{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:11Z","timestamp":1756425791784,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,20]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>Frontal fibrosing alopecia (FFA) is a progressive frontotemporal hairline recession with eyebrow loss. Facial papules are present in up to 14% of FFA cases and can start with facial flushes. Nevertheless, these flushes are commonly associated with rosacea, a much more prevalent disease. In this case, a woman with FFA had, at first, clinical and histopathological findings of rosacea and was treated with ivermectin 1% cream with no improvement. She returned reporting new papules in the frontal region, reaching the frontotemporal hairline. Trichoscopy of the scalp showed mild perifollicular erythema and follicular scale. The new skin biopsy was compatible with FFA, and oral finasteride (5\u2009mg\/day) and hydroxychloroquine were introduced to stabilise the disease.<\/jats:p>","DOI":"10.1136\/bcr-2021-242017","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T12:26:29Z","timestamp":1628166389000},"page":"e242017","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Flushing episodes in the context of frontal fibrosing alopecia with facial papules"],"prefix":"10.1136","volume":"14","author":[{"given":"Thales Lage Bicalho","family":"Bretas","sequence":"first","affiliation":[{"name":"Dermatology, Federal Fluminense University, Niteroi, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Claudia","family":"Issa","sequence":"additional","affiliation":[{"name":"Dermatology, Federal Fluminense University, Niteroi, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thiago Jeunon","family":"Vargas","sequence":"additional","affiliation":[{"name":"Dermatopathology, Bonsucesso General Hospital, Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Auxiliadora Jeunon","family":"Sousa","sequence":"additional","affiliation":[{"name":"Dermatopathology, ID Investiga\u00e7\u00e3o em Dermatologia, Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,8,5]]},"reference":[{"key":"2025082800532124000_14.8.e242017.1","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/j.jaad.2013.12.003","article-title":"Frontal fibrosing alopecia: a multicenter review of 355 patients","volume":"70","author":"Va\u00f1\u00f3-Galv\u00e1n","year":"2014","journal-title":"J Am Acad Dermatol"},{"key":"2025082800532124000_14.8.e242017.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(97)70326-8"},{"key":"2025082800532124000_14.8.e242017.3","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.jaad.2008.03.007","article-title":"A histologic review of 27 patients with lichen planopilaris","volume":"59","author":"Tandon","year":"2008","journal-title":"J Am Acad Dermatol"},{"key":"2025082800532124000_14.8.e242017.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2006.11.010"},{"key":"2025082800532124000_14.8.e242017.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2008.08861.x"},{"key":"2025082800532124000_14.8.e242017.6","doi-asserted-by":"publisher","DOI":"10.1159\/000076489"},{"key":"2025082800532124000_14.8.e242017.7","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2011.321"},{"key":"2025082800532124000_14.8.e242017.8","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1111\/bjd.12683","article-title":"Facial papules in frontal fibrosing alopecia: beyond vellus hair follicle involvement","volume":"170","author":"Pirmez","year":"2014","journal-title":"British Journal of Dermatology"},{"key":"2025082800532124000_14.8.e242017.9","doi-asserted-by":"crossref","DOI":"10.1016\/j.jaad.2015.08.020","article-title":"Facial lesions in frontal fibrosing alopecia (FFA): clinicopathological features in a series of 12 cases","volume":"73","author":"L\u00f3pez-Pesta\u00f1a","year":"2015","journal-title":"J Am Acad Dermatol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-242017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:53:33Z","timestamp":1756367613000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-242017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":9,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,8,5]]},"published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1136\/bcr-2021-242017"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-242017","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}