Patients with rare skin and hair problems

On April 26, Ho Chi Minh City Dermatology Hospital said that the hospital had just received and treated TTM female patients (51 years old, living in Ho Chi Minh City) who lost their hair in the front part of the forehead, the hairline was pulled back. the middle of the head is accompanied by 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, doctors of the Department of Cosmetic Dermatology discovered that the patient had a combination of fibrosis frontal hair loss, Frontal Fibrosing Alopecia (FFA) and Lichen Planus Pigmentosus (LPP). Patient identified with a combination of frontal fibrosis (FFA) and lichen planus (LPP). Exploiting her medical history, TTM 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 lost more, more and less pigmentation alternately, she went to the Department of Aesthetic Skin, HCMC Dermatology Hospital. Dr. 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, the loss of 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). “Patients with a combination of these two conditions are quite rare, usually between the ages of 25-56, or in people with dark skin types. 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 ”, Dr. Tran Nguyen Anh Tu said. good.