Chronic Telogen Effluvium in a Man

The document reports a rare case of chronic telogen effluvium (CTE) in a 32-year-old man, a condition more commonly diagnosed in women, characterized by excessive and persistent hair shedding without leading to baldness. The patient presented with a year-long history of losing more than 100 hairs daily, with no other scalp or systemic symptoms, and no relation to stress, illness, medication, or family history of hair loss. Blood tests and a scalp biopsy ruled out other causes of hair loss, supporting the diagnosis of CTE. A trial of finasteride was prescribed but after 6 months, it showed no effect on hair shedding and was discontinued. Serial photography over 30 months showed stable hair density despite ongoing shedding. The study suggests that the patient's long hair may have made the shedding more noticeable, potentially contributing to the underdiagnosis of CTE in men who typically have shorter hair. The document concludes that the diagnosis of CTE in this male patient may have been facilitated by his shoulder-length hair, and no specific treatment for CTE is recommended.