International Journal of Trichology International Journal of Trichology
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Year : 2018  |  Volume : 10  |  Issue : 2  |  Page : 76-79

Case report of connubial frontal fibrosing alopecia

1 Department of Dermatology and Radiotherapy, Botucatu Medical School, Paulista State University, UNESP, São Paulo, Brazil
2 Center for Dermatology and Hair Diseases Professor Trüeb, Zurich, Switzerland

Correspondence Address:
Prof. Ralph M Trüeb
Center for Dermatology and Hair Diseases Professor Trüeb, Bahnhofplatz 1A, CH-8304 Wallisellen, Zurich
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijt.ijt_105_17

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Since its original report in 1994, frontal fibrosing alopecia has become increasingly common, attracting the attention of the medical community and giving rise to speculations on its etiology, specifically the possibility of environmental factors. Familial cases of frontal fibrosing alopecia point to the possible contribution of hereditary factors maybe related to androgenetic alopecia. We report the first case of connubial frontal fibrosing alopecia in a genetically unrelated couple pointing to the possibility of a common environmental exposure in the etiology of the condition. Our observation may be fortuitous, considering the high frequency of female frontal fibrosing alopecia. Nevertheless, the incidence of male frontal fibrosing alopecia has remained low with a consequently low statistical probability of random occurrence of the condition in a marital couple. We, therefore, suggest to systematically includes the hair condition of marital partners in the patient history of patients with frontal fibrosing alopecia, to elucidate the actual frequency of connubial frontal fibrosing alopecia and maybe a common causative agent or hair grooming practice.

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