• Traction alopecia commonly presents with the fringe hair sign.
Scalp Symptoms—The experts noted that the presence of symptoms (eg, pain, tenderness, pruritus) in conjunction with the pattern of hair loss might support the diagnosis of an inflammatory scarring alopecia.
When do symptoms raise suspicion of central centrifugal cicatricial alopecia?
• Suspected in the setting of vertex alopecia associated with tenderness, pain, or itching.
When do symptoms raise suspicion of FFA?
• Suspected when patients experience frontotemporal tenderness, pain, or burning associated with alopecia.
• The skin hue of the affected area might be lighter in color than, and contrast with, the darker hue of the photoaged upper forehead.11