Saceda-Corralo et al reported a severity score for a patient with frontal fibrosing alopecia. This can aid in the diagnosis and monitoring of response to interventions. The authors are from Ramon y Cajal University, Grupo de Dermatologia Pedro Jaen and the University of Alcala in Spain.
Patient selection: frontal fibrosing alopecia
Parameters:
(1) frontal hairline recession (width of band-like scarring area in cm)
(2) left temporal hairline recession in cm
(3) right temporal hairline recession in cm
(4) loss of eyebrows
(5) perifollicular inflammation severity, erythema
(6) perifollicular inflammation severity, hyperkeratosis
(7) extent of erythema along the frontotemporal hairline
(8) extent of hyperkeratosis along the frontotemporal hairline
(9) pruritis severity
(10) pruritis frequency
(11) pain severity
(12) pain frequency
|
Parameter |
Finding |
Points |
|
frontal hairline recession |
none |
0 |
|
|
< 1 cm |
2 |
|
|
1 to 2.99 cm |
4 |
|
|
3 to 4.99 cm |
6 |
|
|
5 to 6.99 cm |
9 |
|
|
>= 7 cm |
10 |
|
left temporal hairline |
none |
0 |
|
|
< 1 cm |
1 |
|
|
1 to 2.99 cm |
2 |
|
|
3 to 4.99 cm |
3 |
|
|
5 to 6.99 cm |
4 |
|
|
>= 7 cm |
5 |
|
right temporal hairline |
none |
0 |
|
|
< 1 cm |
1 |
|
|
1 to 2.99 cm |
2 |
|
|
3 to 4.99 cm |
3 |
|
|
5 to 6.99 cm |
4 |
|
|
>= 7 cm |
5 |
|
loss of eyebrows |
none |
0 |
|
|
partial |
0.5 |
|
|
total |
1 |
|
perifollicular erythema |
none |
0 |
|
|
mild |
0.1 |
|
|
severe |
0.2 |
|
perifollicular hyperkeratosis |
none |
0 |
|
|
mild |
0.5 |
|
|
severe |
1 |
|
erythema along hairline |
< 25% |
0 |
|
|
25 to 75% |
0.1 |
|
|
> 75% |
0.2 |
|
hyperkeratosis along hairline |
< 25% |
0 |
|
|
25 to 75% |
0.5 |
|
|
> 75% |
1 |
|
pruritis severity |
none |
0 |
|
|
mild |
0.1 |
|
|
severe |
0.2 |
|
pruritis frequency |
none |
0 |
|
|
occasional |
0.1 |
|
|
daily |
0.2 |
|
pain severity |
none |
0 |
|
|
mild |
0.3 |
|
|
severe |
0.6 |
|
pain frequency |
none |
0 |
|
|
occasional |
0.3 |
|
|
daily |
0.6 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 25
• The higher the score the more severe the condition.
Specialty: Dermatology
