PMID: 9642560Jun 27, 1998Paper

Lichen planopilaris simulating postmenopausal frontal fibrosing alopecia (Kossard)

Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete
R M Trüeb, R Torricelli

Abstract

A 68-year old woman presented with a frontal fibrosing alopecia and lesions of the buccal mucous membranes typical for lichen planus. Postmenopausal frontal fibrosing alopecia (PFFA) has recently been described by Kossard as a distinct entity characterized by progressive recession of the frontotemporal and parietal hair margins leading to permanent alopecia in the form of a symmetrical band-like area of scanning in postmenopausal women. The histology (perifollicular lymphocytic infiltration and fibrosis, increase of apoptosis of hair follicle keratinocytes) is indistinguishable from that of lichen planopilaris. The localization and age- and sex-related characteristics of PFFA are not sufficient to delineate it as a discrete entity from lichen planopilaris. Our observation of oral lichen planus in a postmenopausal woman with frontal fibrosing alopecia points to the possibility that PFFA actually may represent a variant of lichen planopilaris with a predilection for the frontotemporal hairline. Other variants of lichen planopilaris include multifocal lichen planopilaris, disseminated lichen planopilaris (Lassueur-Graham-Little syndrome), lichenoid pseudopelade, and any combination of these ("mixed type"). An effective therapy of ...Continue Reading

Citations

Oct 6, 2011·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·L TrémezayguesC S L Müller
Feb 1, 2003·Clinical and Experimental Dermatology·E NazM Casado
Feb 1, 2003·Clinical and Experimental Dermatology·G DawnC S Munro
Mar 23, 2005·Analytical and Bioanalytical Chemistry·Jan UngewissReiner Salzer
Oct 9, 2013·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·R M Trüeb
Mar 2, 2013·The British Journal of Dermatology·D C GaffneyS Yong-Gee
Nov 1, 2016·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·G WagnerM M Sachse
Nov 28, 2017·Skin Appendage Disorders·Ralph M TrüebWerner Kempf
Apr 7, 2005·International Journal of Dermatology·Steven Kossard, Richard C Shiell
Jul 21, 2010·Journal of Cutaneous Medicine and Surgery·Eustathios RallisDimitrios Rigopoulos
May 3, 2006·International Journal of Dermatology·Enrique PobletEnric Piqué
Oct 27, 2001·Clinical and Experimental Dermatology·L BianchiS Chimenti
Mar 1, 2002·The Australasian Journal of Dermatology·Catherine F FaulknerStephen K Jones
Jun 17, 2006·The American Journal of Dermatopathology·Klaus Sellheyer, Wilma F Bergfeld
May 1, 2021·Journal of Clinical Medicine·María Librada Porriño-BustamanteSalvador Arias-Santiago
Jun 21, 2005·Journal of the American Academy of Dermatology·Elizabeth K RossJerry Shapiro
Sep 18, 2010·Journal of the American Academy of Dermatology·Ai-Lean ChewCatherine M Stefanato

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