Hair Loss in Behind Ears: Frontal Fibrosing Alopecia and Discoid Lupus

As a result of researches, there are two conditions and diseases that cause loss of hair behind the ear mostly: Frontal Fibrosing Alopecia and Discoid Lupus. In this article, we will define what frontal fibrosing alopecia and discoid lupus are, how they cause hair loss in behind ears, who is at risk and how you can treat them. Keep reading!

1. What Is Frontal Fibrosing Alopecia?

Frontal fibrosing alopecia is a type of scarring male pattern baldness influencing the hair edge on the facade of the scalp. This occurs because of the irritation and decimation of the hair follicles. There may likewise be male pattern baldness from the scalp close to the ears and the eyebrows. Here and there male pattern baldness can likewise happen from different pieces of the body, yet this is less normal. FFA happens for the most part in white postmenopausal ladies however can happen in premenopausal ladies, men, and individuals of different ethnicities. Frontal fibrosing alopecia is believed to be a variation of another condition called lichen planopilaris.

Frontal fibrosing alopecia (FFA) is a type of lichen planopilaris that is portrayed principally by gradually dynamic male pattern baldness (alopecia) and scarring on the scalp close to the brow. At times, the eyebrows, eyelashes and additionally different pieces of the body might be included, too. Even though it has been proposed that FFA might be because of hormonal changes or an immune system reaction, the specific reason for this condition isn’t yet known. There is as of now no remedy for FFA; be that as it may, treatment with particular kinds of drugs may stop or slow male pattern baldness in some cases.

What Causes Frontal Fibrosing Alopecia and Hair Loss in Behind Ears?

The reason for frontal fibrosing alopecia is obscure. We realize that phones, called lymphocytes, that are a piece of the body’s resistant framework assault the hair follicles. It isn’t comprehended why it especially influences the front of the scalp. It is believed that hereditary qualities, overactivity of the body’s insusceptible framework and, potentially, hormones assume a job.

The specific fundamental reason for frontal fibrosing alopecia (FFA) is obscure. FFA is believed to be an immune system condition in which an influenced individual’s safe framework erroneously assaults the hair follicles (structures in the skin that make hair). Researchers additionally presume that there might be a hormonal segment since the condition most usually influences post-menopausal ladies over age 50.

Is Frontal Fibrosing Alopecia Inherited?

Frontal fibrosing alopecia isn’t an acquired condition, albeit every so often it has been accounted for to influence various individuals in a similar family. Frontal fibrosing alopecia may cause no manifestations at all or may cause an irritated, difficult or consuming sensation in a band over the frontal hairline. Numerous individuals see the experience of male pattern baldness as troubling.

What Does Frontal Fibrosing Alopecia Resemble?

Frontal fibrosing alopecia makes the frontal hairline logically subside after some time. The pace of male pattern baldness will in general shift from individual to individual. There can be some redness and flaky skin around singular hairs. When a hair has dropped out, it won’t re-develop right now. The skin deserted may show up marginally paler and smoother than the remainder of the skin on the brow. Moreover, a few patients may have a loss of hair from eyebrows and different pieces of the body.

How Is Frontal Fibrosing Alopecia Analyzed?

A skin biopsy might be performed to affirm the determination. It includes taking a little bit of skin from the scalp under the neighborhood sedative, which is then inspected under a magnifying instrument. A little scar is left at the site of the biopsy. A dermatologist may lead a skin biopsy, which includes expelling a little region of the influenced skin to be inspected under a magnifying instrument.

Completed under a nearby sedative, the technique is generally fast, and will bring about a little scar. When the analysis has been affirmed, the dermatologist will at that point think about various treatment alternatives. Frontal fibrosing alopecia is regularly associated dependent on the nearness with trademark signs and side effects. The finding can be affirmed by inspecting a little example of (skin biopsy) from the influenced region. At times, research facility studies might be requested to decide out different conditions that cause comparable features. The long haul viewpoint (visualization) for individuals with frontal fibrosing alopecia differs. It is commonly gradually dynamic (compounding over the long run); in any case, the condition does settle following a couple of years in some cases.

Symptoms: Can Hair Loss in Behind Ears Prevent?

