Frontal Fibrosing Alopecia

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

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  • Anne Louise

    I am going to a nursing conference on managing chronic inflammation with nutritional interventions this Friday. I will be sure to share anything that may be of interest to all of us here.
  • Celia

    Meme - I am so sorry !  That's very thoughtful of you to consider us.  I do hope you feel better soon.  Will let you know how our day goes.  Hope to see you early in the New Year ! x

  • claire

    I hope that the get together went well this week. I have not been writing recently as I feel really fed up at the moment as my hair is now going around my ears. My dermatologist is recommending Mycophenylate mofetil. It has side effects and just wondered if anyone had any experience of taking this medication?
  • Murphy

    Hi everyone. I'm new to the group. I'm 47 and was diagnosed with FFA a few weeks ago. Similar story, lost my eyebrows, receding thinning hair, loss of hair on upper arms and legs. I saw four doctors before being diagnosed and was relieved to finally have an answer. After a year of intense itching and burning of my scalp and body, I felt like I was going crazy!! So, I'm just starting to read through the posts. I used clobetisol, but got painful bumps on my scalp. I started a serious detox today (master cleanse) I did this several years ago and had relief of joint pain. I'm deeply concerned about my appearance and have difficulty styling my hair. I was wearing bangs to hide the fact that my eyebrows are gone but now the bangs are sparce! It will take me some time to read the posts but so relieved to have found this group!!
  • Anne Louise

    Hi Murphy welcome to our group and I am sorry to hear of your diagnosis. I just turned 47 yesterday and was diagnosed earlier this year. You will find tons of information and support here. You may want to consider getting your eyebrows tattooed. I have a post about it in the discussion forum above.
  • Jodie UK

    Claire, I have taken Mycophenylate mefetl, I didn't have any side effects to this drug but didn't find it made any difference to my FFA, the only drug I have taken that I felt actually stopped it was cyclosporine which is a very powerful drug, but the side effects were horrendous, so I had to stop after a few months and the FFA became active again as soon as I stopped taking it.
    We all react differently, so maybe so this drug may work for you.
    I attend Dr Susan Holmes at Glasgow Royal Infirmary, she works very closely with Dr Christos, and I have now been prescribed a drug called toctino, it is not licensed for FFA, so I guess this is an experiment, I have only been taking it for 7 days, no side effects as yet, but early days.
    I would be interested to know if anyone else has taken this drug or has been offered it.
  • Jules UK

    UK ladies - just a reminder about the online survey to help with directing research.  Several of you have let me know that you've completed it already.  Thank you so much!  If you haven't yet, please do take a look.  It's worth having a bit of a think about what questions you'd like research to answer before you do, to save time.  Many topics have cropped up on this forum - there should be no shortage of ideas!  Then, it should only take about 10 mins, depending on how much you have to say, of course.

    http://www.alopeciaonline.org.uk/hairloss_PSP.asp

    Please do grab this chance to have a say!

    xx

  • Jules UK

    Hey ladies - I've just had a look at the survey responses so far and FFA has a pretty good representation.  Well done!  Let's get some more and get ourselves noticed! xx

  • Jodie UK

    Rebecca- it was mostly my kidneys that were affected but was also starting to affect my liver to a lesser degree, I also grew fine dark hair all over my face, but I was strictly monitored, blood and urine tests every week, then the dosage was lowered and I attended for these tests every 2 weeks, but my derm and I came to the decision, I was not a good candidate for this drug and it was stopped, after a couple of months. Everything was back to normal within a few weeks after stopping taking it, but as I said we all react differently to different drugs, what works for one person may not work for another, I don't mean to scare anyone, and I'm sure your doctor will monitor you very closely.
    Rebecca did you get a fact sheet before you started cyclosporine detailing all the side effects? I had to read up on it and answer questions from the fact sheet before my doctor would prescribed it to me.
  • Jodie UK

