatment for FFA aims to slow the progression of the hair loss. This can involve the use of medications such as corticosteroids, minoxidil, and finasteride. In some cases, a procedure called hair transplantation may be considered.

Prognosis[edit]

The prognosis for FFA varies. Some people may experience a slow progression of the hair loss over many years, while others may lose their hair more quickly. Once the hair has been lost, it is unlikely to regrow.

See also[edit]

References[edit]

<references />

External links[edit]

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