Frontal fibrosing alopecia: is sunscreen the culprit? a systematic review

نویسندگان

1 Internal Medicine Department, ISSSTE Hospital Regional Monterrey, Monterrey 64380, Nuevo Leon, Mexico.

2 Bicultural Nursing Program, Instituto Humanístico de la Salud, Nuevo Laredo 88000, Tamaulipas, Mexico

3 School of Medicine and Health Sciences, Tecnológico de Monterrey, Monterrey 64710, Nuevo Leon, Mexico

4 School of Health Sciences, Universidad de Monterrey, San Pedro Garza Garcia 66238, Nuevo Leon, Mexico.

5 School of Health Sciences, Universidad de Monterrey, San Pedro Garza Garcia 66238, Nuevo Leon, Mexico.

6 Dystrophic Epidermolysis Bullosa Research Association, Guadalupe, Nuevo Leon, Mexico

doi
10.22034/ijd.2024.405696.1728
چکیده

Background: Hair loss is the most frequent dermatology consultation, defined as a temporary or permanent loss of hair. Frontal fibrosing alopecia is a condition that has become increasingly prevalent in recent years.Methods: We performed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2020 flowchart, and searched three databases: PubMed, EBSCO, and Scopus. After removing duplicates, and applying inclusion, and exclusion criteria, 17 studies remained, including clinical cases, letters to the editor, and original articles.Results: Further investigation revealed that, while there were clinical cases that reported a correlation between the use of sunscreen and other skin care products containing titanium dioxide molecules with the onset or severity of the disease, no new original articles have found a correlation between the two variables. Currently, sunscreen use seems to be rather a consequence than a cause. However, more research is required on patients with different skin colors as well as more complex methodological studies to answer this question.Conclusion: Although the methodology of the current medical literature is highly contested, it identifies sunscreen as the cause; however, higher-quality research is required to fully support this claim.

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