Table 4. Clinical features that help to distinguish traction alopecia (TA) of the marginal hairline from ophiasis alopecia areata (AA) and from frontal fibrosing alopecia (FFA)

 

TA

AA

FFA

 Follicular markings (ostia)

Decreased (especially in late-stage)

Retained

Absent

Color of scalp

Flesh colored(normal)

May be peach colored

Pale, atrophic appearing with accentuation of veins

Eyebrows

Retained

May be affected

May be affected

Perifollicular erythema

May be present in early stages

None

Typically present

Perifollicular scale

May be present in early stages

None

Slight or absent

Fringe sign

Present (symmetric and bilateral)

Broken or miniaturized hairs may mimic- but not symmetric or bilateral

Absent