Alopecia Areata [AA] predominantly affects younger women and children. It happens when the body forms white cells that attack the hair follicles, causing patchy hair loss, but occasionally it can affect the whole scalp. AA can be sudden, making it a particularly distressing condition for many women.
Frontal Fibrosing Alopecia causes a receding of the hairline at the front and sides of the scalp, which can progress slowly over time. It is most common in women who have gone through the menopause, but can also occur in pre-menopausal women and rarely in men.
It is a form of scarring hair loss affecting the hair margin on the front of the scalp, due to inflammation and destruction of the hair follicles. There may also be hair loss around the ears and from the eyebrows. It is thought to be a variant of another condition called lichen planopilaris.
The actual cause of frontal fibrosing alopecia is unknown. We know that cells, called lymphocytes, that are part of the body’s immune system attack the hair follicles, but it is not understood why it particularly affects the front of the scalp. It is thought that over activity of the body’s immune system and possibly hormones play a role.
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