Frontal Fibrosing Alopecia

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

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  • ChrisC. Chicago, IL

    The Protopic is alittle sticky as the base is like vaseline. But I only put it at my hairline where the redness exists around the follicles. I am looking into a compounded prescription with the tacrolimus in a Cetaphil lotion base. My derm wrote a script for it but I have yet to get a cost. Will let you know. . .

  • PamW San Diego, CA, USA

    Yes, 200 mg twice a day. I can't imagine taking both pilss together. I am also still taking the Doxy, which I think is actually helping with my rosey cheeks. Clobestasol on the red scalp, but I think it is thinning my hairline.
  • Judy

    Interesting about the clobestasol - I also think my hair is thinning on the scalp but maybe it's an illusion? .... Because the redness is gone now. My dermatologist said to takke the 2 pills together - 400 mg total/day. I questioned that also but she stuck to the 2 together.

  • PamW San Diego, CA, USA

    It is good that the redness is gone. Does your head itch or burn like mine?
  • PamW San Diego, CA, USA

    judy, I went to. Good person for eyebrows. She is in Poway.
  • Judy

    No, it really doesn't itch, only occasionally. I guess I am lucky. Thanks for the tip on Good Person. Are you happy with them (tatoos)?
    Yesterday I bought a chubby eyebrow pencil from Clinque - I think I can learn to do it but what a PAIN!! (especially when I go out, forgetting that I didn't put it on!!!!)

  • Lace

    What would be worse is if you only put one on!

  • Judy

    True....... Recently, before I knew I had FAA, I visited my family and forgot my eye makeup --- my grandchildren were fascinated!! My grandson kept telling people "Look! my grandma doesn't have eyebrows!!"

  • Jules UK

    Hi everyone. Celia, I hope Dr Harries is worth the trip. I've booked a travelodge for the night before my appt with him because it's quite early. The danger is that we pin too much hope on him. I'd be interested to know what he thinks about hair products - for styling or colouring. Should we avoid them or can he recommend any? Also, is there anything - such as supplements or particular foods - that might either aggravate the condition and be avoided, or help hair growth and be included in our diet? I'm just desparate to be doing something, anything! I'd dye my hair green if it helped!

  • Jules UK

    Bold - but hairy.... sounds good to me!

  • PamW San Diego, CA, USA

    celia, I have a question for Dr. haries. Dr. vera Price, who has done much of the research here in the US says that Actos can work for FFA. can you ask him about it. She says that is the only drug which has shown to stop the hair loss. The other drugs just control the itching, burning, etc.

    by the way, the white flaking is not the cream. It is our scalp reacting to the inflammation. it is called scaling.

    I know, it is not a holiday for you, but tomorrow is Thanksgiving in the US. So, I want to wish us all a Happy Thanksgiving. And to my friends in the UK, thanks!

    Celia, also dont be upset after the tatooing. Your brows will be really, really dark. it is a shock after not having any for a while. Just be patient, they will fade. I just had a touch up last Saturday because they were so light.
  • KarenGinny - Iowa, US

    Jules, I would like to hear about the effects of diet and other supplements as well. Although I don't know if it would help me regain hair, if it would make my existing hair stronger that would be good. Happy Thanksgiving to everyone from the US! I am thankful that I found this group and that we all have a place we can come and talk about this condition with others who understand. Have a good day!

  • Judy

    Happy Thanksgiving from me also. Even though we all have this crummy condition there are so many things to be thankful for so I am forgetting FAA tomorrow except being thankful for this group and realizing there are other women having similiar feelings.
    I too am interested in the nutrition question.

  • MairiM

    Rather belated Thanksgiving wishes to all of you celebrating today.
    Celia - can you tell us where you found the new site that mentions Dr Harries?
    Reading all your posts has been good for me as it makes me feel I am one of the more fortunate ones. I have no itching, flaking or redness, and I have lost only a small bit of one eyebrow. All I have is the loss of hair :-( and the characteristic pale skin. We have noted the variety of treatments we are getting, but I wonder if Dr Harries will have any ideas on why our symptoms vary so much also.

  • Debs

    Hello All, Celia I am glad you are sorting out your brows, I will go along to this clinic in Chertsey when mine need a top up, had them done last November and they are still dark, have faded a little but it will be awhile before I need to touch them again. Went to a lovely Christmas fayre in London yesterday and had lunch. I wore a wig. My 2 girlfriends know about my FFA and saw me in a wig back in Sept. I wore a bob with a fringe, a Gisele Mayer, they both liked it. Nobody stared at me! A young woman working a a restaurant was wearing a very nice long wig herself, I knew because it was similar to a long wig I have purchased but my girlfriends had no idea she was in a wig and in fact my friend Sally commented on what lovely hair she had! Going to wear my wigs to several events in Dec to gain confiidence before going into them full time in Jan. Can't wait to hear Celia what Dr Harries says. Have a lovely week. Hope all the ladies in the USA had a fab thanksgiving. XX

  • Liz

    Hi. Is Dr Harries a private doctor? I cant understand why I was prescribed 8 weeks of antibiotics and 8 weeks of steriods when I have no irritation. I stopped both early (although safely!)Would you tell Dr Harris about the possible heredity factor because my mum has FFA to. My mum has no eyebrows. I on the other hand have lost half of 1 eyebrow! Im thinking seriously about contacting Channel 4 and asking to appear on Embaressing Illneses. Myabe I'd get some answers, and then again maybe not!
    xx

  • Heidi Short UK

    Hi everyone happy late Thanksgiving to our American friends!
    Celia you say you are not sure of swallowing any medication, I just wanted you to know I have been taking my hydroxychloroquine sulphate 200mg since May with no problems what so ever, I take it with my breakfast and a multi vitamin! You have sounded a bit sad recently, keep your chin up, we all owe you a great deal by setting up this web site. Its a place we can come with questions and support. I hear the panic when people first join this group desperate for answers, confused, scared that all their hair is going to fall out! I know I was devestated I couldn't stop crying at first but now I am more excepting, I have tried everything and at the moment I'm ok ( I don't know how I'll feel next year when alot more will have gone!) I have got my hats for windy days, and I've got a few different hair bands if I'm desperate to keep my hair inplace.
    There was one question that I would like you to ask Dr Harries 'has he had any luck in funding the data base for scarring alopicias, which he had talked about in his reply to me. I did reply to him by email but never had a reply back, perhaps I should have written instead.
    Liz when i went to see my dermotologist the first time, my daughter came with me. It was one of the questions she asked him, he said FFA wasn't heredity, although other auto ammune diseases were. Also I went on the embaressing bodies website a few months ago and wrote on their wall regarding more info on FFA, I haven't had any reply though. Perhaps the more people who ask questions the more likely they would do a program on it! EVERYONE WRITE IN!!!!!

  • MairiM

    Would be great if someone can be brave enough to go on embarrassing bodies. Won't be me, though. At my age the less seen of my body the better!
  • MairiM

    Liz, In my letter from Dr Harries he said that any GP could refer a patient to him, and that the waiting time would be about 6 weeks.
    Celia, if what Pam says is correct about the 2common meds only treating the inflammation rather than the hair loss, perhaps I should stop using the meds?
  • Liz

    Where is Dr Harries based? The doctor I saw said FFA was his special interest but I dont believe him. I saw him in September and my next appointment is in June next year, so he will never know if the medication made any difference. I'm sure that Dr Hilary on Daybreak would be interested if I wrote to him. We must be interesting to someone :o)

  • MairiM

    I don't have his letter to hand but I think I'm right in saying it's
    Salford Royal NHS Foundation Trust. My private appointment with a Dundee consultant cost £145 ( I wanted to bypass the long NHS waiting list in Aberdeen). I have to go back to see him on Monday 26 November, but now wondering if I will get anything more out of it - probably should have spent the money going to Manchester :-(

  • PamW San Diego, CA, USA

    The meds, clobestasol and plaquenil are to help with inflammation. Inflammation is what causes the follicle to let go of the hair and scar over (it is the body's way of protecting itself). The inflammation is what causes the pinkness and the itchiness. The docsnthink that the meds will help the symptoms of itchiness and pinkness, but the hair follicle stays under attack because of the toxic lipids that are present. My derm thinks the way to battle this is to keep the inflammation to a minimum. Dr. Vera Price (the US expert) says that some people will still lose their hair because they haven't turned off what is causing the toxic lipids.

