Frontal Fibrosing Alopecia

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

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  • Debs

    ChrisC - you can wear a wig over long hair. I use bobby pins to pin your hair up or you can use a wig cap. If you look on Youtube you can see videos of women putting on wigs. I have gradually cut my own hair shorter because it makes putting a wig on first thing in the morning for work much quicker. I just pop it on in a second. I have cropped my hair down short, I have worn my hair this short manner times over the years so this is normal for me and I wear it with a headband, buff, silk scarf - I can look OK like this, so I am not always in a wig.

    Celia, I can get a days leave from work and I will definatley meet up in May.

    Sammi, I am coming up to Salford this Friday, 19 April, I can meet you for a coffee. My appointment with Dr Harries is at 1.30pm but I will fly up and arrive about 9.30am. If you can get together it would be lovely to catch up.

  • Judy

    Pam and Lacy, So sorry-I gave the wrong email. It is
    jkeller39@aol.com. Please resend.
    My computer has been acting up and every time I got online I would get bumpd off. But I am OK for now - am using another provider.

  • Debs

    ANY QUESTIONS FOR DR HARRIES ??

    Ladies I am seeing Dr Harries in 4 days time, (19 April) if you have any questions you would like me to ask him please get in touch and I will ask him and let everyone know his response...

  • Alice

    Debs, I have a question that my derm can't answer. I think it may apply to many of us. Why is most of the hair loss in places where the scalp does not have the red, bumpy follicle? Most of my hair loss is along the sides, whereas the inflammation and itching seems to be only on the top. If it's all from scarring this doesn't make sense. I'm wondering whether some of the hair could regrow. Or perhaps it's just wishful thinking.

  • Simone NJ USA

    Hi Debs:

    Thank you for offering to take questions to Dr. Harries...could you ask him if he thinks a person with FFA was predisposed to this hair disorder from birth? My Derm is telling me that it was in my genes & that either was I would have gotten this disorder...also, do you know if the hair loss occurs around the areas where there is itching and redness?

    Hope all I well...thanks again..x
  • Caro UK

    Hi Celia. Thank you so much for the invite. I can only make 15 May as I am working the other two dates. Will be sorry to miss meeting up if that's not going to suit everyone else but can't be helped. X
  • Kath UK

    Hi Celia
    It's a great idea of yours to organise a 'get-together' and very kind of you to hostess it. I'm sure it'll go really well. I'm sorry I'm a bit too far away to come!
    By the way; if anyone else in this group lives in Scotland, I'd be interested to hear from you and find out how you are getting on with your dermatologist/treatments etc.

  • Jules UK

    15th is OK for me too. I'm really looking forward to it! Celia, I'll email you for directions and email Caro to make arrangements if she'd like a lift.
    Debs, would you perhaps mention to Dr Harries about the questionnaire we completed and when he anticipates getting any results / conclusions from it? Thanks.
  • Heidi Short UK

    Hi Celia, 14th May would be better for me as its my sons birthday on the 15th, but if that date is ok for everyone else I will try and sort out cover at work. I will email you to get directions.

  • Debs

    I think I can answer the questions for you:

    FFA can take between 2 cm and 8 cm of your hairline - so whether you end up deciding to wear a wig depends on how much you lose and of course if you personally want to use supplemental hair.

    Redness/itching - I don't get redness/itching other people do, your scalp can itch in one area and not another, it is inflammation that is bad enough to be visible and itching so you are going to lose hair from the area at some time.

    Genetic predisposition - FFA has not appeared historically in medical records. Both Dr Harries and a derm at my local hospital have told me that. So, our ancestors did not have this condition. I will ask Dr Harries if there is evidence of the tendency to develop FFA in families. I know Liz and her mum both have it.

  • Debs

    Celia, the 15th would be the best day for me... but I can make the other dates.

  • Simone NJ USA

    Debs: thanks for the info... I'm still somewhat confused as I have a bit of inflammation on the back of my scalp and FFA is supposed to affect only the temple & hairline. From what you are saying, wherever the itching and inflammation occurs I will lose hair at that location at some point?
  • PamW San Diego, CA, USA

    Deb, good luck at your doctor's appointment. Could you please ask about what comes after Plaquenil? What is his recommendation if you are still experiencing burn, itching and hair loss after 9 months on Plaquenil? Also, could he explain why some days we feel comfortable and the next day we feel miserable? Celia and I are more comfortable in the morning, and as the day wears on, our discomfort increases. Does he know why? Thank you for your willingness to ask our questions.
  • Heidi Short UK

    Hi everyone, hope all goes well for you with Dr Harries Debs! Celia as buses are out of the question how about by train, is there a station near you? I will speak to work today regarding getting 15th off, looking forward to seeing you all face to face!!

  • Debs

    Pam thanks for the questions, it doesn't really make sense that your scalp changes over the course of the day... and of course what is his 'plan B' after the plaqeunil... yikes, I hope he has one!!!

  • Debs

    Celia thanks for the encouragement. I am going into London tonight to see a classical concert at St Martins In The Field with a few friends. That will take my mind off my appointment tomorrow. Last time I had my head photographed, I imagine I will have another photo taken tomorrow to compare the hair loss, I know there has been some. Tonight though I will be wearing a nice long wig out so I will have hair by whatever means necessary. XXXX

  • Jules UK

    Hi Debs, Dr Harries photographed my hairline on my 1st visit, but not my 2nd. He only measured the loss when I asked him to. He's the 3rd doctor to tell me I'm coping well with this - how little they know! Inside it's "Aaaaaaargh!!" But I was surprised to find I'd lost 2cm from the front already. It'll be interesting to see what he suggests to follow plaquenil. There is a stronger anti- malarial drug but it's side effects usually preclude its use, especially if you've had any form of cancer. Sorry, can't remember it's name.
    Good luck, and enjoy your concert! Julie x
  • Debs

    Hello Julie, good grief I didn't realise there was another anti-malarial after the plaquenil... I will be poised tomorrow with my pen and paper so I won't forget anything... XXX

  • Jules UK

    Yes, the first derm I saw, Dr Rajpar, mentioned it. As I remember, he implied it was effective but not recommended for long term use - it sounded very strong and quite scary..... Xxx
  • Simone NJ USA

    Good luck today, Debs
  • Debs

    ANSWERS FROM DR HARRIES:

    1.. IS FFA HEREDITARY (Liz) - not enough historial data on this condition as it was only first diagnosed as we know in 1994, LIZ Dr Harries would like you to discuss you and your mum both being affected, he could do some comparisons of your DNA to see if it throughs any light on this condition. He is interested in people with mothers with FFA and siblings.

    2. RESULTS FROM THE FFA SURVEY (Celia) Dr Harries had 52 patients complete surveys and another 50 patients at a clinic in Sheffield. The stats are still being collated and will be done in 2/3 months time.

    3. WHAT CAN WE USE AFTER PLAQUENIL IF IT DOESN'T WORK (Pam) - there are other drugs. Immunosupressants and diabetic meds. The diabetic meds are not often used in the UK but he said they are more commonly used in the USA. Recently Drs are also talking about using CUCUMIN (an active part of TUMERIC) for FFA. It has already been used to treat other autoimmune conditions with success.

    4. WHY DOES YOU HEAD BURN/ITCH AT DIFFERENT TIMES OF THE DAY (Pam) there is no scientific reason for this, it is just one of those things.

    This was my 2nd visit. I had an eye test and a blood test to make sure I am OK to continue with the plaquenil.. I have another 3 months supply. Please note all Dr Harries ladies on plaquenil - when I went to the hospital pharmacy to get my meds they gave me the generic version, I opened the bag to check my meds and asked them to give me plaquenil because the generic version can give people upset tummies. They changed them. Please check your meds before you leave the pharmacy at the Royal Salford and make sure you get plaquenil which is gentle on tummies.

  • Simone NJ USA

    Hi Debs: Thank you so much for all the info and asking Dr Harries all the questions and glad it all went well...
  • Kath UK

    Hello Debs
    Thank you for posting your information from Dr. Harries. It was really helpful as I see my derm in 2 weeks and I now make a note to ask for the Plaquenil and not the generic hydroxychloroquine if she suggests I start this drug. The possibility of a turmeric derived drug is also interesting. Someone in this group some weeks ago mentioned that she was taking turmeric tablets from her health shop. I wonder how soon the cucumin pills will be available and prescribed and if it would be worth trying turmeric in the meantime?
    Hope the plaquenil works for you and thanks again for sharing your information.

  • Liz

    Hi Debs. Thank you for the information. I wonder if Dr Harries might want my mum to get referred to see him. I shall ask him at my next visit. If he is interested in both me and my mum it might be good if he sees us both on the same day.
    xx

  • Alice

    I've been taking turmeric capsules for a long time. I think they may be helping but it's hard to know. In the US, you can buy them over the counter at your local grocery store or pharmacy. The last batch I got, I purchased from online from Amazon.com. I do take them with a meal, to avoid stomach upset as from spicy food. I've also found that oolong tea helps with the itching, either hot or iced. I use these in addition plaquenil.

  • PamW San Diego, CA, USA

    Thank you so much, Deb. You are beyond awesome for asking and then posting your info. Based on Alice's recommendation, I have been taking Tumeric supplements with meals and I do think that it makes a difference in the amount inflammation in my scalp and other places ( like my joints and cheeks). I take 800 mg a day. Dr. Andrew Weil, who is very popular in the US for promoting anti inflammatory diet and lifestyle recommends Tumeric as well. Check out his website. I am on the generic for Plaquenil and have had no tummy issues, but I do take it with meals. I will ask my derm if there is a prescription for cucumin. You didn't say how you were. Do you feel as though things have slowed down?
  • Heidi Short UK

    Hi Debs thanks for posting the info, its really interesting about the cucumin I might pop to the health shop today and get some tumeric tablets. Its also a worry about the connection being heriditary, on my first visit to the derm my daughter came with me and that was the first question she asked, I hadn't even thought of it but it was obviously been playing on her mind. But she was told NO it wasn't but other autoimune disease can be. Wether there was not hard evidence as yet and he didn't want her to worry her whole life thinking she too was going to loose her hair. That is one thing which keeps me positive that it is me with this and not her as she is a hairdresser/ beautitian and her hair is so important to her!
    Thanks again Debs

  • Debs

    Pam, I feel in good spirits after my visit yesterday, just having information is empowevering and makes me positive. I have lost hair in the past few months but that was already on the way out when I started taking plaquenil. I have been taking it for 6 weeks so it will be take a few months to see if it is having any effect. I am heading off to the health food shop this morning to get some tumeric tablets it is worth a try.

    Liz, yes I would definately get your mum refered then Dr Harries can do some investigations with you both, he is very interested in looking into the hereditary factor to help understand this condition. There are not many related sufferers around for doctors to get their hands on so to speak.

  • Paula uk

    Hi Debs,
    thankyou for all the information.Funnily enough one of my first questions on this was, if it was hereditary I was worried for my daughter.But I was told no it wasn't .
    Thanks again x
  • Debs

    Rebecca, when Liz and her mum speak to Dr Harries and he does some genetic investigations could your derm run the same tests in Germany so both doctors can contrast and compare the results. If there is the same 'abnormality' in both sets of mother/daughter DNA you could the crack mystery of what causes FFA... or at least point the doctors in the right direction of the genetic component to the condition. xx

  • Chrisy, MA USA

    This is so interesting Deb! Thank you so much for sharing. I've been taking turmeric for a couple of months now in tablets but also in fresh form. I was able to find it at whole food and I make tea with it along with ginger. I guess it doesn't hurt so get as much as possible.
  • Debs

    www.veganicity.com is a health food supplier based in East Sussex, because the supplements are vegan they don't use lots of binders and the product is well made.

    TUMERIC EXTRA tablets are £11.95 for 30 free p&p
    Contains: curcumin 95% 200mg, ginger extract 100mg, bromelain and black pepper (piperine) - ginger has anti-inflammatory effects and the bromelain and piperine improve absorption and increase bioavailability of the curcumin. I have looked at lots of formulations online and this is the best I can see in the UK and it is a good price with free p&p.

  • AC from CA, USA

    I have been taking a suite of natural anti-inflammatory herbs since January and I think it helped calm the inflammation cycle I was in. I was losing hair and had terrible itching...the itching left after I was on these herbs for a few weeks. I think it may have cut short the loss that was in progress. I was only taking these herbs, no plaquenil our anything else. I take turmeric, bromelain (helps turmeric as Debs said, but is also anti, inflammation itself), boswellia, aloe vera, licorice root, and white willow bark.

    I have a friend who has rheumatoid arthritis, also an autoimmune disease with inflammatory issues. She recently advised me to start taking Wobenzym.
  • AC from CA, USA

    Oops, didn't mean to post that yet. The Wobenzym allowed her to get completely off plaquenil, and she is symptom free, after having years of debilitating pain. It seems to have helped her inflammatory loop stop. So, I recently ordered that and started taking that as well.
  • AC from CA, USA

  • Debs

    Thanks so much for the info, I will check this link out.

  • Paula uk

    Hi Celia,
    very kind of you - Thankyou.I am near Guildford.Would love to come and meet all of you.I will try and sort something out in work,although a little difficult as I am school based.but will let you know.
    Thankyou again x .
  • Simone NJ USA

    Hi AC:

    Could you let me know when and if you see an difference taking the Wobemzym after a while? I would love to try this but am weary of all these supplements..I've been taking Tumeric for about 1 week now so I'm still waiting to see if there are any changes...thanks..
  • AC from CA, USA

    Hi Simone.
    I will. I share your caution...that's exactly why I'm avoiding plaquenil. I am only game for trying the wobenzym on the recommendation of someone found it successful with her autoimmune issue.

    Celia-- if the site wasn't open, I would have never found the group. But, I am also very concerned about privacy. That's why I don't post any photos, or how much identifying information.
  • Simone NJ USA

    Hi Celia:
    I started taking Plaquenil about 3 weeks ago after resisting for 4 months. Other than that I stated taking a Curcumin/bromelain/Bioperine/papain/Quercetin supplement all inclusive. No hidden fillers, preservatives, Non Gmo(which is a big issue in the US), no sugar, yeast, soy and more.It's said to be a be optimized for potency and absorption. Very high concentration 95% curcuminoids. Just stated it so I will see what happens.. Am also taking multivitamins based solely on organic whole foods, nothing synthetic. Had terrible itching for almost 2 weeks, but it's subsided since the past 3 days.. Not sure if that's due to the supplements.... Am not happy about taking the Plaquenil and am giving it 6 months and will decide to discontinue...I hope you are feeling better. I know it's hard to keep optimistic. Thanks AC..I would be great if you kept me updated with your progress on the Wobenzym..have a goodnight all...xx
  • Celia

    Hi everyone. Hope that all is well. Celia

  • Chrisy, MA USA

    Hi Simone could you please let me know which turmeric brand you are using? There are so many options out there. Tx!
  • Simone NJ USA

    Hi Chrisy:

    I'm using a product called: Repair Plus by Wellness Resources. Www.wellnessresources.com. $28.80
    Hope this helps you...
  • PamW San Diego, CA, USA

    Here is an easy to understand article that explains the link between auto immune disease and inflammation. Thought I would pass it along.

    http://www.todaysdietitian.com/newarchives/110211p36.shtml
  • Debs

    Pam - wow fab article, I just read it. Very interesting.
  • Chrisy, MA USA

    Thank you, Simone!
  • Simone NJ USA

    Thanks For the article, Pam!!
  • Celia

    Hello all - I'm seeing Dr Harries next Thursday 2nd May - if you have any questions - I would be happy to put them to him. Hope all's well !

  • Judy

    Hi ladies. I just finished reading the week's posts. Thank you
    Pam and AC for the excellent websites. I will read them tonight.
    Interesting. I have been taking strong doses of NSAIDS (anti-imflamatories), for many years as have bad Osteoarthritis - this is not an autoimmune disease like Rhuematoid. But that is why I take any anti-inflamatories that I hear about. The Tumeric I started only 3 months ago - but I have NOT had any inflamation with FFA since then. I also take Ginger and a small amount of some of the other herbs mentioned, plus probiotics.
    I recently changed family doctor for various reasons, but because of that, I have learned about several problems I have that I would have NEVER guessed - wonder if they have any relation to FFA? I will mention them in case they may be helpful to anyone. One is severe sleep apenea and one is low cholestrol (way below the minimum) - both of these are fixable but I wonder if they could have any relationship to FFA?
    Once I asked my dermatologist why the severeness of my FFA seemed to be getting so much better. I wonder if it is my NSAIDS? Is anyone else taking them? They perscribe them for pain (wihich reduces inflamation in the joints). Curious but I don't know enough to make any assumptions.
    Pam what do you think? Also, please check out my April 15 posting for new email address so we can arrange a get-together.

  • Simone NJ USA

    Hi Celia:

    Wondering if you could ask Dr. Harries if he were to do any DNA testing on mother/daughter with FFA what would he look for and what sort of guidelines would a doctor follow or what to look for really to pinpont when doing this test as I asked my Derm if it could done, but she said it's such an unknown disease that doctors would not know what to look for?? Also, how soon does he plan on conducting such a test...


    Thanks...I would really appreciate it...