Frontal Fibrosing Alopecia

Frontal fibrosing alopecia is a relatively new hair loss condition that was first described in the 1990s. Though initially thought of as a rare condition, frontal fibrosing alopecia has become increasingly more common with the reported incidence increasing worldwide. The cause remains unknown. Classically, it affects white, post-menopausal women over the age of 50. Affected individuals notice a band-like area of hair loss along the anterior hairline resulting in a receding frontal hairline. The skin in the affected area is pale, shiny, and devoid of any hair follicles. Occasionally, there can be single lone hairs that remain in the bald areas. It is not uncommon for affected individuals to also experience scarring hair loss of the eyebrows. While there is no cure, various therapies have been tried. Treatment options include topical medications, intralesional steroid injections, and various oral medications.