Rhonda A Kwong, MB BS. Steven Kossard, FACD.
Alopecia areata masquerading as frontal fibrosing alopecia
Article first published online: 5 JAN 2006
Australasian Journal of Dermatology
Volume 47, Issue 1, pages 63–66, February 2006
How to Cite
Kwong, R. A. and Kossard, S. (2006), Alopecia areata masquerading as frontal fibrosing alopecia. Australasian Journal of Dermatology, 47: 63–66. doi: 10.1111/j.1440-0960.2006.00227.x
Manuscripts for this section should be submitted to Associate Professor S Kossard.
Funding for colour figure publication was provided by a grant from the Australasian Dermatopathology Society.
- Issue published online: 5 JAN 2006
- Article first published online: 5 JAN 2006
- Submitted 5 April 2005; accepted 9 June 2005.
- frontal alopecia;
- frontal ophiasis;
- lymphocytic mediated alopecia
Postmenopausal women with frontal recession may represent a diagnostic challenge, as frontal fibrosing alopecia and alopecia areata may be clinically difficult to distinguish. A 53-year-old postmenopausal woman presented with a progressive fronto-temporal marginal alopecia with sparing of her eyebrows. Scalp biopsy of the affected frontal hairline revealed peribulbar lymphocytic inflammation, but no evidence of lichenoid inflammation, perifollicular fibrosis or scarring. Whereas the pathology strongly favoured alopecia areata, the clinical features overlapped with frontal fibrosing alopecia, a variant of lichen planopilaris targeting the frontal scalp. This paper presents an atypical clinical presentation of alopecia areata, which may be mistaken for frontal fibrosing alopecia.