International Journal of Trichology International Journal of Trichology
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Year : 2013  |  Volume : 5  |  Issue : 3  |  Page : 151-153

Perifollicular erythema as a trichoscopy sign of progression in frontal fibrosing alopecia

1 Dermatology Unit, Virgen Macarena University Hospital, Spain
2 University of Seville Medical School, Seville, Spain

Correspondence Address:
Tomás Toledo-Pastrana
Dermatology Unit, Hospital Virgen Macarena University Hospital, Avda. Dr. Fedriani S/N, 41071 Seville
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-7753.125616

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Introduction: Frontal fi brosing alopecia (FFA) in an entity characterized by the recession of the frontotemporal hairline (FTHL) with alopecic scarring change. In recent years there are numerous articles discussing the usefulness of dermoscopy for the clinical diagnosis of different types of scarring alopecia. Materials and Methods: We value 79 patients diagnosed with FFA, evaluating some trichoscopical findings described as typical for FFA: Absence of follicular opening, follicular hyperkeratosis, follicular plugs and erythema. Results: In a population of 79 women, 100% showed no follicular opening, 72.1% follicular hyperkeratosis, 66.3% perifollicular erythema and 44.8% follicular plugs. Thus, 100% of patients had at least one of the dermoscopic elements described as suggestive of FFA, 53% two of them, 45% three and 27%, all those elements. Perifollicular erythema was present in 95% of cases in which the disease was active. Conclusions: We consider that the presence of perifollicular erythema will be a direct marker of FFA activity.

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