International Journal of Clinical Research
International Journal of Clinical Research. 2025; 9: (2) ; 10.12208/j.ijcr.20250072 .
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乐陵市人民医院 山东德州
*通讯作者: 唐真真,单位:乐陵市人民医院 山东德州;
报告1例前额纤维性脱发。患者女,53岁。前额进行性脱发2年。皮肤科查体:额颞部发际线后移,毛囊周围红斑,额部和颞部头皮有鳞屑,有“孤立毛发”和“假性边缘”征。毛发镜检查可见毛囊根部有毛囊周围红斑和黄白色鳞屑,一些毛囊周围有红色晕轮和乳白色纤维化区域,呈现出“草莓冰淇淋样外观”,伴有散在的线性血管扩张。诊断:前额纤维性脱发。
One case of frontal fibrosing alopecia is reported. The patient is a 53-year-old woman. She has had progressive hair loss on the forehead for two years. Dermatological examination: The frontotemporal hairline is recessed. There are erythema around hair follicles, scales on the frontal and temporal scalp, and signs of "solitary hair" and "pseudo-fringe". Trichoscopy shows erythema and yellow-white scales around the hair follicle roots. Some hair follicles are surrounded by red halos and milky white fibrotic areas, presenting a "strawberry ice cream-like appearance" with scattered linear vasodilation. Diagnosis: Frontal fibrosing alopecia.
[1] Kossard S. Postmenopausal frontal fibrosing alopecia. Scarring alopecia in a pattern distribution. Arch Dermatol 1994;130:770–774.
[2] Valesky EM, Maier MD, Kippenberger S, et al. Frontal fibrosing alopecia - review of recent case reports and case series in PubMed. J Dtsch Dermatol Ges. 2018 Aug;16(8):992-999.
[3] Kossard S, Lee MS, Wilkinson B. Postmenopausal frontal fibrosing alopecia: a frontal variant of lichen planopilaris. J Am Acad Dermatol. 1997 Jan;36(1):59-66.
[4] Fernández-Crehuet P, Rodrigues-Barata AR, Vañó-Galván S, et al. Trichoscopic features of frontal fibrosing alopecia: results in 249 patients. J Am Acad Dermatol. 2015 Feb;72(2):357-9.
[5] Saceda-Corralo D, Moreno-Arrones OM, Rubio-Lambraña M, et al. Trichoscopic features of mild frontal fibrosing alopecia. J Eur Acad Dermatol Venereol. 2021 Mar;35(3):e205-e207.
[6] Panchaprateep R, Ruxrungtham P, Chancheewa B, et al. Clinical characteristics, trichoscopy, histopathology and treatment outcomes of frontal fibrosing alopecia in an Asian population: A retro-prospective cohort study. J Dermatol. 2020 Nov;47(11):1301-1311.
[7] 吴园琴,范卫新.前额纤维化性秃发的特征及治疗[J].临床皮肤科杂志,2016,45(04):312-315.
[8] Iorizzo M, Tosti A. Frontal Fibrosing Alopecia: An Update on Pathogenesis, Diagnosis, and Treatment. Am J Clin Dermatol. 2019 Jun;20(3):379-390.