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Frontal Fibrosing Alopecia: Role of Dermoscopy in Differential DiagnosisRubegni P. · Mandato F. · Fimiani M.
Dermatology Unit, Department of Clinical Medicine and Immunological Sciences, University of Siena, Siena, Italy Corresponding Author
Dr. Filomena Mandato
Department of Clinical Medicine and Immunological Sciences
Dermatology Unit, Policlinico ‘Le Scotte’, Viale Bracci 1
IT–53100 Siena (Italy)
Tel. +39 0577 585 428, Fax +39 0577 442 38, E-Mail email@example.com
Frontal fibrosing alopecia (FFA) is more common in postmenopausal women, but it can occur in younger women. Some authors consider FFA to be a distinct frontal variant of lichen planopilaris. From a clinical point of view, this relatively uncommon condition is characterized by progressive frontotemporal recession due to inflammatory destruction of hair follicles. Dermoscopy can be very useful, as the differential diagnosis between traction alopecia, alopecia areata, FFA and cicatricial marginal alopecia may be difficult. It is not clear whether or not treatment alters the natural history of the disease – the disease stabilized with time in most of the patients with or without continuing treatment. Here we report a case of a 50-year-old woman with FFA and discuss the relevance of dermoscopy in the differential diagnosis of this disease.
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