Telogen Effluvium

Guilan university of Medical Sciences

Nargess Tavakoli

• Nonscarring alopecia • Diffuse hair shedding• No inflammation• Systemic stress (3 months)• spontaneous recovery

Physiopathology

• Systemic stress a large number of hairs to enter telogen at one time

• Shedding does not occur until the new anagen hairs begin to grow

• Sex: both /more female?• Age: Any/ even infancy• Can affect any parts of the body, but

only loss of scalp hair is symptomatic. • Acute/chronic (12 months)• Patients usually only complain that

their hair is falling out at an increased rate

No

Areas of total alopecia

Scarring

Inflammatory scalp dermatitis

Complaints of body hair loss (usually)

• The physician does not appreciate a decrease in hair density

• Short new hairs growing

• + Pull test, telogen hairs

• Individual characteristic growth cycle

• Nail changes? Beau’s Lines

Causes?

• Acute illness• Chronic illness• Hormonal changes• Changes in diet• Medications

Lab Studies

• Hair pluck?

• Biopsy?

• CBC/ferritin/Alb/Thyriod tests??

Prognosis

• Good• Self limited• No sequelae• Chronic not predictable, not rapidly

resolved

Treatment

• Caused by medication? D/C• Reassure the patient• Balanced diet• Collecting all hairs shed compare• No medication• Minoxidil 5% chronic