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Frontal fibrosing alopecia and lichen planus pigmentosus: diagnosis and therapeutic challenge.
An Bras Dermatol. 2017; 92(5 Suppl 1):79-81.AB

Abstract

Frontal fibrosing alopecia is a variant of lichen planopilaris with marginal progressive hair loss on the scalp, eyebrows and axillae. We report a case of frontal fibrosing alopecia and lichen planus pigmentosus in a postmenopausal woman, that started with alopecia on the eyebrows and then on the frontoparietal region, with periocular and cervical hyperpigmentation of difficult management. The condition was controlled with systemic corticosteroid therapy and finasteride. Lichen planus pigmentosus is an uncommon variant of lichen planus frequently associated with frontal fibrosing alopecia in darker phototipes. It should be considered in patients affected by scarring alopecia with a pattern of lichen planopilaris and areas of skin hyperpigmentation revealing perifollicular hyperpigmentation refractory to multiple treatments. This case illustrates diagnostic and therapeutic challenge in face of scarring alopecia and perifollicular hyperpigmentation.

Authors+Show Affiliations

Department of Dermatology, Hospital de Clínicas da Universidade Federal do Paraná (HC- UFPR) - Curitiba (PR), Brazil.Medical School Course, Universidade Federal do Paraná (UFPR) - Curitiba (PR), Brazil.Department of Dermatology, Hospital de Clínicas da Universidade Federal do Paraná (HC- UFPR) - Curitiba (PR), Brazil.Department of Basic Pathology, Universidade Federal do Paraná (UFPR) - Curitiba (PR), Brazil.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

29267454

Citation

Mulinari-Brenner, Fabiane Andrade, et al. "Frontal Fibrosing Alopecia and Lichen Planus Pigmentosus: Diagnosis and Therapeutic Challenge." Anais Brasileiros De Dermatologia, vol. 92, no. 5 Suppl 1, 2017, pp. 79-81.
Mulinari-Brenner FA, Guilherme MR, Peretti MC, et al. Frontal fibrosing alopecia and lichen planus pigmentosus: diagnosis and therapeutic challenge. An Bras Dermatol. 2017;92(5 Suppl 1):79-81.
Mulinari-Brenner, F. A., Guilherme, M. R., Peretti, M. C., & Werner, B. (2017). Frontal fibrosing alopecia and lichen planus pigmentosus: diagnosis and therapeutic challenge. Anais Brasileiros De Dermatologia, 92(5 Suppl 1), 79-81. https://doi.org/10.1590/abd1806-4841.20175833
Mulinari-Brenner FA, et al. Frontal Fibrosing Alopecia and Lichen Planus Pigmentosus: Diagnosis and Therapeutic Challenge. An Bras Dermatol. 2017;92(5 Suppl 1):79-81. PubMed PMID: 29267454.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Frontal fibrosing alopecia and lichen planus pigmentosus: diagnosis and therapeutic challenge. AU - Mulinari-Brenner,Fabiane Andrade, AU - Guilherme,Marina Riedi, AU - Peretti,Murilo Calvo, AU - Werner,Betina, PY - 2015/03/23/received PY - 2016/04/24/accepted PY - 2017/12/22/entrez PY - 2017/12/22/pubmed PY - 2018/3/17/medline SP - 79 EP - 81 JF - Anais brasileiros de dermatologia JO - An Bras Dermatol VL - 92 IS - 5 Suppl 1 N2 - Frontal fibrosing alopecia is a variant of lichen planopilaris with marginal progressive hair loss on the scalp, eyebrows and axillae. We report a case of frontal fibrosing alopecia and lichen planus pigmentosus in a postmenopausal woman, that started with alopecia on the eyebrows and then on the frontoparietal region, with periocular and cervical hyperpigmentation of difficult management. The condition was controlled with systemic corticosteroid therapy and finasteride. Lichen planus pigmentosus is an uncommon variant of lichen planus frequently associated with frontal fibrosing alopecia in darker phototipes. It should be considered in patients affected by scarring alopecia with a pattern of lichen planopilaris and areas of skin hyperpigmentation revealing perifollicular hyperpigmentation refractory to multiple treatments. This case illustrates diagnostic and therapeutic challenge in face of scarring alopecia and perifollicular hyperpigmentation. SN - 1806-4841 UR - https://www.unboundmedicine.com/medline/citation/29267454/Frontal_fibrosing_alopecia_and_lichen_planus_pigmentosus:_diagnosis_and_therapeutic_challenge_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/29267454/ DB - PRIME DP - Unbound Medicine ER -