Reversal of Canities in a Patient With Frontal Fibrosing Alopecia

ABSTRACT Frontal fibrosing alopecia (FFA) is a primary lymphocytic cicatricial alopecia, most commonly affecting postmenopausal women, characterized by progressive frontotemporal hairline recession and eyebrow loss. Hair repigmentation (canities reversal) is an extremely rare event, especially in older individuals with long‐standing white hair. We report the case of a 72‐year‐old woman presenting with progressive frontotemporal alopecia and concurrent hair repigmentation. Clinical and dermoscopic findings, supported by histopathology, confirmed the diagnosis of FFA. This case contributes to the limited literature on the association between FFA and canities reversal, suggesting that this unusual sign may serve as a diagnostic clue.

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Publication Details

Journal
JEADV Clinical Practice
Published
2025-12-13
DOI
https://doi.org/10.1002/jvc2.70257
Primary Topic
Hair Growth and Disorders
Type
article
Field-Weighted Citation Impact
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article

Reversal of Canities in a Patient With Frontal Fibrosing Alopecia

JEADV Clinical Practice
Hair Growth and Disorders
article

Reversal of Canities in a Patient With Frontal Fibrosing Alopecia

article en

Abstract

ABSTRACT Frontal fibrosing alopecia (FFA) is a primary lymphocytic cicatricial alopecia, most commonly affecting postmenopausal women, characterized by progressive frontotemporal hairline recession and eyebrow loss. Hair repigmentation (canities reversal) is an extremely rare event, especially in older individuals with long‐standing white hair. We report the case of a 72‐year‐old woman presenting with progressive frontotemporal alopecia and concurrent hair repigmentation. Clinical and dermoscopic findings, supported by histopathology, confirmed the diagnosis of FFA. This case contributes to the limited literature on the association between FFA and canities reversal, suggesting that this unusual sign may serve as a diagnostic clue.

JEADV Clinical Practice
Ospedale San Donato (IT)
Gender equality
Openalex Percentile: Top 30%
Hair Growth and Disorders
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