{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:31:54Z","timestamp":1792099914798,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010157","name":"Noda Institute for Scientific Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010157","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>As the incidence of frontal fibrosing alopecia (FFA) continues to rise, there is a need for an optimal treatment algorithm for FFA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To produce an international consensus statement on the treatment modalities and prognostic indicators of FFA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty\u2010nine hair experts from six continents were invited to participate in a three\u2010round Delphi process. The final stage was held as a virtual meeting facilitated via Zoom. The consensus threshold was set at \u226566%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 365 questions, expert consensus was achieved in 204 (56%) questions following completion of the three rounds. Three additional questions were included at the final meeting. The category with the strongest consensus agreement was disease monitoring (9; 100%). Questions pertaining to physical therapies achieved the least category consensus (15; 40%), followed by systemic therapy (45; 43%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>The study lacked sufficient representation from Africa and South America.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SOFFIA highlights areas of agreement and disagreement among experts. Robust research is warranted to provide evidence\u2010based treatment recommendations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.20833","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T13:32:45Z","timestamp":1753277565000},"page":"210-223","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Statement from the frontal fibrosing alopecia international expert alliance:\n                    <scp>SOFFIA<\/scp>\n                    2024"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9466-6337","authenticated-orcid":false,"given":"Nekma","family":"Meah","sequence":"first","affiliation":[{"name":"Mersey and West Lancashire Teaching Hospitals NHS Trust  St Helens UK"},{"name":"Manchester University, Faculty of Biology, Medicine and Health  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7150-4052","authenticated-orcid":false,"given":"Jane","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Medicine (Dermatology) St Vincent's Hospital Melbourne, the University of Melbourne  Fitzroy Victoria Australia"},{"name":"The Skin Health Institute  Carlton Victoria Australia"},{"name":"Department of Dermatology, Box Hill Hospital Eastern Health  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0107-4488","authenticated-orcid":false,"given":"Dmitri","family":"Wall","sequence":"additional","affiliation":[{"name":"Hair Restoration Blackrock  Dublin Ireland"},{"name":"National and International Skin Registry Solutions (NISR), Charles Institute of Dermatology University College Dublin  Dublin Ireland"},{"name":"The Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2905-4494","authenticated-orcid":false,"given":"Katherine","family":"York","sequence":"additional","affiliation":[{"name":"Beachside Specialist Group  Noosa Heads Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1123-6882","authenticated-orcid":false,"given":"Bevin","family":"Bhoyrul","sequence":"additional","affiliation":[{"name":"Sinclair Dermatology  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4522-2611","authenticated-orcid":false,"given":"Laita","family":"Bokhari","sequence":"additional","affiliation":[{"name":"Sinclair Dermatology  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lachlan","family":"Coulthard","sequence":"additional","affiliation":[{"name":"Sinclair Dermatology  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0049-8377","authenticated-orcid":false,"given":"Leila","family":"Asfour","sequence":"additional","affiliation":[{"name":"Salford Royal Foundation Trust, Northern Care Alliance  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9165-6026","authenticated-orcid":false,"given":"Leonardo Spagnol","family":"Abraham","sequence":"additional","affiliation":[{"name":"Trichology Unit Hospital Regional da Asa Norte  Brasilia Brazil"},{"name":"Programa de P\u00f3s Gradua\u00e7\u00e3o Em Ci\u00eancias M\u00e9dicas (PPGCM) Universidade de Bras\u00edlia (UnB)  Brasilia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1848-5686","authenticated-orcid":false,"given":"Daniel","family":"Asz\u2010Sigall","sequence":"additional","affiliation":[{"name":"Trichology Clinic, Dermatology Department Dr Manuel Gea Gonzalez General Hospital  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilma F.","family":"Bergfeld","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Main Campus  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5024-3623","authenticated-orcid":false,"given":"Regina C.","family":"Betz","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics University of Bonn, Medical Faculty &amp; 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