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Photography in Hair Diseases
Published in Rubina Alves, Ramon Grimalt, Techniques in the Evaluation and Management of Hair Diseases, 2021
For frontal fibrosing alopecia, the clue is to catch one image of the frontal hairline, eyebrows, and nasal bridge (Figure 3.6) [3]. Other pictures should be taken to expose the temporal hairline (profile picture with characteristic anatomical sites such as the ear or nose) and, in some cases, the occipital area.
Geriatric hair and scalp disorders
Published in Robert A. Norman, Geriatric Dermatology, 2020
Inflammatory scarring alopecias include discoid lupus erythematosus, lichen planopilaris, folliculitis decalvans and infectious processes. Four scarring alopecias deserve special mention as they are nearly unique to middle-aged and older women: frontal fibrosing alopecia, erosive pustular dermatosis, follicular degeneration syndrome and pseudopelade of Brocq. Frontal fibrosing alopecia has been reported exclusively in postmenopausal females. Erosive pustular dermatosis was first reported in elderly females. Follicular degeneration syndrome is typically seen in middle-aged black females. A more recent study reports the occurrence in middle-aged black males. Pseudopelade of Brocq primarily affects adult females.
Hair disorders (trichoscopy)
Published in Aimilios Lallas, Enzo Errichetti, Dimitrios Ioannides, Dermoscopy in General Dermatology, 2018
Adriana Rakowska, Lidia Rudnicka
In frontal fibrosing alopecia, lonely hairs can be typically found. These are isolated terminal hairs in the middle of the forehead, at the site of the original hairline (Figure 15.10).67 The other feature is absence of vellus hairs in the recessed hairline (Figure 15.11).68
A comprehensive review of platelet-rich plasma for the treatment of dermatologic disorders
Published in Journal of Dermatological Treatment, 2023
Jessica N. Pixley, Madison K. Cook, Rohan Singh, Jorge Larrondo, Amy J. McMichael
Cicatricial alopecia comprises a group of disorders in which peribulbar lymphocytic inflammation leads to destruction of the hair follicle and replacement by fibrous tissue that prevents hair regrowth (20). One multicenter study found the scarring alopecias together comprise approximately 26.8% of total alopecias, of which the most common was frontal fibrosing alopecia (FFA) with a prevalence of 40.1% of cicatricial alopecias (21,22). Treatment of scarring alopecia is challenging, with treatments utilized including oral finasteride, dutasteride, topical, intralesional, and systemic steroids, minoxidil, topical tacrolimus, and oral hydroxychloroquine. Several subtypes including central centrifugal cicatricial alopecia (CCCA), lichen planopilaris (LPP), and FFA have been successfully treated with PRP, although current literature is limited to a few case reports. Of the four case reports available, 2 described a subjective improvement in hair density, 1 described improved perifollicular erythema and scaling, and the last described complete regression of scalp erythema and scaling (Table 1).
Oral isotretinoin combined with topical clobetasol 0.05% and tacrolimus 0.1% for the treatment of frontal fibrosing alopecia: a randomized controlled trial
Published in Journal of Dermatological Treatment, 2022
Hamidreza Mahmoudi, Anahita Rostami, Soheil Tavakolpour, Ali Nili, Amir Teimourpour, Ali Salehi Farid, Robabeh Abedini, Mohammad Amini, Maryam Daneshpazhooh
Patients were followed for a period of 6 months. FFA severity and response to treatment were evaluated by the Frontal Fibrosing Alopecia Severity Index (FFASI) questionnaire. All variables and clinical features were stated based on the FFASI questionnaire terminology (11). Photography of scalp hairline, eyebrows, eyelashes, facial papules, flexures, limbs, and nails were taken with Visioface® (Courage – Khazaka Electronic, Köln) and/or a camera at baseline, the second, and the sixth months. Two dermatologists who were blind to the group assignment and familiar to FFASI questionnaire evaluated and scored FFASI for each patient at each visit. Patients’ self-reported complaints, clinical examination, and laboratory tests every 2 months were used to evaluate treatments’ side effects.
Tolerability of hair cleansing conditioners: a double-blind randomized, controlled trial designed to evaluate consumer complaints to the U.S. Food and Drug Administration
Published in Cutaneous and Ocular Toxicology, 2020
Erin M. Warshaw, Jamie P. Schlarbaum, Yujie L. Liou, Rebecca S. Kimyon, Amy J. Zhang, Anne B. Nikle, Andrew D. Monnot, Sara A. Hylwa
Could product residue collect in hair follicles? Follicular plugging is prominent in several types of alopecia56. While our study was not specifically designed to address follicular plugging and/or folliculitis, we did not observe this in our volunteers. A Spanish case-control study (n = 335) of frontal fibrosing alopecia found associations with facial sunscreen, rosacea, hormonal factors and occupation62. CD to sunscreen/facial products has been hypothesized as a mechanism for frontal fibrosing alopecia, although CD experts strongly disagree with this theory63,64. In addition, in the 512 individual self-reports, only 3 (0.6%) reported frontal fibrosing alopecia [other choices: hormonal imbalance (3.5%), alopecia areata (2.9%), scarring alopecia (0.6%), telogen effluvium (1.4%), traction alopecia (0.2%), endocrine problems (6.1%) and dermatological problems (4.1%)]60.