    Rebecca- I'm glad you have no adverse reaction to cyclosporine, because I can honestly say it was the only thing I have taken that I felt had any positive effect on FFA, but I am also unable to take plaquenil, because I have a bad reaction to this drug also, so my body must have a low tolerance. I've had FFA for more than
    8years now, and I go between swearing I will never try anymore drugs to treat it, to being so totally depressed and desperate that I end up taking whatever else my doctor recommends I try next.
  • PamW San Diego, CA, USA

    Rebecca and Jodie, is cellcept the same as cyclosporine? Also can you tell us more about the new drug you are being prescribed? My doctor in San Diego did her residency at Dr. Christos hospital. I am having a terrible few weeks with itching and burning. Not just my scalp. My ears, neck, palms of hands just itch all the time. I am desperate for relief.
  • Classical Anne in NC mountains

    Pam, please go see your doctor [not necessarily your derm] !  That kind of itching, including palms of hands sounds like a bad allergic reaction.  I've been there too often, and it's not a happy place.  Something you are taking/doing is not right for your system.  I hope you find relief soon.  Don't try to ignore the symptoms -- you may end up needing adrenaline injections to help flush it out of your system.  Best wishes!!

  • Jodie UK

    Pam, the drug I have been prescribed is called Toctino in the UK, it is mostly used for chronic hand eczema, I don't know if any other FFA sufferers have ever used it, or if I am a guinea pig for this experiement. It's early days so I don't know if or how effective it will be, but will keep the group informed.
    I am so sorry about your problem, but I also agree it sounds more like an allergic reaction to something.
    PS- Just back from wonderful holiday in San Diego, you live in an amazing city, I Love it
  • Annie

    Hi All, I just wanted to update you on my 6-month appointment with my derm last Friday.  After taking plaquenil for 15 months, my doctor said he is very pleased with my progress.  My ffa has not burned out, but it has stabilized.  He could not see any evidence that it has spread since my last visit.  I still have some scaling in a couple stubborn spots, but very little redness.  I am to remain on the plaquenil / topical steroid program and see him again in 6 months unless I experience a flareup.

  • MJ

    Annie,
    That is great news! I am curious as to what scaling looks like. I had been told scaling was visible too, but I have never experienced any redness or aggravation and I donT visibly see any scales. Is it something you see with magnification?
    MJ
  • Annie

    MJ, I can see a light flaking on the areas affected by ffa, almost like dry skin.  I've also noticed it on my arms around the hair follicles.

  • Sas Holland

     I  mistakenly posted my questions on my discussion forum, but I think this is a better place isn't it?

    I still have so many questions, since I got my diagnosis not very long ago, I am happy to have found this forum

     For instance does anybody know if it is hereditary? Are there cases known where both mother and daughter(s) have FFA? Or is it also possible that you can loose eyelashes too?

  • Celia

    Hello Sas - welcome to this site. It seems that in many cases the eyebrows are the first areas to disappear, SOLUTION - TATTOOS . Eyelashes can go too, or at least severely thin. SOLUTION  you can have the eyelids tattoed - I just use a pencil. Self esteem also is affected - SOLUTION - support from friends and this site. Hairloss at the front and above the ears - SOLUTION - there are bespoke hairpieces that can be made - fantastic ! Have you read the info sheet that Debs created on this site ? Have you got a good dermatologist ? Where do you live ? Best wishes X

  • Celia

    Hello again SAS - silly me - I should have read more about you before writing my last post !

  • Sas Holland

    Haha, hello C, no problem and yes I am very grateful for alm the good advices here. Ik have yet  not seen the sheet you mention from Debs, but I am going to look it up!

  • Sas Holland

    hello C, I cannot find this info sheet from Debs, where do I have to look?

  • Celia

    Sas - if you look above on this page on the discussion forum you will see View All at the bottom - click onto this and go to page 4 - you will see the sheet compiled by Debs there.

