Idiopathic Chronic Telogen Effluvium in Women

    December 2000 in “ Der Hautarzt ”
    Ralph M. Trüeb
    TLDR Idiopathic chronic telogen effluvium in women causes sudden hair loss without a known cause, often linked to emotional distress.
    The study discussed idiopathic chronic telogen effluvium (CTE) in women, a condition characterized by sudden, diffuse hair loss without an identifiable cause, affecting the entire scalp. It was noted that in about 30% of chronic diffuse hair loss cases lasting at least 6 months, no underlying abnormality was found. The condition was distinguished by increased shedding of telogen hair, with greater hair loss than in androgenetic alopecia, but without miniaturized hairs. Emotional distress was a significant aspect, often complicating diagnosis with psychogenic pseudo effluvium. Scalp dysesthesia was common and linked more to emotional distress than hair loss. Treatment recommendations were based on animal studies and clinical experience, involving L-cystine supplements and corticosteroids, with a call for more research into the molecular basis of hair growth for better therapies.
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