Telogen Effluvium

Telogen Effluvium

Telogen Effluvium:

This is the most common diagnosis in women in everyday hair clinics.

Telogen Effluvium (TE) is characterized by the sudden shedding of hair on the entire scalp as a result of an early, synchronous entry of hair follicles (more than 20%) into the telogen phase.

TE is more common in women than in men.

Causes of TE include:

  • ¬†Thyroid influences: hypo- or hyperthyroidism.
  • Iron deficiency (found in about 72% of female patients).
  • Fever.
  • Postpartum period.
  • Major surgery and prolonged anesthesia.
  • Malignant diseases and malabsorption.
  • Crash dieting/hypoproteinemia (rapid weight loss with less than 1000 calories/day intake can often cause immediate arrest of anagen followed by TE).
  • Vitamin D deficiency.
  • Vitamin A overdose (more than 50,000 IU daily).
  • Zinc deficiency.
  • Copper deficiency.
  • Selenium deficiency.
  • Deficiency in essential fatty acids (Vitamin F).
  • Psychological stress, acute anxiety, and depression.
  • Medications like chemotherapy and radiotherapy.

Clinical Features:

  • Predominantly occurs in females.
  • Abrupt onset of hair shedding.
  • Reduction in hair density and ponytail diameter.
  • Hair thinning, especially on the temples.

Management involves:

  • Addressing the underlying cause.
  • Iron supplementation.
  • Correcting thyroid functions.
  • Psychotherapy and assurance.
  • Medication such as topical minoxidil.
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