Intermittent Chronic Telogen Effluvium

The document presents a case study of a 50-year-old male patient with intermittent chronic telogen effluvium (CTE), a condition characterized by alternating periods of hair shedding and remission. Over 31 months, the patient graphically documented the correlation between his emotional stress events and the severity of hair shedding, providing evidence of the intermittent nature of CTE and the role of emotional stress as a trigger. The patient's hair shedding was monitored using the modified wash test (MWT), which showed fluctuations in hair loss corresponding to stressful life events, such as marital problems. Despite treatments with clobetasol propionate foam and vitamin D, the patient's hair shedding did not stabilize, suggesting that ongoing emotional stress hindered improvement. This case highlights the importance of recognizing the intermittent nature of CTE, the potential influence of emotional stress on hair shedding, and the utility of MWT in evaluating and documenting the severity of hair loss.