Frontal Fibrosing Alopecia

This is specifically for frontal fibrosing alopecia sufferers. To share information and support each other.

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  • Jules UK

    Thanks Debs, I'll look into it. Xx
  • PamW San Diego, CA, USA

    I have heard of the interlace system, but not sure if it is an option for me since my scalp is very sensitive and itchy. Not everyone of us experiences scalp discomfort. I think I am more bothered than most.
  • Alice

    I am also bothered by lot by an itchy, sensative scalp. It sounfs weird but the thing that seems to calm it down best is drinking oolong tea. I read that it helps psoriasis and eczema, so decided to try it. I now drink it daily, hot and iced. For topical relief, I rub in some tea tree oil. Both can be ordered from Amazon at reasonable prices.the Clobetsol was too strong for me.

  • Annie

    Terry, I have had good luck with the men's 5% Minoxidil foam. I have been using for 3 months at the recommendation of my doctor. I have regrown a lot of the fringe around my face and have new hairs about an inch long all over my scalp. I did have an initial shedding from week 2 through week 6 after I started using it. This is normal, and a good sign that new hairs are growing in and pushing the old hairs out. It's not easy seeing all those lost hairs on your bathroom counter when the last thing you want to do is lose more hair, but I honestly think that that Minidoxil is the only thing I've used since my diagnosis 4 months ago that makes me feel like I'm actually seeing some positive results.

  • Debs

    MINOXIDIL (also called rogaine and regaine) Hi Ladies, this is very interesting that the minoxidil is working for you. The first person that diagnosed FFA for me was a trichologist at the Belgravia Hair Loss Clinic in London. This was after my GP had told me I had alopecia but did not know what type! She told me to go back to my GP and ask for a scalp biopsy to get the FFA confirmed. I was supposed to go back to the trichologist and she was going to put me on a strong formulation of minoxidil but I did not go back and have been seeing dermatologists ever since.

    How many of your ladies have used minoxidli ? Has it worked for you all?

  • Annie

    Perhaps I should clarify my earlier post regarding Minoxidil. I should have said that it has worked great for the areas that haven't been affected by the FFA. Unfortunately, those spots are still bare. I have been able to regrow a lot of the short baby hairs around my face, which helps to cover up the bare spots. I use it on my entire scalp to thicken up the existing hair as well as on my eyebrows, which haven't been affected yet. As an added bonus, my eyelashes have gotten longer & thicker. Maybe the FFA will take longer to advance if there's more hair follicles to attack. One can always hope....

  • Debs

    Hi Annie & Rebecca, many thanks for that info. Glad the minoxidil is helping to thicken up your remaining hair and eyebrows. XXXX

  • Celia

    Has anyone noted any weight gain associated with Plaquenil - I have gained 4 kilos since starting this - not good ! Still losing hair !

  • Jules UK

    No weight gain, but I swear by the 5:2 fasting diet. Very hard on the fasting days but great on the days off! X
  • Debs

    I had a consultation today with Dr Harries. I have been taking the hydroxychloroquine sulphate for 4 months (2 a day). The sides of my hair and temples have not lost any hair but my front hairline has. I am going to take the drug until November (so for another 4 months) and then go back to see if the hair loss has slowed down. I know this drug takes a few months to get into our systems and I don't get any side effects so I will carry on till November and see how it goes. I also continue to use my turmeric supplements. I am going to start changing my diet and adopting the anti-inflammatory diet approach to try and give myself every possible chance of sorting this out. I do feel positive that whatever happens I have done my best, as we all have, to get this FFA under control. Have a fab weekend. XXXX

  • Jules UK

    Hi Debs, by anti- inflammatory do you mean you're going gluten free or paleo? X
  • silversurfer

    just had my eyebrows tattooed. Am taking bad seeing eyebrows lol

  • Rita - Canada

    Hello Terry,re the Vit.D low levels.I too, had same & both MD & Naturpath said most people who live in our climates have such.I take 5 vit.D.Drops (5,000 IU) & have brought level up.Re sweating-I've had upper body incl.head ever since peri-menopause(15 yrs.+, could be from menopause or from a med one is taking but not aware symptom of FFA. Re tattoed eyebrows-could do that, eyelashes-a bit nervous but the results as Deb has experienced would be welcomed.

  • Annie

    Terry, I had some sweating while my body was adjusting to the topical steroids the doctor prescribed for my scalp. This is normal and just lasted about a month for me.

  • Liz

    Hi everyone. Hope you are all enjoying the sunshine :o) I have just had the most fabulous week in Cornwall. Whilst I was a way my mum had a diagnosis of FFA by a dermatologist where she lives. Her dermatologist said it was the first case of FFA that she had ever seen. Anyway, I'm guessing that confirms a hereditory link, or that mum and me passed under a toxic cloud some years back. Hope you all have a fab rest of your weekend xx

  • April

    Hi everyone: ) just wanted to add that I just had my vitamin d levels checked and I was also very low, have started a supplement. Also, I have not experienced the sweating, but I do have itching all over my entire head, forehead and sides of my face. Does anyone else have this? Is it related to FFA? My doctor doesn't think it is related but I'm not so sure.
  • PamW San Diego, CA, USA

    Itchiness is definitely part of FFA and LPP. I think it is because of the inflammation, which is destroying the follicle. I have been taking a vit d supplement for many years now.
  • Donna

    Hi Rita. I am in Saskatchewan, Canada. Where are you? I have had my eyebrows tatooted for 7 or 8 years now. I would not delibertly give up real eyebrows for this but when you have no eyebrows left it is a great solution. This year when I was getting my eyebrows touched up I got permanent eyeliner and I love it. I have very sparse lashes left so it gives my eyes some definition and I don't think it looks weird and so time saving when doing makeup. Main thing is to be sure the person doing it is very experienced abd has a good reputation.
  • PamW San Diego, CA, USA

    Donna, how long have you had FFA?
  • Judy

    Terry, I am another with the extreme sweating, only on the face, mostly forehead, appears unexpectably and mostly in the hot weather - alot like "hot flashes" which I am many years past. Several years ago my doctor thought it was a hormonal imbalance and gave me premarin (didn't help).
    When I was diagnosed with FFA I thought that maybe this forehead
    sweating was the cause???
    Anyone else have this???

  • Rita - Canada

    Hello Donna, I am in Ontario. It is definitely a daily chore to fill in my sparse eyebrows and will consider tattooing when I feel ready or perhaps fed up. When you say give up your eyebrows, do you mean when they tattoo, the brow hairs you had will be removed.? I would really love to have the eyeliner but I have a real issue with even an annual eye exam, probably couldn't do it unless I'm drugged & one must keep their eyes open so doesn't sound too promising for me.

  • Debs

    Rita, you don't remove your own eyebrow hair to have them tattooed. People have their eyebrows tattooed that don't suffer with hair loss simply as a beauty treatment. You tattoo over your eyebrow hair. I had my eyelashes enhanced a couple of weeks ago - this is a very fine tattoo in the lash line. I am a huge baby and can't stand anyoone going near my eyes - however you look to the corner of the room so you don't see the practioners hand coming towards your eye and they are out of your line of sight.

    I can't stress this enough - please ladies if you are losing eyebrow and eyelashes get semi-permenant makeup (tattoos) I know it is pricey but once it is done it is a huge relief and one less thing to stress you out with this condition. There is no need to struggle with our eyebrows/eyelashes when this beauty treatment available. You go back approx 18 months just to get the colour topped up. This is not as much money as the initial treatment. FFA is not a cheap condition and the bottom line is we have to pay out quite a bit of money to normalise our appearances. I am delighted with my eyebrows and eyelashes. It really does wonders for my confidence and self esteem. XXXXX

  • Maddy, California, U.S.

    Judy, Yes!! I have the extreme sweating around my hairline a lot! I also have wondered if this was somehow connected to the FFA. I also get hot flashes, but the worst of it is on my face, and especially my forehead. Hot weather also brings mine on, but other things seem to trigger it too. I am currently away on vacation, but wanted to chime in on this particular issue. I think it IS somehow connected.

  • Sheri Conway

  • Sheri Conway

    sorry, first time leaving a comment. Apparently :( I need computer101 lol to figure it out. Debs :)HI, I know your in the U.K., but how did you locate a semi-permenant makeup artist? I've googled eyebrow tattoo, but my gosh, some of those pics are scarier than what I'm already seeing in the mirror. Thank you

  • Annie

    Regarding the sweating, I remember running across something on the internet that referred to FFA as sweating alopecia. It must be a fairly common symptom. So far, I've only had the sweating when I started using topical steroids on my scalp (other than the occasional normal hot flashes associated with menopause).

