Frontal Fibrosing Alopecia

Frontal fibrosing alopecia (FFA) is a type of "scarring alopecia" that affects women. There is permanent hair loss along the frontal hairline. Other areas of hair loss include the top or back of the scalp, eyebrows, eyelashes, eyebrows and body hair.

Examination of the scalp shows alterations in the frontal hairline. Scattered isolated hairs are seen in the forehead and these are called "lonely hairs." Thinning of the skin is common in FFA and leads to veins being easy to see.

The cause of FFA is not known although hormonal abnormalities may be present in some women with FFA. The 5 alpha reductase inhibitors appear to be the most effect treatment and are frequently used in combination with treatments such as topical steroids, steroid injections and oral doxycycline or hydroxychloroquine.