Statement from the frontal fibrosing alopecia international expert alliance: SOFFIA 2024

Published Date: 23rd July 2025

Publication Authors: Meah. N

Background
As the incidence of frontal fibrosing alopecia (FFA) continues to rise, there is a need for an optimal treatment algorithm for FFA.

Objective
To produce an international consensus statement on the treatment modalities and prognostic indicators of FFA.

Methods
Sixty-nine hair experts from six continents were invited to participate in a three-round Delphi process. The final stage was held as a virtual meeting facilitated via Zoom. The consensus threshold was set at ≥66%.

Results
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%).

Limitations
The study lacked sufficient representation from Africa and South America.

Conclusion
SOFFIA highlights areas of agreement and disagreement among experts. Robust research is warranted to provide evidence-based treatment recommendations..

 

Meah, N et al. (2025). Statement from the frontal fibrosing alopecia international expert alliance: SOFFIA 2024. Journal of the European Academy of Dermatology & Venereology. Pub online 23 Jul. [Online]. Available at: https://doi.org/10.1111/jdv.20833 [Accessed 1 August 2025]

 

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