PMC3861864_01
a-d Female patient with frontotemporal hairline recession. e Histologic image showing lamellar fibrosis. f Dermoscopic image showing erythema, absence of follicular openings and perifollicular scaling.
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F1
Skin biopsy revealed the presence of a perifollicular lymphocytic infiltrate and lamellar fibrosis, a decrease of hair follicles and apoptotic cells in the external root sheath, therefore confirming the diagnosis of FFA (fig. 1).
Eight-month follow-up; the patient presents hyperchromic macules in metacarpophalangeal and interphalangeal joints, cheeks and chin.
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F2
Eight months after the treatment was started, the patient presented hyperchromic macules in the metacarpophalangeal and interphalangeal joints of both hands as well as on the cheeks and chin (fig. 2); she denied the use of other concomitant treatments.
Five months after treatment suspension, improvement in the lesions can be observed.
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F3
Five months after the treatment was discontinued, the patient showed an 80% improvement of her hyperpigmented lesions (fig. 3).