Review Article

Treatment of Frontal Fibrosing Alopecia

Table 2

The efficacy of treatment modalities hired for FFA treatment.

Treatment modality (number of administered patients)MonotherapyCombination therapy (with other treatment modalities)
ImprovedStabilizedWorsenedImprovedStabilizedWorsened

ITAIs (n = 287)45 (16%)106 (37%)14 (5%)33 (11%)71 (25%)18 (6%)
Oral corticosteroids (prednisone) (n = 6)1 (17%)5 (83%)
5-alpha-reductase inhibitors (finasteride/dutasteride) (n = 508)77 (15%)78 (15%)9 (2%)18 (4%)250 (49%)76 (15%)
Oral isotretinoin/alitretinoin (n = 38)13 (34%)3 (8%)22 (58%)
HCQ (n = 256)25 (10%)37 (15%)26 (10%)32 (12%)85 (33%)51 (20%)
Topical minoxidil 5% (n = 101)7 (7%)13 (13%)72 (71%)9 (9%)
Doxycycline (n = 20)2 (10%)2 (10%)7 (35%)9 (45%)
Topical corticosteroids (n = 312)1 (0.3%)82 (26%)117 (37.5%)112 (35.2%)
Topical tacrolimus/pimecrolimus (n = 140)84 (60%)52 (37%)4 (3%)
Topical retinoids (n = 9)3 (33%)6 (67%)
Oral minoxidil (n = 8)7 (87.5%)1 (12.5%)
Methotrexate (n = 4)2 (50%)2 (50%)
PRP (n = 8)1 (12.5%)7 (87.5%)
Tildrakizumab (n = 1)1 (100%)
Intramuscular steroids (n = 18)15 (83%)3 (17%)
LED (n = 16)16 (100%)
Nd:YAG nonablative laser (n = 5)5 (100%)
Hair transplantation (n = 60)1 (2%)57 (95%)2 (3%)
Topical bimatoprost ophthalmic solution 0.03% (n = 4)1 (25%)3 (75%)