Frontal fibrosing alopecia (FFA) was first described in 1994. While FFA was initially described exclusively in postmenopausal Caucasian women, it has since been reported in Hispanic, African, Afro‐Caribbean, and Asian individuals, premenopausal women, and men. There is no epidemiological data on the incidence or prevalence of FFA in the general population, but anecdotal evidence from multiple specialist centers suggests that the incidence is increasing. Despite the high prevalence of South Asians in the United Kingdom (5%, UK Census 2011), there is paucity of published information about South Asians with FFA.We conducted a retrospective review of 578 FFA patients from four hair specialist units in the United Kingdom. We identified 18 women of Indian, Pakistani, and Bangladeshi origin (3.1%). The mean age at diagnosis was 52 (range 41–71). Ten of 18 (56%) were premenopausal. Eleven (60%) had perifollicular erythema and/or hyperpigmentation over the affected areas on the scalp. Fourteen (77%) had associated eyebrow loss, and nine (50%) had body hair loss. Eight of the 18 women (44%) had facial hyperpigmentation clinically consistent with lichen planus pigmentosus (LPPigm), and this was confirmed histologically in four patients. The hyperpigmentation affected the face and neck, and the pattern was diffuse in six cases,
International Journal of Dermatology – Wiley
Published: Jan 1, 2018
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