Pustular frontal fibrosing alopecia: a new variant within the folliculitis decalvans and lichen planopilaris phenotypic spectrum?

Lobato‐Berezo, Alejandro; Gonzàlez‐Farré, Mònica; Pujol, Ramón M.

doi:10.1111/bjd.20962

Cited by 4 publications

(2 citation statements)

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“…Yip et al ( 5 ) described this clinical presentation in 13 patients for the first time in 2019, Egger et al ( 7 ) studied 7 patients shortly after, and Müller-Ramos et al ( 10 ) described 2 paediatric cases. However, some case reports describing patients with clinical overlap between LPP and FD ( 11 – 13 ) suggest that clinicians might encounter FDLPPPS cases more often than currently believed. To our knowledge, this study describes the largest series of FDLPPPS in the literature to date.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Characterization and Treatment Response of Folliculitis Decalvans Lichen Planopilaris Phenotypic Spectrum: A Unicentre Retrospective Series of 31 Patients

Melián-Olivera,

Moreno-Arrones,

Burgos-Blasco

et al. 2024

Acta Derm Venereol

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Folliculitis decalvans and lichen planopilaris phenotypic spectrum has been described as a form of cicatricial alopecia. The aim of this study is to describe the clinical and trichoscopic features and therapeutic management of this condition in a series of patients. A retrospective observational unicentre study was designed including patients with folliculitis decalvans and lichen planopilaris phenotypic spectrum confirmed with biopsy. A total of 31 patients (20 females) were included. The most common presentation was an isolated plaque of alopecia (61.3%) in the vertex. Trichoscopy revealed hair tufting with perifollicular white scaling in all cases. The duration of the condition was the only factor associated with large plaques (grade III) of alopecia (p = 0.026). The mean time to transition from the classic presentation of folliculitis decalvans to folliculitis decalvans and lichen planopilaris phenotypic spectrum was 5.2 years. The most frequently used treatments were topical steroids (80.6%), intralesional steroids (64.5%) and topical antibiotics (32.3%). Nine clinical relapses were detected after a mean time of 18 months (range 12–23 months). Folliculitis decalvans and lichen planopilaris phenotypic spectrum is an infrequent, but probably underdiagnosed, cicatricial alopecia. Treatment with anti-inflammatory drugs used for lichen planopilaris may be an adequate approach.

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Section: Discussionmentioning

confidence: 99%

“…described 2 paediatric cases. However, some case reports describing patients with clinical overlap between LPP and FD (11)(12)(13) suggest that clinicians might encounter FDLPPPS cases more often than currently believed. To our knowledge, this study describes the largest series of FDLPPPS in the literature to date.…”

Section: Discussionmentioning

confidence: 99%