Summary

Frontal Fibrosing Alopecia (FFA) is an inflammatory condition with a suspected autoimmune mechanism that leads to progressive scarring alopecia, predominantly affecting postmenopausal women [1, 2].

However, cases diagnosed in women of reproductive age raise new questions regarding pathogenic factors and therapeutic strategies. We present the case of a 51-year-old female patient with a history of vulvar lichen sclerosus, pathologically diagnosed with FFA. The patient’s response to treatment and relapse following the discontinuation of topical therapy highlight the need for a sustained and individualized therapeutic protocol.