thank you so very much. As an Afro-American with CCCA and also a nurse, I can really appreciate your clear and concise lecture. I really learned so much. I would also like to add that once my steroid injections and Doxycycline treatments finished, I have been getting PRP treatments in which I have seen 100% improvement over roughly 2 1/2 years (3 treatments with microneedling). I am, of course, continuing to follow up with my dermatologist as ordered.
Hi, what are PRP treatments? I was diagnosed about a month ago . I'm currently on Doxycycline as well. My scalp is definitely more calm, no more constant itching and irritation.
Lela Anderson I never experienced any tastes. And yes, it can cause stomach upset. That’s why I always make sure I have eaten something when I take the doxycycline.
NikiSyl78 Plasma rich platelets or PRP essentially takes your own blood, Pulls the Platelets-and injects it into the scalp. The platelets have growth factors that stimulates the follicles. It only works if The hair follicles are still present.
This was so interesting to learn. I finally got diagnosed with frontal fibrosing Alopecia. This condition has completely killed my self confidence. But I’m so grateful to learn more about my condition.
I am a surgery resident who have been cursed with what looks like dissecting cellulitis even thu I am not African! then I see the tufted areas.. I could have not been any happier with a better lecture than this.. may u r so awesome! excellent lecturing ability and a lot of joy in ur voice of passion from understanding human conditions thank you so much
Hello. I'm a woman at post menopausal and androgenetic alopecia evenly over scalp. Besides minoxidil and irestore, what treatments would a trichologist use? Ive had extensive blood tests I understand could be useful but how could a trichologist use those results? Could additional treatment being about even better results?
Thank you for this informative lecture. I was just diagnosed with FFA. I haven't had the biopsy yet, but after seeing this video I realize I don't need one. Now to take action.
Dr Donovan a superbly powerfully informative scientific presentation about severely life changing conditions and potential solutions. A light at the end of a long dark tunnel for sufferers in a world that measure humans on the health and length of their hair. Thank you so much. I hope many of the ladies who need help see this rather than click bait fake topical solutions that litter UA-cam.
If ccca is an autoimmune response, it makes sense to me now. I'm already plagued with an autoimmune disease. The shock factor should be low when I do receive my biopsy back. Who knew that being asymptomatic is indicative of ccca?😱..I was hoping for anything but that. If it turns out that I have ccca I'll definitely sign up for a clinical trial, I don't want my daughter's beautiful hair to be destroyed by this horrible alopecia that comes like thief and takes your hair. This is devastating😢.
So ccca , diagnosed 4 years ago. I just don’t want to believe there isn’t a cure. Does Prp regenerate the sebaceous glands? What do you think of Acell prp? Is there anything we can take to like regenerate the sebaceous glands ? Like a folic acid? Would that help? I started taking anti inflammatories and i was vegetarian and now I started eating fish ,I try my best to remove carbs and sugar( sometimes I get weak though, but it isn’t that often). I also started using essential oil blends+ pumpkin seed oils on my bald spots ( which were formally smooth as a baby’s bottom) and I am starting to feel a peach fuzz. I recently just started adding fish + vitamin D3+ fish oils in my diet and I started the essential oils back in April and I added pumpkin seed oil a couple weeks ago. I have no idea which part of my new regimen got me a peach fuzz on my bald spot. It might be a combination of everything. But at the very least , there is something good that happens when you change your diet.
Is this the same as alopecia pseudopalade??? Ive bern suffering for 20 years since I was 16 and it completely ruined my life, I still never got a photo ID my scalp feels like ants and fiberglass allover and my little bit of side hair is so thin I can't get a hair system they gave me topics steroids and I swear it made it waaay worse. I need serious help I can't wait to die and that's a terrible feeling grrr
Oils just make my scalp breakout. I have had this for almost 20 years. Doxycycline and topical solutions do work but don’t over use the topical solutions. I actually bleached my scalp in one area. This sucks man and I’m so tired of it!!!!!!
I'm sorry I bother you with tons of questions but I would really like to know your thought. if one has FFA and not LPP based on losing eyebrows, pubic and axillary hair does it mean one needs a very different set of treatment? as finastride with isotretinion is the treatment for FFA and not hydroxyqloroquin?so giving hydroxyqloroquin to a patient with FFA and not LPP its a mistake? do you think is it critical to differentiate between FFA and LPP? Thank you so much!
It is critical to distinguish between having a) FFA and b) FFA + LPP and c) LPP only and d) FFA and LPP and AGA and e) LPP and AGA f) AGA and FFA. It all matters. No, giving Hydroxychloroquine is not a mistake. It's just less useful. Hydroxychloroquine might help FFA a bit - just not the same magnitude as other treatments. Some people can't use finasteride and isotretinoin for various reasons. Other options quickly rise up the list of possible treatments. Unless a dermatologist who really understands FFA and LPP has said a person does not have LPP, I assume the person has some slight LPP. It's more widespread than we typically imagine. Granted it might not be causing hair loss, but many have small amounts of LPP in the mid scalp too. Not everyone of course. But more than are recognized.
can LPP affects eyebrows,armpit,leg hair and pubic hair? I have diffuse shedding in the scalp but my leg is so sparse. I lost 80% of it. currently waiting for biopsy results. thank you🙏🏻
EL10 yes, it often can. Of course there are other hair loss conditions that can do this as well but that is common in LPP and the closely related condition called frontal fibrosing alopecia (FFA).
I've had alopecia universalis since '19. Over the past year.. my hair follicles are popping back up all over my body. Is this a good sign my hair may return?
I have alopecia for 25 yrs,is it to late to get help for this, it's on left side of my face ,a spot over the left side of my ear? Thank you so much......
It really depends if the diagnosis for the spot is the immune based condition alopecia areata or something that resembles it. If alopecia areata, there is a possibility. If it is a mimicking condition like triangular alopecia or scarring alopecia or other condition that resembles alopecia areata but is not truly alopecia areata - it might not be.
hi doctor i'm from india i have been suffering from scarring alopecia from last two months i had consulted so many doctors but no use can u suggest any thing specific i had lichen planus 3 years back pls sugggest me good medicine
I have been diagnosed with lichen planopilaris with no scarring yet I am losing hair which is not growing back. I have itching and minimal pain, but my scalp get red when I have a 'flare up' (at least this is what I'm calling it). It's at this point that I seem to have shedding. I still have a full head of hair and certainly don't want to lose anymore. Is there any need of research subjects because I would be willing to volunteer. (Btw, I have very minimal eyebrows and no hair on my arms. I also have frontal hairline loss
How are you doing? I’ve been told the shedding I’m experiencing now could be the beginning of LP. I’m on doxycycline for a second round, since they found a bacteria in my scalp biopsy. It helped a lil the first time. But since starting 3 days ago, my scalp has been itching and painful. Wondering if I should do something more. 😔
Okay what about my niece young female losing hair that HAVE NEVER DYED OR HIGHLIGHTED THIER HAIR...---if this is world wide do me a favour and contemplate to why this happening I'm curious to what you come up with
To diagnose hair loss in humans, we need three things 1) a fully story from birth to the present day 2) a chance to examine the scalp up close with trichoscopy and 3) a chance to review all relevant blood tests. In this case, I have none of these three so anything is purely a guess. There are 100 reasons to lose hair so any one of these 100 is fair game as a guess. I don't guess at hair loss so these three principles are key.
Hello, I am a African American female with alopecia. There are tons of youtube videos promoting essential oils like rosemary and the an external castor oil, black Jamaican castor oil that is supposed to regrow alopecia ariata. What are your thoughts on this?
@@lisahassell-gates5741 bcse there are all types. I have been diagnosed with scarring at least 10 yrs now. The worst kind is CCCA particularly scarring. They cld only offer antibiotics to prevent worsening. So ppl that are pushing "snake oil" as a one size fits all ... Ppl get offended when I tell them they think I'm "claiming" this but reality I've exhausted all potions our there... If your hair grows back after using potions chances u don't have Scarring Alopecia.
Alopecia areata is not a scarring alopecia. I say if you're still concerned please get a biopsy done. My Dermatologist performed one and I was diagnosed with evolving CCCA...meaning it was progressing to scarring. There were lymphocytes(white blood cells) present and a few follicles had actually scarred. I've been prescribed antibiotics, Ketoconazole shampoo, and Clobetasol topical solution.
