{"id":161,"date":"2024-05-31T15:30:03","date_gmt":"2024-05-31T13:30:03","guid":{"rendered":"https:\/\/www.elinjertocapilar.com\/en\/?p=161"},"modified":"2024-05-31T17:10:19","modified_gmt":"2024-05-31T15:10:19","slug":"frontal-fibrosing-alopecia-causes-and-treatment","status":"publish","type":"post","link":"https:\/\/www.elinjertocapilar.com\/en\/frontal-fibrosing-alopecia-causes-and-treatment\/","title":{"rendered":"Frontal Fibrosing Alopecia: Causes and Treatment"},"content":{"rendered":"<p>The information about <a title=\"Information about alopecia with interesting articles\" href=\"https:\/\/www.elinjertocapilar.com\/en\/alopecia\/\"><strong>alopecia<\/strong><\/a> is often varied and extensive, although <strong>frontal fibrosing alopecia<\/strong> is one of the conditions that took the longest to be described. The first time a doctor produced a precise report identifying it as a variant of <strong>scarring alopecia<\/strong> was in 1994 by Dr. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21428120\" target=\"_blank\" rel=\"noopener\">Kossard<\/a>. It is characterized by hair loss and scarring in the frontal region of the scalp, right at the hairline.<\/p>\n<h2>Characteristics<\/h2>\n<p>It generally <strong>affects postmenopausal women<\/strong>, around 50 years of age, and is characterized by causing, in addition to hair loss, the creation of a symmetrical band in the frontal part of the scalp, also covering the sides of the head. Occasionally, frontal fibrosing alopecia causes loss of eyebrows and body hair. In some cases, isolated hairs in scarred areas have been described.<\/p>\n<p>The visual characteristics of FFA show the <strong>affected area as pale and shiny<\/strong>, similar to other tissues that have healed from deep wounds. If the area is observed closely, scaly areas with pronounced redness around the hair follicles can be detailed.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-162 size-full\" src=\"https:\/\/www.elinjertocapilar.com\/en\/wp-content\/uploads\/2014\/10\/alopecia-frontal-fibrosante.jpg\" alt=\"Frontal fibrosing alopecia\" width=\"620\" height=\"233\" title=\"\" srcset=\"https:\/\/www.elinjertocapilar.com\/en\/wp-content\/uploads\/2014\/10\/alopecia-frontal-fibrosante.jpg 620w, https:\/\/www.elinjertocapilar.com\/en\/wp-content\/uploads\/2014\/10\/alopecia-frontal-fibrosante-300x112.jpg 300w\" sizes=\"(max-width: 620px) 100vw, 620px\" \/>As it progresses and its effects are not corrected, the affected person notices a progression of <strong>symmetrical hair loss on both sides of the head<\/strong>. This advances inward over time if treatment is not started. In the initial stages, hair loss is two to three centimeters, and when the disease progresses, it can reach a depth of 10 centimeters.<\/p>\n<p>The <strong>disappearance of body hair<\/strong> is also found in the disease lichen planopilaris, which is closely related to <strong>frontal fibrosing alopecia in women<\/strong>. They may have symptoms of female pattern baldness.<\/p>\n<h2>Causes of Frontal Fibrosing Alopecia<img decoding=\"async\" class=\"aligncenter wp-image-163 size-full\" src=\"https:\/\/www.elinjertocapilar.com\/en\/wp-content\/uploads\/2014\/10\/sistema-hormonal-femenino.jpg\" alt=\"Female hormonal system\" width=\"500\" height=\"353\" title=\"\" srcset=\"https:\/\/www.elinjertocapilar.com\/en\/wp-content\/uploads\/2014\/10\/sistema-hormonal-femenino.jpg 500w, https:\/\/www.elinjertocapilar.com\/en\/wp-content\/uploads\/2014\/10\/sistema-hormonal-femenino-300x211.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/h2>\n<p>The causes are unknown. Currently, numerous studies have tried to find an origin or <strong>causes of frontal fibrosing alopecia<\/strong>. As of the writing of this article, they remain unknown. However, it is known to be an <strong>immune system response<\/strong> to an unknown origin. In response, the scalp inflames and scars the hair follicles, resulting in imminent hair loss. The onset of the condition after menopause shows indications of its <strong>hormonal origin<\/strong>, although, as we indicate in the article, the unequivocal causes that stimulate its appearance have yet to be described.