Unusual patterns of presentation of frontal fibrosing alopecia: A clinical and trichoscopic analysis of 98 patients Alfredo Rossi, MD, PhD, Sara Grassi,

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Presentation transcript:

Unusual patterns of presentation of frontal fibrosing alopecia: A clinical and trichoscopic analysis of 98 patients Alfredo Rossi, MD, PhD, Sara Grassi, MD, Maria Caterina Fortuna, MD, Valentina Garelli, MD, Giulia Pranteda, MD, Gemma Caro, MD, Marta Carlesimo, MD Journal of the American Academy of Dermatology Volume 77, Issue 1, Pages 172-174 (July 2017) DOI: 10.1016/j.jaad.2017.02.012 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Frontal fibrosing alopecia (male androgenetic alopecia-like pattern) (A and C). Two cases of female patients had marked and symmetric recession of frontotemporal hairlines, with a peculiar sparing of the paramedian part of frontal hairline and the presence of bandlike atrophic areas with some terminal hairs in scarring outcome (black arrows). Frontal fibrosing alopecia (male androgenetic alopecia-like pattern) (B and D). Trichoscopic examination: scarring white patches with lack of follicular openings (green arrows), mild perifollicular scaling and erythema (red arrows), and some terminal hairs and single-hair pilosebaceous units (black arrows). Journal of the American Academy of Dermatology 2017 77, 172-174DOI: (10.1016/j.jaad.2017.02.012) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Frontal fibrosing alopecia (cockade-like pattern) (A). A 63-year-old female patient with symmetric oval patches of alopecia, with a peculiar thin band of temporal hairline sparing. Loss of eyebrows was also present. Frontal fibrosing alopecia (cockade-like pattern) (B). Trichoscopic examination: absence of follicular openings (green arrow), mild perifollicular scaling and erythema (red arrow), and some terminal hairs and single-hair pilosebaceous units (black arrows). Frontal fibrosing alopecia (ophiasis-like pattern) (C). A 56-year-old female patient with irregular alopecic area involving from frontal to occipital area, mimicking alopecia areata. Frontal fibrosing alopecia (D). Trichoscopic examination: absence of follicular openings (green arrow), mild perifollicular scaling (red arrow), and some terminal hairs and single-hair pilosebaceous units (black arrows). Journal of the American Academy of Dermatology 2017 77, 172-174DOI: (10.1016/j.jaad.2017.02.012) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions