Objectives: - To know the new devices for hair loss assessment
- To learn how to perform a correct trichosopy
- To learn the basics of trichoscopy in hair loss
- To perform a skin biopsy guide by trichoscopy

Introduction: Hair loss assessment is essential to reach a correct diagnosis and treat the different conditions. Trichoscopy is an useful tool to diagnose different kinds of alopecia, specially when clinical examination is doubtful.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Frontal fibrosing alopecia (FFA) is a lymphocytic primary scarring alopecia. It has an increasing incidence. FFA is currently the most frequent cicatricial alopecias. A total of 95% are women, mostly postmenopausal. The pathogenesis is unknown. A potential autoimmune and hormonal mechanisms seem to play a role. There is a genetic susceptibility to be determined. It is currently studied if some environmental factors are risk factors for FFA.

Results: The clinical presentation is typical: cicatricial alopecia located on the frontal and temporal areas + eyebrow alopecia +/- body hair loss +/- facial papules.
The diagnosis is usually made by the typical clinical presentation and the trichoscopic findings: absence of follicular openings, perifollicular erythema, follicular hyperkeratosis. In doubtful cases, the skin biopsy confirms the diagnosis.

Conclusion: The objective of medical treatment is to stop the progression of the disease and avoid worsening. The most useful therapies are: topical/intralesional steroids and oral antiandrogenic drugs (dutasteride and finasteride). Other drugs that can be used are antimalarial drugs and oral isotretinoin (this latter is very effective to improve facial papules). Hair transplant may be considered in very selected patients, although the results are worse than in androgenetic alopecia. In advanced cases, a aesthetic improvement by non-medical therapies should be considered (eyebrows micrpigmentation, wigs).

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability