Frontal Fibrosing Alopecia

Frontal fibrosing alopecia is a condition that causes hair loss and scarring in the frontal region of the scalp.

Frontal fibrosing alopecia most commonly affects women in menopause over the age of 50. It is characterized by hair loss on the front and sides of the scalp, and includes loss of eyebrows. The edge may appear very uneven, and single, solitary “lonely” hair follicles are often found in the bald areas.

Very importantly, some women with frontal fibrosing alopecia also have female pattern hair loss.

The skin of people with frontal fibrosing alopecia usually looks normal but may be pale, shiny or appear mildly scarred under magnification. At the margins of the bald areas is redness and scaling around the affected hair follicles.

The exact cause of frontal fibrosing alopecia is unknown, but it is thought to be due to an abnormal immune response to some component of the hair follicles themselves. Because it usually starts AFTER menopause, it is probably related to menopausal hormonal changes.

Treatment for frontal fibrosing alopecia is yet to be discovered, but finasteride, a component of the hair regrowth formula, has been reported to stop further hair loss in some women.

Also, there have been several reports of the use of the diabetic medication, pioglitazone, for the treatment of frontal fibrosing alopecia, but its benefit has varied.

If you think you may have frontal fibrosing alopecia, then see your healthcare professional, or a dermatology specialist.