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Open Access Publications from the University of California

Frontal fibrosing alopecia in a 46-year-old man

  • Author(s): White, Forrest
  • Callahan, Shields
  • Kim, Randie H
  • Meehan, Shane A
  • Stein, Jennifer
  • et al.
Creative Commons 'BY-NC-ND' version 4.0 license

Frontal fibrosing alopecia is a scarring alopecia thatis characterized by recession of the frontotemporalhairline with the frequent loss of eyebrows. Itpredominantly affects postmenopausal womenand only rarely affects men. We report the caseof a 46-year-old man with a ten-year history of anerythematous patch with perifollicular erythemaat the superior aspect of the forehead andfrontotemporal hairline. A skin biopsy specimenshowed a perivascular, lymphocytic infiltrate withperiinfundibular fibrosis. These findings establisheda diagnosis of frontal fibrosing alopecia. Thepathogenesis of this condition is poorly understoodbut may be hormonally-mediated.

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