<\/p>\n<p>Frontal fibrosing alopecia is considered a variant of lichen planus. See <a href=\"http:\/\/emedicine.medscape.com\/article\/1123213-overview\" target=\"_blank\" rel=\"noopener\">info<\/a>. Another related hair pathology is Brocq\u2019s pseudopelade, originally described by <a href=\"http:\/\/es.wikipedia.org\/wiki\/Louis-Anne-Jean_Brocq\" target=\"_blank\" rel=\"noopener\">Louis Anne Jean Brocq<\/a> as a type of <a title=\"Scarring alopecia\" href=\"https:\/\/www.elinjertocapilar.com\/en\/tratamiento-alopecia-cicatricial\/\">scarring alopecia<\/a>.<\/p>\n<h2>Diagnosis and Prognosis<\/h2>\n<p>To ensure that the hair loss pattern and condition correspond to frontal fibrosing alopecia, a <strong>scalp skin biopsy<\/strong> is performed. The person with frontal baldness allows the extraction of hair follicles to be analyzed in the laboratory. If the hair follicles are affected by a lichenoid pattern with inflammation and scarring, the result is positive. The characteristics of the diseased tissues do not differ from those affected by lichen planopilaris.<\/p>\n<p>Generally, the progression of FFA is slow but progressive. In some patients, symptoms stabilize after a few years.<\/p>\n<h2>Treatment for Frontal Fibrosing Alopecia<\/h2>\n<p><a href=\"https:\/\/www.elinjertocapilar.com\/en\/wp-content\/uploads\/2014\/10\/alopecia-frontal-fibrosante-tratamiento.jpg\"><img decoding=\"async\" class=\"alignright size-full wp-image-164\" src=\"https:\/\/www.elinjertocapilar.com\/en\/wp-content\/uploads\/2014\/10\/alopecia-frontal-fibrosante-tratamiento.jpg\" alt=\"Treatment for frontal fibrosing alopecia\" width=\"198\" height=\"299\" title=\"\"><\/a>Since the exact causes are still to be described, it is challenging to indicate a <strong>treatment for fibrosing alopecia<\/strong> that is unique and exclusive. Patients with this condition are administered a cocktail of oral steroids, anti-inflammatory drugs for the hair follicles, and tetracycline-type antibiotics that combat microbial agents. In some cases, the use of antimalarial drugs is advised, as there are studies indicating benefits in patients showing rapid hair loss at the onset of the disease.<\/p>\n<p>Other treatments for frontal fibrosing alopecia are 5-alpha reductase <a title=\"Finasteride, propecia, proscar and dudasteride\" href=\"https:\/\/www.elinjertocapilar.com\/en\/finasteride-propecia-tratamiento-alopecias\">finasteride<\/a> and dutasteride. Products indicated to stop hair loss in women and men.<\/p>\n<p>It is common for it to mostly affect women over forty years old, although there are also cases in young people and men.<\/p>\n<h3>Permanent Solution<\/h3>\n<p>We have mentioned that there are drug-based treatments, but these unfortunately almost always come with unpleasant side effects. Instead, hair grafting is a permanent alternative that can solve aesthetic problems. This process improves appearance and helps to gain confidence.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Informaci\u00f3n sobre las <strong>causas que provocan la aparici\u00f3n de la alopecia frontal fibrosante en mujeres y su tratamiento<\/strong>.<br \/>\n<br \/>\nAnalizamos los motivos m\u00e1s comunes para sufrir esta patolog\u00eda descubierta en 1994 por el doctor Kossard. Caracter\u00edsticas tales como la p\u00e9rdida de pelo sim\u00e9trica y bilateral, c\u00f3mo se realiza el diagn\u00f3stico, el futuro y los tratamientos que est\u00e1n dando buenos resultados.<\/p>\n","protected":false},"author":4,"featured_media":162,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/posts\/161"}],"collection":[{"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/comments?post=161"}],"version-history":[{"count":0,"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/posts\/161\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/media\/162"}],"wp:attachment":[{"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/media?parent=161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/categories?post=161"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.elinjertocapilar.com\/en\/wp-json\/wp\/v2\/tags?post=161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}