Blurring lines between Scarring Hair loss; FPHL with histologic evidence
Objectives: To reinforce that every FPHL with seborrhoea needs to be evaluated for FAPD
Introduction: FAPD is a newly reported entity. However, we report 10 cases of FPHL with evidence of miniaturization in trichoscopy but histology suggestive of fibrosis and peripilar &
inflammation.
Materials / method: We enrolled 10 women with complaints of hair thinning for trichoscopy and biopsy. Clinical photographs, Trichoscopy pictures and Histologic pictures were documented in all cases.
Results: Results showed that all women had evidence of miniaturised hairs in trichoscopy consistent with FPHL. Of them, 7/10 ladies showed evidence of fibrosis and peri follicular infiltrates along with periadnexal infiltrates.
Conclusion: The outcome of FPHL with early treatment interventions vary from that of scarring hair loss. Hence it is crucial to diagnose the component of scarring in seemingly naive FPHL cases.
