With a strange disease, the woman lost both her hair and eyebrows

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 the state of hair loss on the front part of the forehead, the hairline is pulled back between the top of the head. under dark skin.
The patient said this condition lasted for 7 years and had treated many places but did not get better. 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).

Patients with hair loss and eyebrows. 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 many people tell me that taking Chinese medicine can improve, she did use it, but her hair and skin condition remained unchanged. In 2017, her hair loss was more, there were many changes in pigmentation, she went to the Department of Aesthetics – Dermatology Hospital in Ho Chi Minh City to examine. 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, 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). 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.