    I definitely would not encourage anyone to discontinue meds. I think you should fight this with everything that you can. I will try anything.
  • Liz

    I guess that I have very little faith in the person (doctor) I saw. He saw me for no more than 15 minutes, prescribed 8 weeks of medication and then no follow up until next June. How on earth would he have any idea if the medication had worked? He also said 'Do you have trouble with your eyes?' to me and when I said yes, he said...'Well the meds can cause eye problems but it's rare'. I see no point in him mentioning it to me if there was no risk. There is a risk of death with most medications but it's so rare your not told, so why was this the first thing that he said to me....and so I have been left really no further forward than before I saw the doctor.
    Sorry for this moan first thing in the morning!

  • Liz

    Hi celia. Thanks for the advice. I shall look in to getting a refferal to Dr Harries. I'm planning on going to my local Alopecia meeting in a couple of weeks so may meet someone else with the condition. Enjoy your gym session :o)
    x

  • Jules UK

    Hi all. I've been thinking along the same lines about giving FFA a higher profile - perhaps writing to Good Housekeeping magazine (my mum subscribes). They run alot of articles about breast cancer - well this is also a female disease so should be pertinent to their audience. I've switched to Dermovate but the redness is not lessening and my hairline is very ragged. It really is horrible. I'm going to meditation classes but am finding it impossible to switch off the "monkey mind". Not sleeping much either. Has anyone else tried any relaxation techniques that have worked for them? It's only been about 5 weeks since diagnosis but feels like a lifetime. It's so reassuring to see all your comments, especially how devastated you feel since friends and family really can't see how frightening it is. Only last night, an old friend commented that she'd rather go grey than bald, "oops, sorry Jules!". I ask you........ Celia, when you swim, do you wear a swimming cap?

  • Jules UK

    Has there been any evidence about the flu vaccine having an effect on FFA at all? Just wondered, since it's been mentioned a couple of times.

  • Liz

    Maybe Dr Harries would like to see me and my mum as we both have it. So it's a rare condition ( I have it), even rarer in pre menopausal women ( I'm pre-menopausal) and not hereditry (my mum has it...Maybe I should feel 'Special' lol :o)
    I wonder if there is a link between FFA and the hormones that are pumped in to animal products. Im a vegararian but I drink a lot of milk and I've read some awful stuff about the hormones in milk.

  • Debs

    Hi everyone, I am going to an alopecia uk support group on 3rd Dec. I need to be with people that have hair loss. Liz, I hope you find your support group meeting helpful. I can't keep going on about it to friends because they don't understand. I sometimes feel like I am going to crack up and am using exercise at the gym to try and relax a bit bit it is on my mind constantly. Celia thanks so much for keeping us all in the picture about Dr Harries. When I hear how you get on I will see about may be getting to see him or at least trying to get the same drugs as he prescribes for you. I hope you ladies have a good weekend. Xxx
  • MairiM

    NHS website says the following - so others may be able to ask for vaccine. Having said that, I had the pneumonia vaccine last year.