Frontal fibrosing alopecia (FFA) is portrayed principally by balding (alopecia) and scarring on the scalp close to the temple. The band of balding on the front and sides of the scalp is normally even and gradually dynamic (compounding after some time). The skin in the influenced territory frequently looks typical yet might be pale, glossy or gently scarred.

Around half of every single influenced individual experiences loss of eyebrows, also. Less usually, the eyelashes may likewise be included. A few people with FFA create male pattern baldness in regions other than the scalp and face. Now and again, ladies with FFA additionally have female example male pattern baldness, which is related to diminishing of hair on the scalp because of expanded hair shedding or potentially a decrease in hair volume.

Who Is at Risk of Frontal Fibrosing Alopecia?

Ladies who have as of late experienced menopause are generally influenced, something that underpins the conviction that hormonal changes are a reason. It influences ladies more frequently than men, however, uncommon cases do happen. Patients previously living with lichen planopilaris may likewise be at higher hazard.

Hydroxychloroquine. This may help frontal fibrosing alopecia become idle in certain individuals. It will, as a rule, require a preliminary of 4-6 months. It is unsure how this medication functions right now. It conveys a little danger of harm to your vision and yearly eye tests are required. Immunomodulatory drugs for example mycophenolate mofetil. These can assist with hosing down the invulnerable framework and forestall the aggravation around the hair follicles. In certain individuals, it can slow or stop balding.

Antiandrogen medications for example oral finasteride and dutasteride. These medicines work by keeping up levels of testosterone (a hormone normally found in people) in the hair follicles. Diminished degrees of testosterone has been related to an alternate sort of balding called female/male example alopecia. This may happen with frontal fibrosing alopecia likewise adding to balding. Treatment with antiandrogens might be of advantage where the two conditions happen together.

A few people with alopecia will like to wear a wig. These can either be purchased secretly or acquired through the NHS on an expert’s solution (a budgetary commitment is typically required in England). Your neighborhood emergency clinic orthotic (careful machines) division will have the option to educate you on the range regarding hairpieces accessible on the NHS. They can prescribe neighborhood providers who are delicate to the requirements of individuals with alopecia.

Will Frontal Fibrosing Alopecia Be Relieved?

Some medications help to back off or end further balding in certain individuals. Lamentably, no treatment fixes frontal fibrosing alopecia. When male pattern baldness that has occurred it can’t be turned around. Regularly the condition becomes idle after some time.

In What Manner Can Frontal Fibrosing Alopecia Be Dealt With?

Various medicines are utilized for frontal fibrosing alopecia. Shockingly, their prosperity is variable and a few people can’t discover a treatment that is compelling for them.


Topical corticosteroids. Powerful steroid gels, moisturizers or creams applied to the skin on the facade of the scalp can be useful. They may likewise be utilized close by different medicines as they may not slow hair line downturn all alone.

While treatment choices exist, not all are effective, and a few patients may not locate an appropriate treatment to help with their frontal fibrosing alopecia. Your dermatologist may pick a treatment choice depends on the seriousness of the condition, and whether any bothering or irritation is available. If so, the patient might be recommended anti-toxins to ease irritation and redness. Topical corticosteroid creams or gels might be utilized to treat the influenced region alongside different prescriptions, for example, Tacrolimus.

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This is an immunosuppressive medication that can quiet the resistant framework in the influenced zone once applied. Steroids can likewise be infused into the skin, and this treatment should be rehashed all the time for it to be powerful. Different medications that quiet the resistant framework can likewise be utilized to slow or ease male pattern baldness – a medication called Hydroxychloroquine, an enemy of rheumatic medication directs the insusceptible framework’s movement. Given that immune system inclinations might be the reason for frontal fibrosing alopecia, this medicine might have the option to treat it.

Nonetheless, as Hydroxychloroquine represents a little danger of visual perception harm, delayed use isn’t suggested, and patients utilizing this treatment will be dependent upon yearly eye assessments. Tragically, there is at present no remedy for frontal fibrosing alopecia (FFA). Because the balding related to this condition is believed to be brought about by aggravation of hair follicles, treatment regularly includes utilizing mitigating prescriptions or salves, for example, corticosteroids, antibiotic medications, or hydroxychloroquine (brand name Plaquenil), to diminish irritation and smother the body’s insusceptible system.