  • Liz

    Hi Sas. I have had FFA for at least the past 3 years and my mum has it too for the past 6-7 years. She is 74, I am 43 x

  • jess

    Does anyone know if you can get hairpieces like the bespoke ones mentioned on here in the United States?
  • Jules UK

    UK SURVEY

    Hi UK ladies, please remember to fill out the hairloss survey if you haven't already.  It closes on Friday.

    http://www.alopeciaonline.org.uk/hairloss_PSP.asp

    Thanks for your support! x

  • Sas Holland

    Hi Liz, So you and your mother both have it, just as Rebecca. I had hoped it wasn't hereditary, but maybe it is then?

    and thanks C, found  the page, the fact sheet is not there but I will ask Debs for it

  • Liz

    Hi Sas. I have often wondered if it hereditary and it may well be. However we also spend many years living in the same house being exposed to the same toxins in our make up, cleaning products etc. We both used make up from the same company whose ingredients have since been banned. We both used home perms....So it could be hereditary but maybe not x

  • MJ

    Liz, I am curious as to what brand of makeup you had been using?
    MJ
  • Deborahhartshorn

    Hello All

    In the last couple of weeks I've been diagnosed with FFA, however I've probably had this condition for the last 3 years, for example my eyebrow hair fell out first followed by a red sore patch appearing on my forehead which spread down the side of my hair line, resulting in my hair receding around the front and sides.  The specialist I saw injected my scalp with steroids and I’m to re-visit him again in January.  I wasn’t expecting the diagnosis I got, as you can imagine I was thinking I’ll go along to see the specialist, he’ll tell me I’ve got a skin condition give me some cream and my hair will be back in a few months, when he didn’t I was shocked and upset and didn’t really ask the questions I wanted to, all I could remember from the consultation was the words “It’s a rare condition and your hair will not grow back and the aim is now to slow or prevent any further hair loss”.  I’m 47 and not yet showing any signs of the menopause and except for low Iron which is currently being restored with Ferrous Sulphate tablets all other blood test results came out fine, therefore I am at a loss as to how I’ve developed this condition.  I don’t have a perfect diet but I don’t eat junk food either.  Is it really true that FFA sufferers will never get back the hair they have lost?  I’m open to any advice that will inject some hope to get me started on how to tackle this condition.  Thank you for reading and your advice in advance.

  • Debs

    Deborah please email me for a fact sheet to get yourself up to speed with FFA. The questions you are asking have been answered by our derms. Contact me on debs-007@tiscali.co.uk
  • Celia

    Hello all.  I have just returned from Charing X hosp where I saw Dr Ali,(Consultant Dermatologist) a very pleasant young lady who has expertise in alopecia.  She took 3 new biopsies one from the front, the crown and the back, the aim being to see what if any differenced there is in any alopecia activity - I go back in 2 weeks time for the results and then she will start me on a more 'tailored' regime. I had some blood taken too for the full screening inc. hormone levels - never been offered that before. I don't like meds but she has convinced me that she will try to make a plan that may just halt the FFA - she has had patients for whom the FFA has become inactive after some 18 months of treatment.  She had not seen such an effect as I have following steroid injections - as I've said in the past I have a 'trench' at my hairline because of these shots - never again - but I know there are ladies who have felt these to be successful.  Fingers are crossed once again, not having been seen by a derm for a year.  Charing Cross hosp was amazingly clean and the staff were soooo efficient - all ran like clockwork, my apt was about 15 mins late but I had a 50 min consultation. 

  • Celia

    Dr Iaisha Ali is the derm's full name and she leads the clinical team.  So very approachable and knowledgeable.

  • Catherine

    Thank you so much C for the update. Dr. Ali sounds great! Did you need a referral from your GP to see her? Did you call the Charing Cross hospital dermatology department to make an appointment?

    Thanks again! Catherine x

  • Pam

    Really interesting to hear about your consultation with Dr Ali, it sounds very promising. I would be very interested to hear about the treatment plan she proposes too. 

  • jess

    I am also excited about it. Please let us know what treatment she provides you with.
  • Anne Louise

    Since there are new members here I thought I'd post a link to the most recent CARF (Cicatricial Alopecia Research Foundation) newsletter. This organization is a great resource for information and support groups.

    http://www.carfintl.org/_docs/newsletters/CARF_Newsletter17_Nov2014...
  • Sas Holland

    Thanks very much, Anne Louise for uploading this Carf document, very usefull for new members like myself!

  • Liz

    Hi

    I had a phone call regarding the CARF meeting in London next week. Apparently there has been very few people singing up to go along. I am unable to due to work. Is anyone else going? Can anyone else go? xx

  • Donelle

    Hello all

    I am new to this site but not to FFA, which I have had for about 6 years.  Of course it was misdiagnosed until two years ago.  I have been through the mill with various treatments, but thankfully now I am being treated now by Dr Aisha Ali at Hammersmith and Charing Cross Hospitals.  I would be happy to talk with anyone about my condition and treatment etc but the main reason I'm writing today is to encourage anyone who possibly can to come to the CARF meeting in London this Friday.  I have just been on the phone with Dr Christos Tziotzios who will be one of the presenters.  Many of you know he is one of the foremost researchers now looking for a possible genetic cause for FFA.  He said last year there were about 80 participants but the conference was held on a Saturday whereas this year's is on a Friday.  So please do come if you can.  I would love to meet some of you there!

  • Catherine

    Hi Donelle,

    I will be there! I look forward to meeting you.

    Catherine 

  • Jen S.

    Donelle - unfortunately I live in Atlanta, Georgia.  So, getting to the CARF meeting is not possible.  However, given that you have had FFA long-term, I am sure a bunch of us would love to hear your thoughts on the treatments you've tried.  Has anything proven helpful for you?  Thanks!

  • Sas Holland

    Hi Donelle, i live in the Netherlands and are also not able to attend theCarf meeting unfortunately.
    But I am also just like Jen interested in the trestments you had
    Here's an update frommy second visit to my dermatologist:

    I visitedmydermatologistyesterday for theresults of my biopsy. It isdefenitely FFA but in a very mildstadium now.
    They give me the chouce to start with Cyclosporine for 4-6 months while they monitor my bloodpressure, kidney and liver securely.
    I then can have a small trial stemcell transplant. The cyclo is to prevent that the FFA willbe reactivated by the trauma of transplantation, (Kuppner effect)sine they find cyclosporine works thebest against the lymphocytes that are fighting and killing the hairfollicles.
    He assures me that this trauma of transplantaion cannot trigger FFA all overmy head or in other areas then where the trauma is.
    After this small testarea transplant i have to take thisCyclosporine for another couple of months so the new hair won't be rejected.
    I have a week to decide if i want to take the cyclosporine or not. Another option is to just take the cyclo and not have te test transplant and last option is to take nothing. He says minixidil is useless because it only works for male hormons and this FFA lymphocytes are not responding to it and also that you will only get a few babyhairs from using it, not much more
    I am very interested in hearing stories about the cyclosporine, what it did, did it stop or slow down the FFA and what were the side effects?
  • jess

    I am very excited about the transplant!! I hope it works for you Sas and hopefully for the rest of us
  • Donelle

    Hello all and thanks for the welcome.  For everyone interested in my journey I offer the following (which my husband calls an epistle).  For the past 7 years or so I have been seeing Professor Chu, head of the dermatology practice at Hammersmith Hospital.  I was referred to him by my local (Dorset) dermatologist who was treating me for rosacea.  That dermatologist prescribed massive doses of roaccutane (doses so high that my pharmacist thought the script was in error).  It was almost immediately after that I lost my eyebrows. Prof Chu said I had alopecia areata caused by the roaccutane.  He gave me a series of steroid injections in my brow area which did nothing (except hurt like crazy).  When it became clear that that wasn't working he referred me to the clinic at Ealing Hospital.  At this point I only had eyebrow loss, or at least I didn't notice other hair loss. At Ealing they treated my eyebrows with Diphenylcyclopropenone (DPCP), which is a process whereby they paint the brow area with this stuff that results in allergic contact dermatitis. In alopecia areata, it is believed to work by redirecting the autoimmune attacks on the hair follicles, allowing for re-growth.  All it did for me was replace my eyebrows with scabs until they healed, at which point it was time to administer the treatment again.  I did this for over a year before I decided I had enough.  After I stopped the DCHP treatment I noticed that my hair was receding. Prof Chu's registrar or research assistant, Dr Thivi Maruthappu, immediately recognised that my hair loss was not areata but FFA. Thanks to Thivi Prof Chu referred me to Dr Ali who did a biopsy in which confirmed FFA.  

    Dr Ali has me on a combination of hydroxychloroquine, Etrivex shampoo (Clobestasol) and rogaine 5mg twice daily. Her approach is to slow the progression of the disease until it burns itself out. Unfortunately, in my case while this treatment may have slowed things down the disease has continued its relentless course.  I have been given literature on cyclosporine and will see Dr Ali again the first week in December to discuss this and other options. She did say that at some point the disease will go into remission and that once there is no inflammation present a hair transplant will be an option.  I have little hope for this, however, as I have never read of anyone whose FFA has burned itself out nor have I read of anyone who has had a transplant.  Sas, you are the first, and I do hope your treatment is successful (although I am unclear whether this is a stem cell or hair transplant you are having). Also, Sas regarding minoxidil, I urge you to have a look at the CARF website, especially their newsletters, in which the specialists treating this disease all prescribe minoxidil.  In my experience it does produce baby hairs, but for these I am VERY thankful.  I have lost hair mostly at the sides, about an inch (possibly more) and the hair on my forehead is just beginning to thin out.  My scalp itches and burns, and is red and inflamed in places.  My hairstyle mostly hides my hair loss and I draw my brows on each morning with Stila brow pens.  I have lost all hair on my arms and legs and my eyelashes are very thin and spiky.

    Forgive me for this has been very long and I really have no good treatment news to report.  I can say that I am very much looking forward to meeting Catherine and anyone else able to make it to the conference on Friday.  This site is amazing and for all your stories I am very grateful.

     

  • PamW San Diego, CA, USA

    Donnelley, thank you so much for your information and to everyone else who has shared. Because of your generosity, I have been able to bring the latest info to my dermatologist. Please, ladies from the UK, keep us posted about Dr. Christos and his findings. I participated in his study.
  • MJ

    When I was at my last appointment at the Cleveland Clinic, I asked Dr. Bergfeld if she has seen others who have reached the elusive "burnout." She said yes. I guess if they have, they have moved on and we won't hear from them in this forum. Hopefully one of us will be able to say we have reached that point! It just seems odd that so many have had FFA for years and it has not run its course.
  • Jodie UK

    Hi all
    I have been taking a drug called Toctino for the past 3-4 weeks, so far so good as I don't have any side effects, and no symptoms of FFA since I started taking it, I am not sure if the hairloss has slowed down as its still to soon to know. I would appreciate if anyone going to the carf meeting would ask the dermatologists about Toctino as it is not prescribed in the USA and this concerns me very much.
  • Celia

    Jodie - I wonder which derm you are seeing ? Glad your symptoms have subsided.

  • Jodie UK

    Hi C
    I attend Dr Susan Holmes at Glasgow Royal Infirmary, I know she works very closely with Dr Christos as he spoke very highly of her on the telephone, at the time when I was taking part in his study.
    I have had FFA for a long time now, and it's so unpredictable I don't know if I'm going through a quiet spell, or if it's Toctino that's making a difference, that's why I would be really interested to know whats Dr Christos opinion this drug. I have not heard of anyone else prescribed Toctino for FFA.
  • Jules UK

    Just googled Toctino. It's interesting that it's a treatment for eczema, like Protopic. I'll ask Dr Kaur about it at my next appt.
    There was a phone conference last night about the Hairloss survey. We're really pleased with the numbers responding and especially FFA. Well done. The survey is staying open until Sunday because of the CARF conference - there'll be opportunity to complete it there.
    I can't go but look forward to reading about what's discussed.
    X