    We provide pneumonia vaccines for all those over 65 routinely and for those under 65 that have any of the following long term conditions:
    Asthma and other chronic respiratory diseases
    Diabetes Mellitis
    Chronic heart disease
    Chronic kidney disease
    Liver disease
    Neurological disease (eg stroke / TIA)
    Immunosuppressed
    Living in residential or nursing home

  • Anabela

    Hello to all, good afternoon.
    I have FFA since 2008 and only discovered in 2010. When the dermatologist told me what had, I cried a lot and was very angry ... Why me? Right now, I am at a stage of acceptance (never can accept 100%).
    Started by falling eyebrows 3 months after the death of my Father. I have made hydroxychloroquine twice and the main side effects I felt were the level of vision and weight loss (despite continuing with a normal diet and balanced).
    Right now, I take vitamins and apply on the scalp minoxidil. In Portugal, except hydroxychloroquine, all medication is very expensive.
    I try to live "one day at a time" and not think too much on the disease. Of course there are days when I look in the mirror and I don't like what I see ... But I have the unconditional support of my husband, which helps me a lot.
    Byebye and good weekend!

  • Judy

    Anabela, Good Afternoon from the US
    I am glad you have the support of your husband. I have also had FAA for years but just diagnosed recently. It is "a hard pill to swallow" (extremely upsetting)! I also am taking the hydroxchoroquine - has it helped with your hair loss?

  • Liz

    Hi Anabela. I was diagnosed with FFA in September of this year so Im still getting used to it(although I fear that I never will).
    Can I ask everyone. Is your remaining hair different in texture than it once was? The hair that is left on the front and top of my head is thinner and a bit frizzy.

  • Anabela

    Celia, thank you for your support. All good words we hear when we suffer from this disease, act as a salve and give us encouragement.

  • Anabela

    Judy, good night from Portugal. Thanks for your words. When I take hydroxychloroquine, slows the fall. The same happens when I'm calm and relaxed. When I get stressed and depressed, the hair falls again. I take vitamins every day for hair, to keep strong to cover the flaws of the head. I wash the hair with a mild shampoo for frequent use.

  • Anabela

    Hello Liz, good night.
    My hair is now a little thinner, but I do not feel crisp. Do you feel inflammation of the scalp, followed by a slight scaling and fall? I never had inflammation or scaling but dropped me in it. Are you taking hydroxychloroquine? I'm also in premenopausal women.

  • Anabela

    Hello Celia.
    There is one thing I would like to know and that no derrmatologista replied today:
    - "What is the duration of the disease, from the beginning to the end of the fall"?
    Thanks for the sympathy and kindness.

  • Judy

    Anabela, I agree that trying to be calmer and less stresed helps. The internet keeps recommends: Sleep, Good diet, excercise and LESS STRESS. Of course that is recommended for eaverything. My dermatologist said FAA usually happenned to post-menopausal women??

    Liz, my hair is also getting thinner but not frizzy

    Anyone have eyelashes getting thinner???

    Celia, if you are still home my question is about shampoos-
    It seems to me that shampoo would be a major treatment.
    Good luck on your trip and many thanks for representing us.

  • CJ- Christine from Ottawa Canada

    Hi all,
    I've been too busy with work lately. I'm not sure if I posted that sometimes people with FFA also have the texture of the skin on their face change... It's gets bumpy. I've got this happening to me. I've had two different docs prescribe two different things. For that .. Metrogel and retinol a . I'm alternating.... Also I had one candadian hair expert tell me minoxidil 5% foam is a good idea and another told me not to bother, yet there is some research that suggests it could help. I'm about to start to try it.

    My eyelashes are thinning,and my eyebrows are essentially gone. I'm having them tattooed this coming Friday. I am excited ( perverse, I know) by this.
  • CJ- Christine from Ottawa Canada

    Also I'm now on finasteride, which my insurance company won't cover since it is a drug for men.I just started so it's too early to tell if it helps.
    The whole thing is just too much somemes, it's hard not to feel stressed. That said, I'm at a conference with a bunch of other patient advocates from organizations repressenting a broad spectrum of diseases and I can honestly say that if I had to choose a disease in the room, I'd choose ours.
  • Debs

    Celia, good luck on Thursday. Thank you for taking our questions with you to Dr Harries. I hope you are given something to help you with FFA. Thinking of you. XXXX

  • PamW San Diego, CA, USA

    Celia, good luck to you on Thursday! Wishing you all the best. One thing that I find amazing is that there are 20 members in this group and there aren't two of us who are getting the same treatment. Some doing nothing, some using clobestasol, some on plaquenil, some using minoxidyl, some taking finestaride, some on prednizone. No wonder we can't figure out what works and what doesn't! I am seeing a new dermatologist at UCSD on Friday morning. It will be interesting to compare what he says with what Dr. Harries says. In any event, can't wait to hear from you Celia!