Medications that hinder the creation of the male hormone 5-alpha reductase (finasteride) have been accounted for to stop further male pattern baldness in some women. Intralesional infusion of drug and fundamental treatments (taken by mouth) appear to be more powerful than those applied to the skin. By and large, a blend of medications works best. Some specialists keep on addressing whether treatment is compelling or if balding in FFA just stops naturally. Topical Tacrolimus. A salve or cream that demonstrations by smothering the insusceptible framework and quieting the aggravation where it is applied.

Intralesional steroids. Infusions of steroids into the skin on the facade of the scalp can be utilized. This assists with settling the irritation and moderate or end the movement of the hairline downturn. This treatment may be rehashed. Anti-infection agents, for example, antibiotic medication, doxycycline. These medicines are mostly used to help lessen aggravation and not for their anti-microbial activity. They can assist with assuaging the manifestations and redness of the scalp.

Hair Growth Products

Haircare that contains fixings to help hair development ought to be utilized day by day. Items, for example, Rogaine and different activators should be utilized 2x every day to accomplish the greatest impacts. At the point when you begin to see diminishing hair the main thing is to figure out what is causing it. A clinical term for male pattern baldness is Alopecia and there is an assortment of structures brought about by various reasons including hereditary qualities, hormones, stress, immune system, and clinical prompted. Get familiar with the realities about male pattern baldness and the freshest medicines to switch male pattern baldness and reestablish hair sound, lively hair.

What Would You Be Able to Do?

You may find that joining a patient care group (see underneath) and meeting others with alopecia will make it simpler for you to acclimate to your condition. A couple of individuals with longer hair discover hair expansions help disguise the issue. A few beauticians become master at this. It is imperative to maintain a strategic distance from an excess of pressure on any hair when this is finished. This is because this could cause male pattern baldness, called footing alopecia.

Frontal fibrosing alopecia (FFA) is a type of lichen planopilaris that is portrayed principally by gradually dynamic male pattern baldness (alopecia) and scarring on the scalp close to the brow. At times, the eyebrows, eyelashes and additionally different pieces of the body might be included, too. Even though it has been proposed that FFA might be because of hormonal changes or an immune system reaction, the specific reason for this condition isn’t yet known. There is as of now no remedy for FFA; be that as it may, treatment with particular kinds of drugs may stop or slow male pattern baldness in some cases.

2. What Is Discoid Lupus?

Discoid lupus (discoid lupus erythematosus) is a ceaseless immune system ailment influencing the skin. It gets its name from the coin-formed sores it produces. This condition causes a serious rash that will, in general, deteriorate when presented to daylight. The rash can show up anyplace on the body, however you’re probably going to see it on the scalp, neck, hands, and feet. Serious cases can prompt lasting scarring, hyperpigmentation, and male pattern baldness.

Discoid lupus ought not to be mistaken for foundational lupus. Foundational lupus can likewise cause a mellow impulsive, for the most part on the face, however, it additionally influences the inside organs. An individual with fundamental lupus can likewise have discoid injuries. Discoid lupus doesn’t influence interior organs, however, the rash will, in general, be substantially more extreme.

What Are the Symptoms of Hair Loss in Behind Ears with Discoid Lupus?

Skin rash can run from a mellow fix of pink to skin that looks red and crude. This can happen anyplace on your body, especially the neck, palms, soles, and the region under your elbows. It can even influence the ear trench.

Indications include:

  • Round injuries
  • Thick scales on the skin and scalp
  • Stripping
  • Rankling injuries, particularly around the elbows and fingertips
  • Diminishing of the skin
  • Lighter or darker skin pigmentation, which can get lasting
  • Thickening of the scalp
  • Patches of balding, which can get perpetual
  • Fragile or twisted fingernails
  • Ulcers inside the lips
  • Changeless scarring

A few people experience tingling, however, that is normally not the situation. Indications can erupt and afterward go into abatement. Discoid lupus doesn’t influence generally speaking wellbeing.

What Causes It?

The specific reason for discoid lupus isn’t clear. It gives off an impression of being an immune system sickness, including a blend of hereditary qualities and ecological triggers. It doesn’t go from individual to individual.

How Is It Treated?

