Telogen Effluvium

This is most common diagnosis in women in everyday hair clinic
TE is characterized by sudden shedding of hair on the entire scalp as a result of an early ,synchronous entry of hair follicles (more than 20%) in to the telogen phase.
TE is more common in women than men.

Causes of TE

  1. hyroid influences- hypo or hyperthyroidism .
  2. Iron deficiency( In about 72% of women patients).
  3. Fever.
  4. Postpartum.
  5. Major intervention and prolonged anesthesia.
  6. Malignant disease and malabsorption.
  7. Crash dieting /hypoproteinemia( rapid weight loss with less than 1000 calories/day intake can often causes immediate arrest of anagen followed by TE ).
  8. Vitamin D deficiency.
  9. Vitamin A overdose (more than 50,000 IE daily).
  10. Zinc deficiency.
  11. Copper deficiency.
  12. Selenium deficiency.
  13. Essential fatty acids ( Vitamin F) deficiency.
  14. Psychological stress, Acute anxiety and depressions.
  15. Medications like chemotherapy, Radiotherapy.

CLINICAL FEATURES

  1. Predominately occurs in female.
  2. Abrupt onset of shedding of hairs.
  3. Reduction in density and their pony tail diameter.
  4. Hair thinning, especially on the temples..

Management

  1. Removal of cause.
  2. Iron supplementation.
  3. Correction thyroid functions.
  4. Psychotherapy-assurance.
  5. Medication- Topical minoxidil.