Treatment of intralesional corticoisteroid-induced cutaneous atrophy with hyaluronic acid filling

Abstract

Frontal fibrosing alopecia FFA is an acquired scarring alopecia with histopathologic finding identical to lichen planopilaris LPP Clinically FFA is characterized by hair loss in the line of frontal hair implantation sometimes associated with loss of eyebrows and other areas and perifollicular erythema Around the upper portion of the hair follicle there is an inflammatory lymphocytic infiltration that usually begins before the destruction of the follicles First line treatments are reductase inhibitors and intralesional corticosteroids Several adverse reactions secondary to the injection of corticosteroids have been described pigment alteration pain infection panniculitis atrophy and hemorrhage