I was diagnosed with Androgenetic Alopecia but I’m a bit concerned I have scarring Alopecia mixed with it because some areas don’t regrow (sides and back). I have pain in the top of my head and in the back. I cannot take corticosteroids because the side effects are too aggressive on me and don’t subside with time. What should I do?
I have the same situation. Every dermatologist and trichologist tells me it's androgenetic alopecia and no scarring hair loss. It is the pattern of hair loss and past symptoms that has me worried. My alopecia doesn't want to reverse (regrow hair) either after a year and since having telogen effluvium. I photograph pictures and see no significant gaps among the space apart of hair follicles. Some of these places though have thinness of hairs (miniaturization) and one hair or none per follicular ostia. The problem is self diagnosis is difficult too. It could be androgenetic alopecia, pseudopelade of brocq or lichen planopilaris with what I'm dealing with. I doubt it could be anything else as nothing else makes sense.
I am wondering if CCCA occurs more often in 4C afro hair as opposed to the looser coiled 3a-4b afro hair textures. Both my mom and I have early ccca and we have 4C hair texture that we do a lot of manipulating to
@@Babyluv_ Interesting. Thank you for the response. I've suffered with it for 20 years, crying and frustrated and it progressive got worse but never scarred. I am now in remission for 1.5 years and prayfully counting after I found the right dermatologist. I pray for your healing
Tee Gee you’re welcome. I hope you find peace and hair growth. But you have to stop manipulating your hair! That was the first thing my dermatologist advised. No weaves, braids, wigs, tugging or tension on the hair. I just leave my hair alone and wear it in a fro. I also eat a lot of anti- inflammatory foods since alopecia is an anti-inflammatory disease. I drink plenty of water. My hair have gotten so thicker. I don’t really use any hair oils tho. Hope this helps!
Tee Gee there is no correlation between curl patterns and incidence of CCCA....Afro texture hair and straight hair ( European texture) both can have CCCA
People say this comment because sometimes it is true. Not always but sometimes. You can read more here..... donovanmedical.com/hair-blog/2015/2/5/hair-transplantation-for-central-centrifugal-cicatricial-alopecia-ccca
Dr Ophelia Dadzie.....She's a London based Dermatologist and Dermopathologist.....an excellent Consultant who will be of immense help to you.....and I can speak from personal experience. Wishing you all the best....
Scarring alopecia does not usually grow back although some degree of regrowth can occur if treated somewhat aggressively in the early stages. There are many types of scarring alopecia and the exact treatment will depend somewhat on the type you have. Be sure to visit an expert so he or she can help you. The main goal if you have scarring alopecia is to prevent it from getting worse. Unfortunately , it may or may not regrow. If caught early, there can be some improvement however.
thank you so very much. As an Afro-American with CCCA and also a nurse, I can really appreciate your clear and concise lecture. I really learned so much. I would also like to add that once my steroid injections and Doxycycline treatments finished, I have been getting PRP treatments in which I have seen 100% improvement over roughly 2 1/2 years (3 treatments with microneedling). I am, of course, continuing to follow up with my dermatologist as ordered.
Hi, what are PRP treatments? I was diagnosed about a month ago . I'm currently on Doxycycline as well. My scalp is definitely more calm, no more constant itching and irritation.
Lela Anderson I never experienced any tastes. And yes, it can cause stomach upset. That’s why I always make sure I have eaten something when I take the doxycycline.
NikiSyl78 Plasma rich platelets or PRP essentially takes your own blood, Pulls the Platelets-and injects it into the scalp. The platelets have growth factors that stimulates the follicles. It only works if The hair follicles are still present.
Hello. How is your treatment going?
@@Nic2Blk sir / mam I m suffering from lichen planes plz suggest me something
This was so interesting to learn. I finally got diagnosed with frontal fibrosing Alopecia. This condition has completely killed my self confidence. But I’m so grateful to learn more about my condition.
I am a surgery resident who have been cursed with what looks like dissecting cellulitis even thu I am not African! then I see the tufted areas.. I could have not been any happier with a better lecture than this.. may u r so awesome! excellent lecturing ability and a lot of joy in ur voice of passion from understanding human conditions thank you so much
Excellent I'm a trichologist and studying nutrition. I love that you are exact and don't misdiagnose
Hello. I'm a woman at post menopausal and androgenetic alopecia evenly over scalp. Besides minoxidil and irestore, what treatments would a trichologist use? Ive had extensive blood tests I understand could be useful but how could a trichologist use those results? Could additional treatment being about even better results?
