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Hirsutism — SCE Dermatology MCQ

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HardHair DisordersHirsutismSCE Dermatology

A woman has frontotemporal recession, eyebrow loss and facial papules. Which trichoscopic combination most strongly supports active frontal fibrosing alopecia?

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Correct answer: C — Perifollicular erythema, casts and absent follicular openings

Frontal fibrosing alopecia is a cicatricial alopecia in the lichen-planopilaris spectrum. Loss of follicular openings establishes scarring, while perifollicular erythema and scale or casts indicate ongoing inflammatory activity at the margin.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines