Frontal Fibrosing Alopecia

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

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  • Valerie

    Thank you, would be very interested but my daughter is home from London this weekend. If you could send me postcode and I will have a think and see what I can do and get back to you. Valerie
  • Celia

    Claire - doxycycline is an antibiotic.  Made me feel nauseous and I could not identify any benefits !!

  • Celia

    Valerie - I have sent you the postcode via the mail on this site - let me know if you don't get it !

  • Celia

    Jules - re: agenda - haven't had any suggestions yet, but how about if we talk about

    - meds /effects/improvements/weight gains ?

    - dermatology visits, frequency, level and type of monitoring

    - improvements felt to be linked to diet

    - how to combat low self esteem/anxiety etc

    - wigs/hairpieces

    - current research - stem cell ?

    Just brainstorming on my own whilst cutting the grass...........

  • claire

    Sounds a great list but how long have we got?? I'm particularly interested in the medicine that people have taken and any benefits/side effects. On going research is also really useful as it might give us all hope. 

  • Celia

    Claire - thanks for that - say 5 mins each topic. This is just a sketch of what we might discuss before lunch and more relaxed nattering - hope OK.

  • Anne Louise

    I'm very annoyed with this site!  I tried posting a new discussion and after writing a ton I clicked "add" and it disappeared.  Then I decided to add a picture to my profile, and as you can see it's upside down.  I can't replace it or turn it around.  I think it's time to call it a night.

  • Valerie

    Really appreciate the invite to lunch/meet up but sadly hadnt realised how far down the M40 you were. Very interested in support group meetings so please keep me informed. 

  • Celia

    Anne - go into your settings and edit your photo.  Sorry you ended up in a Yoga position - a rush of blood to the head can be good for you..............

    Sorry you can't make it, Valerie, but stay in touch.

  • Valerie

    My knight in shining armour (husband) has said he would drive me down and visit the golf course! So look forward to meeting you all. Thank you for the invite and support shown so far. See you Saturday. 

  • Celia

    Knights are good aren't they - another knight is delivering his damsel here then off to the local hostelry.  See you on Sat - I have sent you an e mail on this site.

  • Polly UK

    Ha ha, my knight is escorting me to Paddington station (I'm not very confident getting across London) and will spend the day in London. Look forward to seeing everyone and thank you Celia for the invite and kind hospitality xx
  • Celia

    Looking forward to seeing you again, Polly.  I am sorry not to collect you from the station but my knight is on a Crusade right now or he would have picked you up as last time.  Safe journey, thanks for making the trip.  It's easy for me - just sit here and wait for you lovely ladies to arrive ! x

  • Anne Louise

    C I have tried editing the photo. On the edit part the pic is right side up, there are no options to turn it around. I can't even delete it. I tried uploading different pic but it won't allow it. Looks like I'll be the yoga gal of our group!
  • Celia

    Oh dear !  Not had that prob before. Unsure why you can't delete it ! Try again - go through all the options - got to be possible.

  • Celia

    Anne - go to the option that says My Page.  Take it from there.

  • Celia

    Anne - go to settings then my page.  Let us see you the right way up !

  • Meme

    I liked the photo Anne, it made me giggle.

     

  • Anne Louise

    Meme I'm glad I could provide a giggle! Looks like I will provide plenty more laughs, which I know I sure could use more of, because this picture is here to stay. I have it right side up in my photo section but there is nothing I can do about the profile pic. Can't delete the darn thing or even replace it. Tried on both my tablet and computer with no success. I give up.
  • Sam

    Haha, if only an upside picture were our only problem... Jealous of you ladies meeting in the Uk... Next time I get back to England, I will definitely try to round up another gathering :)
  • Pauline

    Wish I could join you also - hopefully next time - P x

  • Celia

    We'll make a summer plan, Pauline, for another get together.  And hopefully Cathy too. X

  • claire

    Hi Celia,

    Just wondered if it might be a good idea if you gave me a telephone number just in case my sat nav fails me. Looking forward to seeing you all tomorrow. Claire.

  • claire

    Celia, forget the last request just checked on your area and see you have already given it to one of the other members-so I have all I need for tomorrow. Thanks.

  • Celia

    Ladies - thank you very much for making the journey today and for your great company.  I think we all gained from meeting up again and it was lovely to meet the 'newbies' ! Seriously I do value your friendship and the info and inspiration you bring to our albeit short get togethers.  Thanks to the knights in shining armour who delivered a couple of you to the door and also to the knight who waited at Paddington.  Hope you all got back safe and sound.  Stay in touch !

  • claire

    Thank you Celia for your wonderful hospitality, greatly appreciated. It was also good to meet everyone and to share our experiences. All the best to everyone. Claire.

  • Valerie

    So lovely to meet you all, as a newbie you made me very welcome. I agree I think we all got something from our conversations. Thank you Celia for your hospitality and support. Hope to see you all again.
  • Meme

    Celia

    Thank you so much for your hospitality and inviting us to your lovely home. Everyone was so friendly, informative and supportive. It was well worth the journey.  Thanks again Celia.

    meme x

  • Pam

    Celia

    Thank you so much for the lovely lunch yesterday - it was so kind of you to give us all a chance to get together, and I think we all had a really good time! It was so nice being able to have the opportunity to meet up with other members of the forum and talk freely about our condition - I hope we will all keep in touch, and meet up again! Best wishes to everyone,

    Pam

  • Polly UK

    Thank you so much Celia for the excellent lunch and warm welcome to your lovely home. It was really good to meet up and share experiences and I hope we can keep in touch and meet up again. Following conversations yesterday about food allergies I have decided to cut out wheat and see if it helps alleviate some of my wierd symptoms.
    Celia, the Turmeric Extra which contains Bromelain and also Curcumin, Piperine and Ginger and was recommended on here by Debs is by Veganicity from Health Plus online. It's £11.95 for 30 tablets.

    Thanks again Celia and good wishes to all - Polly xxx
  • Celia

    Thanks for the messages all of you - the pleasure was mine - just to have a chat and see you again and to meet new ladies.  You are all so positive and inspiring ! I have one pretty umbrella with butterflies on that was left here and also Meme's  little plastic pots - I will keep these for you unless you would like me to send them - otherwise......we'll have a barbecue late summer when the weather is balmy and we will all be cured by then.  Best wishes. x

  • Meme

    Oh, sorry Celia, I'm always leaving little plastic boxes lying around. Please dont worry about sending them it will be a good excuse (not that I need one) to come to your barbecue in the summer.

    I'm up for being cured!

    meme x

  • Paula uk

    Hi all,
    Celia- thankyou so much for lunch yesterday. It was great to have the opportunity to meet some other ladies from this site.best wishes to you all.
    Px
  • Jules UK

    A belated thank you to Celia for a lovely day on Saturday.  You always make us so welcome! And it was good to see new faces as well as the familiar friends. 

    Jules x

  • Celia

    Hello all, just doing a bit of research, copied this piece dated 2 years ago :-
    Unfortunately, there is no proven cure for frontal fibrosing alopecia (FFA).[3]  However, because hair loss in frontal fibrosing alopecia (FFA) is thought to be caused by inflammation of hair follicles, treatment often involves using anti-inflammatory medications or ointments, such as corticosteroids or hydroxychloroquine (brand name Plaquenil), to reduce inflammation and suppress the body's immune system.[2]  One study of 36 individuals with FFA found a significant reduction in symptoms after six months of hydroxychloroquine treatment; however, they found minimal benefit to continuing hydroxychloroquine treatment after six months.[4]  Researchers continue to question whether or not treatment is effective, or if hair loss in FFA stops naturally.[5]
    Shall we hope it stops naturally ?    I have taken Hydroxy for 9 months or so.  Stopped it about 3 weeks ago - no real difference noted.
    I have a friend who has rheumatoid arthritis and hydroxychloroquine is listed as drug used to alleviate symptoms of this - we know this anyway - she takes methatraxate (sp. prob wrong)  I have seen this drug on lists of possibles for auto immune diseases, any thoughts, anyone ?
  • Marian

    I have been on plaquenil for years for Lupus and it has not prevented my getting FFA or stopped it. Perhaps it has slowed down the progress but how is that measured as there seems to be no true benchmarks to be had. I am on plaquenil, Doxy, steroid shots, clobestol steroid cream, Rogaine and oh yeah an anti inflammatory diet that I mostly adhere to. My FFA and LP just goes on its merry way no matter what I throw at it. I am just wondering how many of us have moved to the next level and are wearing a topper or wig?
  • Brenda, IL US

    Marian i have taken plaquenil for almost three years now for lupus.  I first noticed my hair loss in Nov. 2010. I was diagnosed with lupus in March 2011. Plaquenil has helped my lupus but hasnt had any effect on my FFA.  I'm on all the medications you are on with no improvement.  My dermatologist asked me if i wanted methotrexate but i declined it last november.  I see her next week and i might give it a try.  Im still looking at wigs but havent made any decision yet.

  • Brenda, IL US

    C:  I declined methotrexate last november because i catch every virus and bug that goes around.  I dont need my immune system suppressed.  Plus i had a very bad reaction to imuran another immunosuppresant.  But i may decide to try the methotrexate.  My hair loss is more noticeable by the day.

  • KarenGinny - Iowa, US

    Celia and Brenda,  I am currently taking Methotrexate 3 pills 2 times a day, once a week. I've been on it about a month and do notice my scalp is a little less itchy, but may not see real results for a while. My current derm did a biopsy and thinks I have LPP instead of FFA like my 1st derm said, but it's all very similar I believe, and most of my hair loss is in the front hairline. I had tried the plaquenil but had to stop when it gave me a rash.

  • Mandy

    Hi Ladies not posted anything for a while so here we go with a quick update...
    March 2013 went to GP who knew straight away I had FFA gave me Betnovate to once once a day and Doxycycline to take once a day ahe knew this is what the consultants were starting with.
    August 2013 saw first consultant she took me off both and gave me Dermovate, took bloods, photos etc. Saw her again in November 2013 I had stopped Dermovate as it burnt my scalp so she said to go back on Betnovate and start Hydroxychloroquine twice a day. I also food out I had a weak positive of lupus antibodies possibly due to taking Doxycycline as lupus can be drug induced!
    Terrible side effects to Hydrochloroquine... When taking twice a day racing heart tremors and shaking hands and legs and mood change this led to a visit to A&E and I was advices to stop and contact my consultant but was told it could take 2 weeks to leave my body. Counsel taint said to wait 2 weeks and try agin 1 tablet a day with my evening meal. Second tell managed 10 days once agin racing heart,shakes, mood changes, anxiety and this time a rash that covered my body... Another visit to A&E and told to stop and that it could take 2 to 4 weeks to leave my body!
    This was follow by 5 weeks off work due to stress and anxiety.
    February 2014 - new consultant, new bloods, photos, in depth examination and give Protopic. He explained 3 ways things could go... 1 it could burn out... 2 untreated it would bubble along until at some point it would burn out... 3 treat with topical, or oral or both kinds of medication and it may slow or suppress progress until it burns out... At present no cure!
    What have I learnt...
    My head was not red,sore or itchy before I used medication and my hair loss was less too!
    I have alway eaten healthily but I do exercise more now and I have lost weight :0)
    Did I let it consume my life yes... Do I now? Sometimes... And I'm working on this.
    Will I take oral medication... No never again unless it is the CURE!
    Will I use topicals... Yes for a while... Thinking for the next six months
    When I need to I have decide to use hair fibres and maybe a topper instead of a wig as the consultant did say the the FFA is only active at the front of my hair going back about 2 inches
    Next steps... When I see the consultant next I will have the results of my biopsy... He thinks it will confirm the FFA/LP and I hope for some news regarding to lupus antibodies.
    For now I intend to make the best of a bad thing... Try to stay positive and enjoy my life.
    Sorry to go on lovely ladies be I know everyone like to know who different people get on with different medication xxx
  • Kath UK

    Hi Celia - a few months ago I found and read the article you were quoting from.  It seems to say that if Hydroxy doesn't work within 6 months there's no point staying on it and that was what my dermatologist told me last time I saw her (just before she said there was basically no point in me seeing her again!). 

    I hate to sound negative but it looks to me as if at the moment none of the doctors anywhere know of any medication that will stop FFA.  I've stopped using any medication except for Dermovate (clobetasol lotion) which I only use occasionally now.  My hair is still disappearing and there seems to be nothing I can do except just accept it as a fact of life.

    Let's hope that eventually a cure will be found - if not for us then at least for our daughters and granddaughters. 

    By the way - are men never affected by FFA or only rarely?  I kind of assumed that all the members of this support group are ladies.  Am I wrong about that?

  • Annie

    Hi all, just wanted to comment on a couple of your comments.  C, I also read the study that said that Plaquenil works best in the first 6 months, but I've also read articles (including one in the last CARF newsletter) that say it can take 9-10 months to see visible results.  I've been taking it for almost 9 months and the redness has definitely subsided.  I also think the hairloss may not be quite as bad.  I still have pain, especially when the wind blows, but it's better.  I think Plaquenil works so gradually that you barely notice it. 

    Mandy, my experience with pain is very much like yours.  It seems like it got much worse after my diagnosis.  Do you think it's the topical?  I stopped using mine last summer, but had to start using it again when I had a flareup. 

  • Debs

    Kath, FFA affects females however there are other cicatrical alopecia that affect males too. The CARF meeting I attended in London back in Novemver was lead by 3 derms and they used photos to explain all the cicatrical alopecias. Some of the others are horrific, dreadful sores and such like, our FFA is actually the 'milder' I think having seen what the other cicatricals are like. Treatment options are the same.
  • Anne Louise

    C, I too have read that article you referenced on the efficacy of Plaquenil diminishing after 6 months. I decided to start Plaquenil this week and thankfully have had no short term side effects so far. I plan to give it a try for 6 months, possible 12.

    I was at an education conference for nurses on Wednesday and learned a ton of fascinating stuff. It was all about the gut and how it impacts stress, appetite, digestion and mood. The one fact that jumped out at me was that the amount of Lactobacillus, a probiotic, is low in all patients with auto-immune disease. The speaker spoke extensively on probiotics and their benefits. She left us with over six pages of bibliography and references, so I have plenty to read up and study!

    In looking back on my own health, I had a severe middle ear infection (first ever in my life) and took two rounds of antibiotics for a total of three weeks. This resulted in a yeast infection that kept returning on a monthly basis for six months. It was during this time that I began to notice my eyebrows thinning. Now I'm wondering if those antibiotics also wiped out the immunomodulating Lactobacillus, resulting in FFA.

    The following is an excerpt from an article about Lactobacillus, a link to the article is after that.


    Lactobacillus rhamnosus, with its antimicrobial and immune-regulating ability, along with its extremely sticky, adhesive properties, offers an entirely new therapeutic strategy for combating allergic and infectious disease. Our gut microbiota have a powerful ability to prime immune regulation.

    http://www.nleducation.co.uk/resources/reviews/lactobacillus-gg-a-p...
  • Brenda, IL US

    KarenGinny.  My derm diagnosed me with FFA and LPP.  She didnt do a biopsy because she said the scarring was so evident.  I too had a bad reaction on my first try at a generic for plaquenil.  When i saw a new lupus specialist he told me to try another brand.  I had my pharmacy order the real drug and ive never had a problem with it.

  • MJ

    Anne, that is very interesting. I had taken a bunch of rounds of antibiotics in the year before my FFA seemed to have started. I also took lots of flucanazole to prevent and treat subsequent yeast problems. One time, in the month before I really noticed my balding area, i was actually on a two week course of flucanazole, which I subsequently discovered has hair loss as a side effect. Since drastically changing my diet and reducing stress, I feel like alot of my gut problems have resolved. Interestingly, in the year before my dx I was also taking a probiotic called VSL #3 which is typically given to crohns and ulcerative colitis patients. My colorectal doc told me to take it for my intestinal issues. I stopped taking it once dx with FFA because I got leery of anything I had been taking, including my prescription nasal steroid for seasonal allergies. I just wasn't sure what might have been a trigger. I think I may reconsider the probiotic. Interestingly, the thing that seemed to resolve my bowel issues (tmi) was the slow release iron tab my derm has me on. It is so hard to know what to do...but the one thing I am grateful for is that all of this has really put me on the road to much better overall health and I feel better than I have in a long, long time!
    MJ
  • Anne Louise

    MJ wouldn't it be great if all we had to do was take probiotics and we could cure FFA?! Ive been taking one on and off since I started Doxy a month ago. After learning more about them I plan to research some more and figure out the best one to take. As far as I can tell, there is not much harm that can come from taking probiotics and there could be a ton of benefits.
  • Annie

    Anne, I also had a severe ear infection a few years ago.  I took two rounds of Amoxicillin, then ended up having to take Zirithromiacin to clear it up.  I've always wondered if the perhaps the infection triggered my ffa since I'd rarely been sick in my life up to that point.  Regarding antibiotics, I've always had oily skin, and have taken more rounds of antibiotics to combat acne than I can count.  I have been taking probiotics for about three months and have started making kefir, which has natural probiotics. 

  • Jules UK

    Really interesting comments about probiotics.  Does this mean that if I make my own yogurt, it may help? Or is that too simple?  I've just heard from Nottingham that I've been randomly selected to take part in the research into psycho-social affects of alopecia.  My appt is on April 8th.  The Dr sounds lovely. Has anyone else opted to participate?

  • Maddy, California, U.S.

    I agree. Really interesting comments about the probiotics, infections and antibiotics. I just saw several similarities, so wanted to speak up. First, when I started going through perimenopause, my skin became very oily and I started to have severe acne breakouts...almost like cysts on my face. I was on Amoxicillin for a couple of years. I think my FFA was definitely triggered by a medical condition....while not an infection exactly, I got Influenza really bad the year before my FFA started. It literally took my lungs months to recover (probably close to having an pneumonia). Finally, I actually thought to myself the other day how much better my FFA seems now that I eat an Activia yogurt every morning regularly (for about two months now). I have MUCH less hair shedding. I wonder if we are onto something?