  • Debs

    I agree totally with you Pam, we are all on different medication and even when we have the same drug we are being given different instructions on how often to use it... Look fowards to hearing from yourself and Celia and see if there can be some definitive treatment plans for us all to follow. Best of luck to you Pam & Celia. XX

  • CJ- Christine from Ottawa Canada

    Hi all,
    In a way, having all these different treatments makes perverse sense. They don't know much about the disease, so they are using agents that have worked somewhat for some people.... That' s the first thing. Secondly, even if they knew lots about the disease, in the same way they know lots about psoriasis, different treatments work differently on each patient... Which is why it's so important to have all options known and available...not always the case.
    I am often disheartened that so little is known and that there is so little research happening. On the bright side for us, our numbers are growing, which is too bad for the new folks being diagnosed but better for us all. More patients means more commercial interest in finding a treatment or cure. But of course it will take time.
    We are starting a cicatricial alopecia support organization in Canada with our second meeting next month. Are any of you part of local/ national groups?
  • Heidi Short UK

    Celia and Pam just a quick note to wish you both a sucessful or informative meetings with your doctors. We are all looking forward to hearing any new revelations, although I think us as a group are quite knowledgable on FFA, and fast becoming experts ourselves!!! Best of luck we will be thinking of you!x

  • MairiM

    Like everyone else, looking forward to what you and Pam can find out for us. All the best for tomorrow, Celia - hope it goes well.

  • Liz

    All the best for tomorrow Celia xx

  • KarenGinny - Iowa, US

    Good luck to you tomorrow Celia, hope you get all your questions answered. It will be great for all of us to hear what your doctor says. And Good luck to Pam also. I often wonder about how many women have this condition but don't know what it is and can't afford to go to the doctor for a proper diagnosis. We have fairly good insurance but my insurance company wouldn't pay for some of my treatment -cortisone injections- saying that it was cosmetic - and not a medical procedure. So having hair is not medically necessary, apparently. That really made me angry. I'll bet there are a lot more women suffering from this than we realize. And since most doctors have never heard of it, they aren't getting any help. very sad.

  • Jules UK

    Wishing you the very best tomorrow, Celia! If Dr Harries wants willing volunteers for any feedback about having FFA, he knows where we are! X
  • PamW San Diego, CA, USA

    I had an appointment this morning with a dermatologist at UCSD. He has treatd patients with this disease before. Basically, we know everything. He really didn't add to my understanding of the disease. It is an auto-immune disorder and plaquenil is the best treatment option because it has the least side effects. The other drugs have harsher side effects. There is no way to recover the hair lost. The hope is to minimize the itching and burning and scalp discomfort with Clobestasol foam and the plaquenil. Even if you can manage the itching and burning, you may still lose hair. Plaquenil doesn't work for everyone. He doesn't think the cortozone shots will really work. He didn't talk about Minoxidyl (rogaine) or finasteride. He is going to investigate the next step up for me (possibly Actos). He does not want to prescribe that to me now because there is a "black box" warning for possible serious side effects. The disease can go on for years or just stop. No one knows. Wish I could give you all better news. Looking forward to hearing from Celia . . .

  • MairiM

    Thanks for that, Pam. At least after all we've already found out, what you say doesn't come as any kind of shock. But I'd really like to know if the Clobetasol foam serves any useful purpose if there's no itching and burning, only the hair loss. The Minoxidyl has certainly made my remaining hair grow more quickly - needed cutting 2 weeks earlier - but I can't tell if the individual hairs are stronger.