FRONTAL FIBROSING ALOPECIA QUESTIONS

I have had patients raise this concern but it seems very rare. I’m not clear if it truly was related but yes, I have had patients. I’m guessing it’s well under 0.5% of users.

Oral minoxidil at higher doses (from the hypertensive era of the use of oral minoxidil) rarely caused blood sugars to increase and rarely caused follicular acneiform issues (pseudofolliculitis barbae). So it’s not impossible.

It’s difficult to prove without a bit of a challenge. If the acne disappears when going off and reappears when going back on, that’s a bit of a suggestion. If there is more acne with 1 mg than 0.5 mg that’s also a suggestion.

Yes, I don’t think it’s impossible. I can’t say whether it is a cause in your patient though.

FFA can itself cause all sorts of acneiform eruptions and the follicular papules in FFA look like acne. FFA is a hormonal condition! Acneiform changes due to FFA need to be strongly considered.

https://www.evidencio.com/models/show/661

We’ll speak about the Naranjo scale in the future but here’s a nice link. It’s a helpful way of thinking about these issues.

https://www.evidencio.com/models/show/661