@@amommyof2637 you can do skin needling with peptides or prp
Thank you for this informative lecture. I was just diagnosed with FFA. I haven't had the biopsy yet, but after seeing this video I realize I don't need one. Now to take action.
Dr Donovan a superbly powerfully informative scientific presentation about severely life changing conditions and potential solutions. A light at the end of a long dark tunnel for sufferers in a world that measure humans on the health and length of their hair. Thank you so much.
I hope many of the ladies who need help see this rather than click bait fake topical solutions that litter UA-cam.
thank you so much for this.
@@donovanmedical9780 can an anti-inflamatory diet help
If ccca is an autoimmune response, it makes sense to me now. I'm already plagued with an autoimmune disease. The shock factor should be low when I do receive my biopsy back. Who knew that being asymptomatic is indicative of ccca?😱..I was hoping for anything but that. If it turns out that I have ccca I'll definitely sign up for a clinical trial, I don't want my daughter's beautiful hair to be destroyed by this horrible alopecia that comes like thief and takes your hair. This is devastating😢.
Your videos are so helpful! I'm a studying trichologist and I've watched them over and over again.
I'm so glad. Thanks so much for sharing this feedback. Best wishes in your studies!
@@sdfdf-x6e sir can apremilast can cure lpp
Thank you so much Dr Donovan for such a wealth of useful, informative discussion in this video....
So ccca , diagnosed 4 years ago. I just don’t want to believe there isn’t a cure. Does Prp regenerate the sebaceous
glands?
What do you think of Acell prp? Is there anything we can take to like regenerate the sebaceous glands ? Like a folic acid? Would that help?
I started taking anti inflammatories and i was vegetarian and now I started eating fish ,I try my best to remove carbs and sugar( sometimes I get weak though, but it isn’t that often). I also started using essential oil blends+ pumpkin seed oils on my bald spots ( which were formally smooth as a baby’s bottom) and I am starting to feel a peach fuzz. I recently just started adding fish + vitamin D3+ fish oils in my diet and I started the essential oils back in April and I added pumpkin seed oil a couple weeks ago. I have no idea which part of my new regimen got me a peach fuzz on my bald spot. It might be a combination of everything. But at the very least , there is something good that happens when you change your diet.
Hi
Is there an update you would be willing to share
PRP may help but there is no definate answer .
Thank you for the knowledge. Good presentation.
Thank you for this wonderful video
Is this the same as alopecia pseudopalade??? Ive bern suffering for 20 years since I was 16 and it completely ruined my life, I still never got a photo ID my scalp feels like ants and fiberglass allover and my little bit of side hair is so thin I can't get a hair system they gave me topics steroids and I swear it made it waaay worse. I need serious help I can't wait to die and that's a terrible feeling grrr
Oils just make my scalp breakout. I have had this for almost 20 years. Doxycycline and topical solutions do work but don’t over use the topical solutions. I actually bleached my scalp in one area. This sucks man and I’m so tired of it!!!!!!
8210907383 can we talk on what's up
This was very helpful to understanding LPP, thanks!
Glad it was helpful. thank you.
@@donovanmedical9780 is it curable
@@learncivilengineering3477 unfortunately it seems not
@@samuelcook7588 can I stopped my hair failing by medicine
I'm sorry I bother you with tons of questions but I would really like to know your thought. if one has FFA and not LPP based on losing eyebrows, pubic and axillary hair does it mean one needs a very different set of treatment? as finastride with isotretinion is the treatment for FFA and not hydroxyqloroquin?so giving hydroxyqloroquin to a patient with FFA and not LPP its a mistake? do you think is it critical to differentiate between FFA and LPP? Thank you so much!
It is critical to distinguish between having a) FFA and b) FFA + LPP and c) LPP only and d) FFA and LPP and AGA and e) LPP and AGA f) AGA and FFA. It all matters. No, giving Hydroxychloroquine is not a mistake. It's just less useful. Hydroxychloroquine might help FFA a bit - just not the same magnitude as other treatments. Some people can't use finasteride and isotretinoin for various reasons. Other options quickly rise up the list of possible treatments. Unless a dermatologist who really understands FFA and LPP has said a person does not have LPP, I assume the person has some slight LPP. It's more widespread than we typically imagine. Granted it might not be causing hair loss, but many have small amounts of LPP in the mid scalp too. Not everyone of course. But more than are recognized.
@@donovanmedical9780 You are the best! Thank you!
This was SUPER useful! Thank you
so glad!
Thanks sir ...for such a nice lecture..It's very informative..
Can u please guide me which is the best book to study trichology?
can LPP affects eyebrows,armpit,leg hair and pubic hair? I have diffuse shedding in the scalp but my leg is so sparse. I lost 80% of it. currently waiting for biopsy results. thank you🙏🏻
EL10 yes, it often can. Of course there are other hair loss conditions that can do this as well but that is common in LPP and the closely related condition called frontal fibrosing alopecia (FFA).
Excelent masterclass!
I've had alopecia universalis since '19. Over the past year.. my hair follicles are popping back up all over my body. Is this a good sign my hair may return?
I have alopecia for 25 yrs,is it to late to get help for this, it's on left side of my face ,a spot over the left side of my ear?
Thank you so much......
It really depends if the diagnosis for the spot is the immune based condition alopecia areata or something that resembles it. If alopecia areata, there is a possibility. If it is a mimicking condition like triangular alopecia or scarring alopecia or other condition that resembles alopecia areata but is not truly alopecia areata - it might not be.
hi doctor i'm from india i have been suffering from scarring alopecia from last two months i had consulted so many doctors but no use can u suggest any thing specific i had lichen planus 3 years back pls sugggest me good medicine
The video will have many helpful suggestions depending on your exact type.
Hlo @i am explorer..
I too belong from India and suffering from the same desease can u please tell me where are you from India??
@@sdfdf-x6e sir which part I hav to take steroid injection...either on the patch or any other part
Sir plz tell me the efficiency about otezla and zempred. Many people are using there medicines for lpp
I have been diagnosed with lichen planopilaris with no scarring yet I am losing hair which is not growing back. I have itching and minimal pain, but my scalp get red when I have a 'flare up' (at least this is what I'm calling it). It's at this point that I seem to have shedding. I still have a full head of hair and certainly don't want to lose anymore. Is there any need of research subjects because I would be willing to volunteer. (Btw, I have very minimal eyebrows and no hair on my arms. I also have frontal hairline loss
Following
How are you doing? I’ve been told the shedding I’m experiencing now could be the beginning of LP. I’m on doxycycline for a second round, since they found a bacteria in my scalp biopsy. It helped a lil the first time. But since starting 3 days ago, my scalp has been itching and painful. Wondering if I should do something more. 😔
Okay what about my niece young female losing hair that HAVE NEVER DYED OR HIGHLIGHTED THIER HAIR...---if this is world wide do me a favour and contemplate to why this happening I'm curious to what you come up with
To diagnose hair loss in humans, we need three things 1) a fully story from birth to the present day 2) a chance to examine the scalp up close with trichoscopy and 3) a chance to review all relevant blood tests. In this case, I have none of these three so anything is purely a guess. There are 100 reasons to lose hair so any one of these 100 is fair game as a guess. I don't guess at hair loss so these three principles are key.
Hello, I am a African American female with alopecia. There are tons of youtube videos promoting essential oils like rosemary and the an external castor oil, black Jamaican castor oil that is supposed to regrow alopecia ariata. What are your thoughts on this?
Butts Butts, have you tried them. I just cut my hair bald and am using them and I believe my hair will grow back.
None of that shit work
Lisa Hassell-Gates, oh well am still hoping, though I don`t see any difference. Now wonna try Onion Juice lol
@@lisahassell-gates5741 bcse there are all types. I have been diagnosed with scarring at least 10 yrs now.
The worst kind is CCCA particularly scarring. They cld only offer antibiotics to prevent worsening. So ppl that are pushing "snake oil" as a one size fits all ... Ppl get offended when I tell them they think I'm "claiming" this but reality I've exhausted all potions our there... If your hair grows back after using potions chances u don't have Scarring Alopecia.
Alopecia areata is not a scarring alopecia. I say if you're still concerned please get a biopsy done. My Dermatologist performed one and I was diagnosed with evolving CCCA...meaning it was progressing to scarring. There were lymphocytes(white blood cells) present and a few follicles had actually scarred. I've been prescribed antibiotics, Ketoconazole shampoo, and Clobetasol topical solution.
