Ho Chi Minh City Dermatology Hospital has just received a female patient to be examined with the condition of losing all the hair in the front of the forehead, the hairline being pulled back to the middle of the top of the head, accompanied by dark skin.
Mrs. M. is bald in the first half and all areas of the skin are pigmented. Patient named TTM, 51 years old, lives in Ho Chi Minh City. Before coming to the Ho Chi Minh City Dermatology Hospital, patient M. had been treated in many places such as spas, clinics to the hospital, but the condition did not get better. Sometimes during the treatment phase, Mrs. M’s skin is a little red and itchy. In such times, the patient had to go for treatment at a dermatologist, but this condition kept coming back and forth. According to Ms. M., the above situation lasted for 7 years. In 2014, she developed alternate facial discolorations and hypopigmentation spots. Besides, during this time, her hair gradually falls out, the hairline is slowly receding towards the top of the head. “At first I did treatment with ointment and laser, the skin condition improved but then returned. Hearing many people only taking Chinese medicine can improve, I also use but the hair and skin condition remains unchanged. Later, hair loss more and more, there are alternating hyperpigmentation increases, ”Ms. M. said. Through examination, doctors of the Department of Aesthetic Skin at Ho Chi Minh City Dermatology Hospital discovered that the patient had a combination of fibrosis hair loss in the forehead (FFA) and flat pigmentation (LPP). Dr. Tran Nguyen Anh Tu, Deputy Head of Department of Skin Aesthetics, said that at the time of examination, he noted that the patient suffered from hair loss in the front half of the scalp, and his eyebrows fell out. 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). According to Dr. Anh Tu, patients with a combination of these two diseases are quite rare, usually aged 25-56, 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 progressing from 0.6 to 1.1cm. “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. Anh Tu said. more.
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