There is no uniformly effective treatment for frontal fibrosing alopecia to date. A short course of oral steroids, intralesional steroid injections, anti-inflammatory antibiotics such as tetracyclines, or antimalarial tablets may benefit patients who have a rapid onset of hair loss.
What autoimmune disease causes frontal fibrosing alopecia?
Causes of Frontal Fibrosing Alopecia
FFA is considered a subtype of another disease called lichen planopilaris (LPP), an autoimmune disease that leads to progressive hair loss.
Can frontal fibrosing alopecia be stopped?
Although it has been suggested that FFA may be due to hormonal changes or an autoimmune response, the exact cause of this condition is not yet known. There is currently no cure for FFA; however, treatment with certain types of medications may stop or slow hair loss in some cases.
How is FFA treated?
Intralesional corticosteroids (ILCs) are often considered part of the mainstay of treatment for FFA, as they suppress the inflammatory process, which in turn decreases T-cell-mediated destruction of follicular stem cells. Current evidence supports ILCs as part of first-line treatment for FFA.
What causes hair loss in lupus patients?
But some people with lupus develop round (discoid) lesions on the scalp. Because these discoid lesions scar your hair follicles, they do cause permanent hair loss. Lupus can also cause the scalp hair along your hairline to become fragile and break off easily, leaving you with a ragged appearance known as lupus hair.
Can frontal fibrosing alopecia be caused by stress?
Frontal fibrosing alopecia (AFF) is a primary cicatricial alopecia that was described in 1994. It predominantly affects women, most often in menopause. Studies have shown that alopecias, in general, may have stress as a trigger and maintenance factor.
How do you prevent frontal fibrosing alopecia?
Immunomodulatory drugs e.g. mycophenolate mofetil. These can help to dampen down the immune system and prevent the inflammation around the hair follicles. In some people it can slow or halt hair loss. Antiandrogen treatments e.g. oral finasteride and dutasteride.
Does minoxidil work for frontal fibrosing alopecia?
Currently, the combination of finasteride and topical minoxidil (particularly in women with combined female pattern hair loss) or hydroxychloroquine are the main treatments that appear to help stabilize FFA. Intralesional steroids for partial hair loss may be helpful.
How do I know if my alopecia is permanent?
You Probably Have Traction Alopecia If…
After this point, people with traction alopecia will start to notice early signs of hair loss, including: Short, broken hairs around your forehead. A receding hairline. Patchy hair loss in areas pulled tight by your hairstyle (rather than thinning all over the scalp)
Why is my immune system attacking my hair follicles?
Alopecia areata is an autoimmune disease. This means that your immune system mistakenly attacks a part of your body. When you have alopecia areata, cells in your immune system surround and attack your hair follicles (the part of your body that makes hair).
Is frontal fibrosing alopecia the same as lichen Planopilaris?
Background: Frontal fibrosing alopecia (FFA) is an acquired scarring alopecia currently considered a clinical variant of lichen planopilaris (LPP).