A rare case, patients with fibrosis hair loss on the forehead

TTM female patient, (51 years old, living in Ho Chi Minh City) visited the Department of Aesthetic Skin, Ho Chi Minh City Dermatology Hospital in a state of hair loss on the front part of the forehead, the hairline is pulled back between the top of the head. with darkened skin.
The patient said this condition lasted for 7 years and had treated many places but the condition did not go away. Through examination, the doctors discovered that the patient had a combination of fibrosis frontal hair loss, Frontal Fibrosing Alopecia (FFA) and Lichen Planus Pigmentosus (LPP).

Photos of patients with hair loss and frontal fibrosis are rare Exploiting her medical history, the patient said that since 2014, she has had dark spots on her face alternating with hypopigmented spots. At the same time, during that time, her hair gradually fell out, the hairline was gradually receding towards the top of her head. She said that she had received topical treatment (unknown type), laser treatment and darkened skin condition improved slightly but then returned. Hearing that many people only take Chinese medicine can improve the amount she uses, but the condition of her hair and skin has not changed. In 2017, her hair loss was more, she was more or less pigmented, she went to the Department of Cosmetic Skin, Ho Chi Minh City Dermatology Hospital for an examination. MSc. Tran Nguyen Anh Tu – Deputy Head of Department of Aesthetic Skin, Ho Chi Minh City Dermatology Hospital said that at the time of examination, he noted that the patient suffered from hair loss ½ of the front of the scalp, falling eyebrows. Many hyperpigmentation macules scattered across the face, neck, scalp … do not flake, do not inflame red. The patient has been identified with a combination of frontal fibrosis (FFA) and lichen planus (LPP). The patient also suffers from dark maculopapular, hypopigmented spots According to Dr. Anh Tu, patients with a combination of these two diseases are quite rare, usually aged 25-56 years old, or appear in people with dark skin type. Most tanning appear about 14 months before, then gradually appear hair loss, an average of 1 year progresses from 0.6-1.1 cm. The cause is still unknown, but the disease is related to sunlight, contact dermatitis … the treatment is still difficult, especially to restore the lost hair.