  • Donna

    I looked up and I first got my eyebrows done on 2005. By then I had virtually no brows left. I had not yet realized my hairline was receding too. I look back at old picture to try and determine when it became noticeble. Even when I realized it I didn't kmow it was a condition with a name and something I should see a dr about. My sister and a first cousin on my dad's side has it too so seems to be some genetics link. There could certainly be a connection to high stress and I am in that space again now and concerned I might lose more. If you check my posting history by clicking on my name I give info about autoimmune and gluten-free. I had marked a paper to measure where I was at to know if it was progressing. I lost the paper! So maybe divine interference to keep me from stressing about it. I can still style my hair ok but the slightest breeze and I am exposed. If I lose much more I will have to look at hair toppers or wigs. I have only used clobetsol for treatment for the last 4 months and the derm said inflamation was better. I used nothing prior to that other than I take lots of supplements and added Hair Essentials by Natural WellBeing which has the nutriens for healthy thicker hair. Although it of course doesn't cause regrowth I think the hair I have is thicker which helps with styling and may slow down loss. I also use nioxin shampoo and conditioner which apparently makes each indivual hair thicker so makes hair appear thicker. I think this site has been very supportive and wish there was away to survey each member with a serious of questions and find out more about what we all have in common. I think there are computer programs that could do this. Does anyone know? Neither I nor my sister have pain or significant itching as some report so lucky there.
  • Annie

    Carol, I also had some sleep issues with the Plaquenil at first. I had trouble falling asleep, then would wake up every hour. I was also having very strange dreams when I did manage to get some sleep. I stopped drinking any caffeine in the afternoon and started taking my 2nd pill earlier in the day. My sleep pattern is gradually getting better. I've been taking it for almost four weeks, and it has relieved most of my itching, so I'll keep taking it if possible.

  • Jules UK

    Hi everyone, re Dr Harries steering group, I've asked Debs if she'd be our rep instead of me and she's kindly agreed. She has been a reliable, invaluable presence on this forum who has done so much research on our behalf that I thought she was the natural choice. So good luck, Debs, and thank you!
    Another matter - I asked my GP for a private prescription for Regaine foam and it cost £88 for 6 months supply. In Boots, they said that was almost half price. I asked for the 5% concentration.
    Also, my GP said that I seemed to have lost some subcutaneous fat from the sides of my face near the hairloss, forming hollows. He thought it might be connected with FFA. Anyone else notice something similar? It'll save me sucking in my cheeks for that Marlene Dietrich look!
    Xx
  • Liz

    Hi Jules. I got my Regaine prescribed on a normal prescription. Do gps have different rules depending on where you live? x

  • Jules UK

    I think it does vary from Trust to Trust, sadly! I couldn't have it on the NHS. I did ask. X
  • Simone NJ USA

    Hi Ladies...for those on Plaquenil...how often did your Derm recommend for followup visits?

    Thanks...x
  • PamW San Diego, CA, USA

    Hi, Jules. My derm said to be careful with the clobetasol because it could cause your skin to get thin - could this be what you are experiencing?

    Simone, I see my dermatologist every 6 to 8 weeks and the eye specialist once a year.

    Thank you Debs for representing us.

    I have a question about Rogaine: Did Dr. Harries recommend this? has he seen improvement with it?
  • Rita - Canada

    I was told by my GP that I had thinning(atrophy)of the skin where I put Clobetasol Liquid on.She never really said where to put it and I guess I was wasting my time& thinning my skin by putting it on where hair has already disappeared. Who got clear direction on application method? Who just applies where the itchiness occurs & who applies it here & there where the rest of your hair is.?Do you apply sparingly? I haven't found a great way to do so. Thanks.

  • Jules UK

    Re steroid cream/lotion, I was told to rub it in along the hairline and up to 1 1/2 " back, twice a day. But because I was worried about thinning skin and didn't have redness, I left it off. I suggested that the hollows were because I'd lost weight but the GP didn't think it was that. It's not like thinning skin.
    With Regaine, Dr Harries didn't exactly recommend it. I asked about using it and he said it was worth a try. He doesn't discourage anything as long as it won't cause harm. X
  • Annie

    It's interesting how different the advice can vary from doctor to doctor. Mine said to rub the Clobetesol on the affected areas of the hairline going back only 1/4 inch. I used it for two months, but it made my scalp so tender that I couldn't even stand to go outside on a windy day. I finally gave up & stopped using it a week ago. I can't tell you how much better my scalp feels.

