A 75-year-old woman presented with 10-year history of slowly progressing hair loss confined to the hairline and eyebrows. Clinical examination revealed band of alopecia with marked recession of the frontotemporal hairline, which was clearly demarcated from the actinically damaged skin of the brow. Previous treatment with methotrexate and acitretin had been unsuccessful. On the basis of the typical clinical findings we diagnosed frontal fibrosing alopecia (FFA). This is rarely occurring form of cicatricial alopecia that predominantly affects postmenopausal women. The etiopathology of FFA has not been established, but connection with lichen planus has been suggested. Only in unclear cases and for distinction from other forms of alopecia is it ever necessary to obtain biopsy sample for laboratory examination. There is no causal treatment for FFA. We prevented further hair loss by treatment with hydroxychloroquine and topical corticosteroids.
Dr. med. Bijan Koushk Jalali, Dr. med. Christian Tigges, Prof. Dr. med. Alexander Kreuter, Clinic for Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University of Witten-Herdecke, email@example.com
Conflict of interest statement: The authors declare that no conflict of interest exists.
Translated from the original German by David Roseveare.
Cite this as: Koushk Jalali B , Tigges C, Kreuter A: A slowly receding hairline. Dtsch Arztebl Int 2018; 115: 673. DOI: 10.3238 / arztebl.2018.0673