Your primary care physician will presumably speculate discoid lupus upon clinical assessment. Be that as it may, a skin biopsy is generally required for analysis. Beginning treatment immediately can help forestall perpetual scarring.


Steroids are utilized to help diminish irritation. You can apply solution quality treatments or creams right to your skin. Or on the other hand, your primary care physician can regulate a steroid infusion straightforwardly into the influenced zone. Oral prednisone can help ease injuries by diminishing counteracting agent creation and fiery cells. Steroids can cause diminishing of the skin, so they should be utilized sparingly and with clinical supervision.

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Non-steroidal Topical

Non-steroidal topical creams and treatments, for example, calcineurin inhibitors like tacrolimus, can likewise help decrease aggravation.

Against Malarial Meds

Against malarial meds are another approach to lessen the irritation. These oral medications incorporate hydroxychloroquine, chloroquine, and quinacrine. They will, in general, have milder symptoms than some different medications.

Immunosuppressive Drugs

Immunosuppressive drugs may bring down the creation of fiery cells. They’re generally utilized in serious cases or in case you’re attempting to wean off oral steroids. A portion of these medications is mycophenolate mofetil, azathioprine, and methotrexate.

Different things you can do:

Stay away from the sun. This can make it difficult to get enough nutrient D, so inquire as to whether you should take nutrient D supplements. Continuously utilize a sunscreen with an SPF of 70 or higher. Reapply at regular intervals or after getting wet. Wear a cap and apparel that ensures your skin, even on overcast days.

Smoking can exasperate your condition. In case you’re experiencing difficulty stopping, get some information about smoking end programs. Certain prescriptions, for example, anti-infection agents and diuretics can make you increasingly touchy to daylight. Peruse medication marks cautiously and ask your primary care physician or drug specialist if your medicine builds affectability to daylight.

Contingent upon the state of your skin, you might have the option to wear disguise cosmetics. In any case, inquire as to whether that is fitting and if there are specific fixings you ought to stay away from. For scarring and shade changes, filler, laser innovation, and plastic medical procedure might be choices. Be that as it may, this must be resolved dependent upon the situation. In case you’re intrigued, your dermatologist can offer customized proposals.

The Potential Complications: Hair Loss in Behind Ear

Rehashed episodes of discoid lupus can leave you with scars or perpetual staining. Fixes on the scalp can make your hair drop out. As your scalp mends, scarring can keep hair from becoming back. The danger of skin disease might be expanded on the off chance that you have enduring sores on your skin or inside your lips and mouth. Around five percent of individuals with discoid lupus will create fundamental lupus sooner or later. Foundational lupus can likewise influence your inward organs.

Who Gets Discoid Lupus?

Anybody can create discoid lupus. It’s uncommon in kids. Ladies between the ages of 20 and 40 may have a higher hazard. Elements that may aggravate it incorporate pressure, disease, and injury.

Additional Tip: Do You Know That Tieing Your Hair So Hard Also Causes Hair Loss in Behind Ears

It is basic for ladies to encounter male pattern baldness behind their hair. This is regularly seen when you put your hands through your hair or attempt to pull your hair back. In case you’re the sort of lady who shakes a ballet dancer bun or tight meshes throughout the day, consistently, your hair might be diminishing because of footing alopecia – a condition where the strain brought about by specific hairdos causes patches of fine or diminishing hair, especially around your hairline and behind your ears.

Sound like you? Begin wearing your hair out now – on the off chance that you spot it early, and quit wearing such prohibitive styles, your hair ought to recuperate without anyone else, however, if the follicles are excessively far gone, you’ll have to address a dermatologist or a male pattern baldness master to check whether any part of the harm is reversible. On a comparative note, heat styling doesn’t cause a similar kind of harm, however, it’s the same amount of a guilty party with regards to making hair fragile and inclined to breaking, so dial down with the straightener/tong/blowdryer circumstance as well.

Savaş Ateş

I'm a hair loss expert. The picture was taken 10 years ago :) I have been losing my hair. So I started to learn everything about hair loss and hair transplants. I contacted a lot of hair transplant doctors. We shared our experiences. I'm writing blog posts for people who have the potential of losing their hair. I give some tips about hair transplants and medical issues too.

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