Background: Frontal fibrosing alopecia (FFA) is a scarring hair loss condition primarily affecting the frontotemporal hairline and often leading to partial or complete loss of eyebrows in a significant number of cases. It is characterized by slow progression and typically shows poor response to available treatments. Diagnosis relies on clinical, trichoscopic, and histopathological assessments, with specific criteria proposed by Vañó‐Galván et al. in 2018 [J Am Acad Dermatol. 2018;78(1):e21‐2]. Summary: This literature review examines trichoscopic observations of FFA in Caucasians, focusing on both scalp and eyebrow manifestations. A comprehensive search of the PubMed database from 2010 to 2023 yielded 6 relevant articles. Trichoscopic findings varied across studies but highlighted common features such as empty follicles, perifollicular erythema, follicular hyperkeratosis, and the presence of “lonely hair” on the scalp. Additional research is warranted to thoroughly characterize demographic traits and FFA peculiarities within the Caucasian population, given the limited existing data in the literature. Key Messages: Distinct trichoscopic features: trichoscopic examination of FFA among Caucasians reveals specific markers such as empty follicles, perifollicular erythema, and follicular hyperkeratosis, aiding in diagnosis and monitoring. Limited literature data: more investigation is needed to fully understand the demographic characteristics and FFA peculiarities among Caucasians, considering the scarcity of available data in existing literature.

1.
Tengattini
V
,
Alessandrini
A
,
Misciali
C
,
Patrizi
A
,
Piraccini
BM
.
Pseudoxanthoma elasticum-like papillary dermal elastolysis in frontal fibrosing alopecia
.
J Dtsch Dermatol Ges
.
2018
;
16
(
9
):
1136
8
.
2.
Anzai
A
,
Pirmez
R
,
Vincenzi
C
,
Fabbrocini
G
,
Romiti
R
,
Tosti
A
.
Trichoscopy findings of frontal fibrosing alopecia on the eyebrows: a study of 151 cases
.
J Am Acad Dermatol
.
2021
;
85
(
5
):
1130
4
.
3.
Banka
N
,
Mubki
T
,
Bunagan
MJ
,
McElwee
K
,
Shapiro
J
.
Frontal fibrosing alopecia: a retrospective clinical review of 62 patients with treatment outcome and long-term follow-up
.
Int J Dermatol
.
2014
;
53
(
11
):
1324
30
.
4.
Starace
M
,
Orlando
G
,
Iorizzo
M
,
Alessandrini
A
,
Bruni
F
,
Mandel
VD
, et al
.
Clinical and dermoscopic approaches to diagnosis of frontal fibrosing alopecia: results from a multicenter study of the international dermoscopy society
.
Dermatol Pract Concept
.
2022
;
12
(
1
):
e2022080
.
5.
Vañó-Galván
S
,
Saceda-Corralo
D
,
Moreno-Arrones
ÓM
,
Camacho-Martinez
FM
.
Updated diagnostic criteria for frontal fibrosing alopecia
.
J Am Acad Dermatol
.
2018
;
78
(
1
):
e21
2
.
6.
Starace
M
,
Brandi
N
,
Alessandrini
A
,
Bruni
F
,
Piraccini
BM
.
Frontal fibrosing alopecia: a case series of 65 patients seen in a single Italian centre
.
J Eur Acad Dermatol Venereol
.
2019
;
33
(
2
):
433
8
.
7.
Adotama
P
,
Callender
V
,
Kolla
A
,
Young
C
,
Jones
P
,
Svigos
K
, et al
.
Comparing the clinical differences in white and black women with frontal fibrosing alopecia
.
Br J Dermatol
.
2021
;
185
(
5
):
1074
6
.
8.
Pérez Mesonero
R
,
Pinto Pulido
EL
,
Gómez Zubiaur
A
,
Vélez Velázquez
D
,
Vega Díez
D
,
Rodríguez-Villa Lario
A
, et al
.
Occipital involvement in classic frontal fibrosing alopecia: clinical and trichoscopic cross-sectional study in 17 patients
.
J Am Acad Dermatol
.
2023
;
89
(
4
):
815
7
.
9.
Cervantes
J
,
Miteva
M
.
Distinct trichoscopic features of the sideburns in frontal fibrosing alopecia compared to the frontotemporal scalp
.
Skin Appendage Disord
.
2018
;
4
(
1
):
50
4
.
10.
Vañó-Galván
S
,
Molina-Ruiz
AM
,
Serrano-Falcón
C
,
Arias-Santiago
S
,
Rodrigues Barata
AR
,
Garnacho-Saucedo
G
, et al
.
Frontal fibrosing alopecia: a multicenter review of 355 patients
.
J Am Acad Dermatol
.
2014
;
70
(
4
):
670
8
.
11.
Tosti
A
,
Miteva
M
,
Torres
F
.
Lonely hair: a clue to the diagnosis of frontal fibrosing alopecia
.
Arch Dermatol
.
2011
;
147
(
10
):
124
.
12.
Waśkiel-Burnat
A
,
Rakowska
A
,
Kurzeja
M
,
Czuwara
J
,
Sikora
M
,
Olszewska
M
, et al
.
The value of dermoscopy in diagnosing eyebrow loss in patients with alopecia areata and frontal fibrosing alopecia
.
J Eur Acad Dermatol Venereol
.
2019
;
33
(
1
):
213
9
.
13.
Starace
M
,
Cedirian
S
,
Alessandrini
AM
,
Bruni
F
,
Quadrelli
F
,
Melo
DF
, et al
.
Impact and management of loss of eyebrows and eyelashes
.
Dermatol Ther
.
2023
;
13
(
6
):
1243
53
.
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