Sir does apremilast is a good option for lpp
I was diagnosed with Androgenetic Alopecia but I’m a bit concerned I have scarring Alopecia mixed with it because some areas don’t regrow (sides and back). I have pain in the top of my head and in the back. I cannot take corticosteroids because the side effects are too aggressive on me and don’t subside with time. What should I do?
Plz go with methotrexate....it would be great
I have the same situation. Every dermatologist and trichologist tells me it's androgenetic alopecia and no scarring hair loss. It is the pattern of hair loss and past symptoms that has me worried. My alopecia doesn't want to reverse (regrow hair) either after a year and since having telogen effluvium. I photograph pictures and see no significant gaps among the space apart of hair follicles. Some of these places though have thinness of hairs (miniaturization) and one hair or none per follicular ostia. The problem is self diagnosis is difficult too. It could be androgenetic alopecia, pseudopelade of brocq or lichen planopilaris with what I'm dealing with. I doubt it could be anything else as nothing else makes sense.
@@emilphoryew9436 I’m getting a second opinion soon and you should too. Plus very detail blood tests.
@@Carolina-rd3gh Could you send me photos of your trouble spots?
@@emilphoryew9436 What for
Can you use natural oils with ccca.
frances henderson I was told those with CCCA should not use coconut oil. Castor oil was suggested. I hope this helps.✌🏽
I am wondering if CCCA occurs more often in 4C afro hair as opposed to the looser coiled 3a-4b afro hair textures. Both my mom and I have early ccca and we have 4C hair texture that we do a lot of manipulating to
I have a combo of 3C and 4A, and I was diagnosed with CCCA
@@Babyluv_ Interesting. Thank you for the response. I've suffered with it for 20 years, crying and frustrated and it progressive got worse but never scarred. I am now in remission for 1.5 years and prayfully counting after I found the right dermatologist. I pray for your healing
Tee Gee you’re welcome. I hope you find peace and hair growth. But you have to stop manipulating your hair! That was the first thing my dermatologist advised. No weaves, braids, wigs, tugging or tension on the hair. I just leave my hair alone and wear it in a fro. I also eat a lot of anti- inflammatory foods since alopecia is an anti-inflammatory disease. I drink plenty of water. My hair have gotten so thicker. I don’t really use any hair oils tho. Hope this helps!
@@Babyluv_ Thank you!
Tee Gee there is no correlation between curl patterns and incidence of CCCA....Afro texture hair and straight hair ( European texture) both can have CCCA
Why do people say that when ccca is burns out you can contemplate surgery?
People say this comment because sometimes it is true. Not always but sometimes. You can read more here..... donovanmedical.com/hair-blog/2015/2/5/hair-transplantation-for-central-centrifugal-cicatricial-alopecia-ccca
Redness in the scalp always means, LPP or it could also be something else?
Thank you!
donovanmedical.com/hair-blog/2015/12/19/what-causes-a-red-scalp-a-review-of-the-most-common-causes
Very depressed... so there’s no hope! Anyone can recommend a good dermatologist in the U.K.??
Hey I went to see Dr Sharon Wong. I found her to be very well informed and I really more positive about treatment.
Dr Ophelia Dadzie.....She's a London based Dermatologist and Dermopathologist.....an excellent Consultant who will be of immense help to you.....and I can speak from personal experience. Wishing you all the best....
Is this regrow Scarring alopecia back? Give me any suggestions please
Scarring alopecia does not usually grow back although some degree of regrowth can occur if treated somewhat aggressively in the early stages. There are many types of scarring alopecia and the exact treatment will depend somewhat on the type you have. Be sure to visit an expert so he or she can help you. The main goal if you have scarring alopecia is to prevent it from getting worse. Unfortunately , it may or may not regrow. If caught early, there can be some improvement however.
@@sdfdf-x6e thank you so much for reply. already i visited doctor dr Batra homeopathy he say I couldn't anything
@@sdfdf-x6e firstly black dots comes on my head after that hair losses those places ....is it simtoms of scaring alopasia
@@sdfdf-x6e 8210907383 contact me plz
Urdu may btyenn