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Frontal Fibrosing Alopecia: An Observational Single-Center Study of 306 Cases
Marcos Carmona-Rodríguez1, Fernando Moro-Bolado1, Guillermo Romero-Aguilera1
1Servicio de Dermatología, Hospital General Universitario, 13005 Ciudad Real, Spain.
Life (Basel, Switzerland)
|June 28, 2023
Summary
Frontal fibrosing alopecia (FFA) is a scarring condition primarily affecting postmenopausal women. Disease progression correlates with severity, but clinical signs do not predict progression.
Area of Science:
- Dermatology
- Trichology
Background:
- Frontal fibrosing alopecia (FFA) is a progressive scarring alopecia.
- Primarily affects postmenopausal women.
Purpose of the Study:
- To analyze the clinical characteristics, progression, and prevalence of FFA.
- To investigate factors influencing FFA severity and progression.
Main Methods:
- Retrospective, observational, single-center study.
- Inclusion of 306 patients diagnosed with FFA between 2010 and 2021.
- Analysis of disease severity, time of progression, and comorbidities.
Main Results:
- Mean age of onset was 59.5 years.
- Severity was evenly distributed between mild and severe forms.
- Positive correlation between disease severity and time of progression.
- Hypothyroidism present in 22.9% of patients.
- Prevalence estimated at 0.15% and incidence at 15.47 new cases per 100,000 inhabitants.
Conclusions:
- Disease progression in FFA is linked to its severity.
- Clinical signs, including inflammatory trichoscopic signs, are not associated with FFA progression.
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