Management of Telogen Effluvium During the COVID-19 Emergency: Psychological Implications

In 2020, during the COVID-19 quarantine in Italy, 25 female patients with previously diagnosed telogen effluvium (TE), a common form of hair loss often induced by stress, reported a worsening of their condition. These patients, aged between 21 and 54 years, had been suffering from TE for 4 to 24 months. The quarantine conditions, which were stressful for many, likely contributed to the exacerbation of their condition. To manage these patients, teledermatology was used, which involved real-time video consultations. During these consultations, patients reported higher stress levels (average value 8.2) and increased concern about their hair loss. The video consultations helped reduce patient anxiety and allowed for therapy updates. Of the patients, 56% were found to have a perceived exacerbation of TE, 20% had stopped therapy and needed to restart, 16% required a dose adjustment, and 8% required psychological counseling due to extreme worry. The study highlighted the importance of regular follow-ups and psychological support for TE patients, especially during stressful periods, and the usefulness of teledermatology in managing such conditions.