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Alopecia areata masquerading as frontal fibrosing alopecia.
Australas J Dermatol. 2006 Feb; 47(1):63-6.AJ

Abstract

SUMMARY Postmenopausal women with frontal recession may represent a diagnostic challenge, as frontal fibrosing alopecia and alopecia areata may be clinically difficult to distinguish. A 53-year-old postmenopausal woman presented with a progressive fronto-temporal marginal alopecia with sparing of her eyebrows. Scalp biopsy of the affected frontal hairline revealed peribulbar lymphocytic inflammation, but no evidence of lichenoid inflammation, perifollicular fibrosis or scarring. Whereas the pathology strongly favoured alopecia areata, the clinical features overlapped with frontal fibrosing alopecia, a variant of lichen planopilaris targeting the frontal scalp. This paper presents an atypical clinical presentation of alopecia areata, which may be mistaken for frontal fibrosing alopecia.

Authors+Show Affiliations

Kwong RA
Dermatology Research Laboratories, Central Clinical School, University of Sydney, Sydney, New South Wales, Australia.
Kossard S
No affiliation info available

MeSH

Administration, TopicalAlopeciaAlopecia AreataBiopsy, NeedleDermatologic AgentsDiagnosis, DifferentialFemaleFibrosisForeheadHumansImmunohistochemistryMiddle AgedMinoxidilPostmenopauseSeverity of Illness IndexTreatment Outcome

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16405488

Citation

Kwong, Rhonda A., and Steven Kossard. "Alopecia Areata Masquerading as Frontal Fibrosing Alopecia." The Australasian Journal of Dermatology, vol. 47, no. 1, 2006, pp. 63-6.
Kwong RA, Kossard S. Alopecia areata masquerading as frontal fibrosing alopecia. Australas J Dermatol. 2006;47(1):63-6.
Kwong, R. A., & Kossard, S. (2006). Alopecia areata masquerading as frontal fibrosing alopecia. The Australasian Journal of Dermatology, 47(1), 63-6.
Kwong RA, Kossard S. Alopecia Areata Masquerading as Frontal Fibrosing Alopecia. Australas J Dermatol. 2006;47(1):63-6. PubMed PMID: 16405488.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alopecia areata masquerading as frontal fibrosing alopecia. AU - Kwong,Rhonda A, AU - Kossard,Steven, PY - 2006/1/13/pubmed PY - 2006/4/14/medline PY - 2006/1/13/entrez SP - 63 EP - 6 JF - The Australasian journal of dermatology JO - Australas J Dermatol VL - 47 IS - 1 N2 - SUMMARY Postmenopausal women with frontal recession may represent a diagnostic challenge, as frontal fibrosing alopecia and alopecia areata may be clinically difficult to distinguish. A 53-year-old postmenopausal woman presented with a progressive fronto-temporal marginal alopecia with sparing of her eyebrows. Scalp biopsy of the affected frontal hairline revealed peribulbar lymphocytic inflammation, but no evidence of lichenoid inflammation, perifollicular fibrosis or scarring. Whereas the pathology strongly favoured alopecia areata, the clinical features overlapped with frontal fibrosing alopecia, a variant of lichen planopilaris targeting the frontal scalp. This paper presents an atypical clinical presentation of alopecia areata, which may be mistaken for frontal fibrosing alopecia. SN - 0004-8380 UR - https://www.unboundmedicine.com/medline/citation/16405488/Alopecia_areata_masquerading_as_frontal_fibrosing_alopecia_ DB - PRIME DP - Unbound Medicine ER -