  • Alice

  • Alice

    Simone, I am taking plaquenil snd the last time I saw my derm she scheduled a recall visit in 6 months. I think she will do some blood work then. I see my eye doc once a year. I found clobetasol to be very irritating, something I surely don't need.

  • Kay Ayala

    Am I understanding correctly that it is possible to stop the progession of FFA if you can stop the inflammation? Is that our main goal in controlling this disease to stop inflammation? I am going to the doctor tomorrow for my biopsy results (but feel sure FFA is already the diagnosis from what my dermatologist said). I want to make sure I understand as much as I can before I go in there. Is "inflammation" and "active" the same thing? Thank you for any advise. I am overwhelmed with it all and don't know where to start :( diet, drugs, Rogaine??

  • Simone NJ USA

    Thanks Pam/Alice for your response
  • Jules UK

    Hi Kay, I wish I had some answers for you. This is so frustrating about FFA. Some of us see Dr Harries who is one of the foremost experts in the disease in the UK, yet his response to most of my questions is always "we don't know". There seems to be a medication route that we all follow and many of us are now on Plaquenil. Trying an anti-inflammatory diet is something Dr Harries says has no evidence to support it, but I do think controlling inflammation is crucial so anything is worth the effort. I learnt more from reading posts on this forum than from Dr appointments!
    Julie x
  • Kath UK

    Hello Kay, Like Jules, I can only say I wish I had some answers for you! I got the impression from the first (Consultant) dermatologist I saw some years ago about FFA that if the inflammation stopped then the progress of the hairloss would be halted but I've used Clobetasol for several years and though it helps with the irritation and itching it hasn't stopped the hair loss. And some ladies don't seem to have any inflammation and they are still losing hair. I guess the dermatologists simply don't know what will work. What works best for me is a healthy, sensible diet with lots of fruit and vegetables, plenty of sleep, avoiding stress, keeping cheerful and busy ..... and hoping that it 'burns out' - which I have been told can happen. I know it's a lot to deal with. They're bound to come up with a cure eventually, though. Sorry I can't be more help.

  • Debs

    Jules, please see the email I have sent you.

    Ladies, I am afraid my job as a shift worker is going to prove impossible for me to make the meetings for this focus group. I had wrongly assumed I could discuss the focus group whilst I had my appointment with Dr Harries in Manchester. I have jump through all sorts of hoops to get a day off on a specifc date for medical appointments but I have very little control over where my company puts my days off so I will not be able to respresent us at these meetings.

    Sorry Jules to mess you about. xxxx

  • Jules UK

    That's no problem, Debs. I understand completely! You would have been perfect, but I'll do my best. After my appt with Dr Harries next week, I'll know better what he wants from us and will ask for suggestions. Watch this space....
    Jules xx
  • Alice

    Kay, the whole inflammation/hair loss thing is confusing. I think that most of us have noticeably inflamed hair follicles (red bumps) along the frontal hairline, but have also lost hair without any noticeable inflammation along the sides. From what I can tell, no one has been able to regrow hair w/ Rogaine in areas of hair loss. Some of us have the itching/tenderness where there isn't any noticeable inflammation or hair loss, like the crown of the head. None of it makes much sense to me.

  • Debs

    Terry, all alopecians are autoimmune conditiòns. Our Immine systems have basically gone into overdrive and our bodies are attacking our healthy cells... This is true for other autoimmune conditions like lupus. Many autoimmune conditions are life threatening and disabling. I would argue that alopecia is life changing and should be treated with gravity by the medical community.

    That is a very good idea to see an expert in immunity. I have not heard of anyone going that route.
  • LTown

    I have FFA. I have been taking protonix (acid inhibitor)for a very long time. It is the only med I have ever taken for a very long time. I was wondering if this could have had some affect on this problem. Does anyone else take this med. or another form of it?
    Thankful for this group

  • Liz

    Hi LTown. I have been taking Lanzoprazole, a similar drug to yours, for the past 10 years x

  • LTown

    .Hello Liz,I have been taking protonix for 18 years. I stared losing hair 8 years ago. I have tried to come off of it but it is so hard to. I have was off for several months until the end of 2012, then I came down with the shingles in January and decided to go back on it until I got over them. My hair started falling out again. oh my!

  • Liz

    When I started to lose my hair I researched Lanzoprazole to see if it might cause hairloss and I read that it can cause thining of the hair in some people. I searched some forums and there were people who were experiancing thinning hair since taking the drug. I'm not sure either way if it's caused my FFA however I have male pattern type thinning too and the medication may well have contributed to this x