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[Postmenopausal frontal fibrosing alopecia: 20 cases]
V Vaisse1, B Matard, P Assouly
1Unité de Dermatologie, Hôpital Tenon, 4, rue de la Chine, 75020 Paris.
Introduction:
Postmenopausal frontal fibrosing alopecia is a scarring alopecia that has been recently described by Kossard in 1994 and rarely reported in the literature.
Observations:
We have conducted a retrospective clinical and histological study of a series of 20 cases of postmenopausal frontal fibrosing alopecia. The results, in agreement with those in the literature, revealed the stereotyped nature of this entity.
Discussion:
All the clinical and histological data suggest that postmenopausal frontal fibrosing alopecia is a clinical form of lichen planopilaris occurring in elderly women. As with lichen planopilaris its physiopathology is unknown. However, in analogy with other lichen-like dermatoses, a lymphocyte T-mediated autoimmune reaction appears to play a predominant part in its genesis.
