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Association of Frontal Fibrosing Alopecia with Facial Papules and Lichen Planus Pigmentosus in a Caucasian Woman.
- Source :
-
Skin appendage disorders [Skin Appendage Disord] 2020 Nov; Vol. 6 (6), pp. 379-383. Date of Electronic Publication: 2020 Aug 31. - Publication Year :
- 2020
-
Abstract
- Introduction: Frontal fibrosing alopecia (FFA) is a lymphocytic primary cicatricial alopecia typically involving the frontotemporal hairline. It may be associated with the presence of facial papules (FP) that clinically appear as noninflammatory, monomorphic, white-yellowish papules. Lichen planus pigmentosus (LPPigm) is characterized by the presence of asymptomatic grayish pigmented macules, predominantly in sun-exposed and flexural areas.<br />Case Report: A 58-year-old, Caucasian, phototype III woman presented with a symmetrical, band-like, frontotemporal alopecia with regression of the hairline; bilateral eyebrow loss; diffuse, symmetrical hyperpigmentation of the face; and some asymptomatic, flesh-colored, monomorphic papules on the chin. Based on clinical, dermoscopic, and histological findings, the diagnosis of FFA associated with FP and LPPigm was established.<br />Discussion/conclusion: The peculiarity of our report is represented by the triple association of FFA, FP, and LPPigm in a Caucasian skin type III woman, as it has been rarely reported. Clinicians should be aware of this association also in subjects with phototype ≤III, as its recognition may be useful for diagnostic and prognostic purposes: the observation of LPPigm of the face may suggest to check for early FFA, and in case of FFA associated with FP, a poorer FFA prognosis may likely be expected.<br />Competing Interests: The authors have no conflicts of interest to declare.<br /> (Copyright © 2020 by S. Karger AG, Basel.)
Details
- Language :
- English
- ISSN :
- 2296-9195
- Volume :
- 6
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Skin appendage disorders
- Publication Type :
- Report
- Accession number :
- 33313056
- Full Text :
- https://doi.org/10.1159/000509407