Prevalence and Factors Associated with Telogen Effluvium in Adult Females at Makkah Region, Saudi Arabia: A Retrospective Study

January 2015 in “ Journal of Dermatology and Dermatologic Surgery ”

Mohammad I. Fatani, Ahmed M. Bin Mahfoz, Azami Mahdi, Khalid A. Al-Afif, Waleed A. Hussain, Abdulmajeed Khan, Adel Banjar

TLDR Hair loss in adult females in Makkah is often linked to iron-deficiency anemia and thyroid issues.

In a retrospective study at Hera General Hospital in Makkah, Saudi Arabia, involving 279 female patients with telogen effluvium (TE) from 2011 to 2013, it was found that TE was commonly associated with iron-deficiency anemia and hypothyroidism. The mean age of patients was 29.82 years, and a significant number had low hemoglobin, mean corpuscular hemoglobin (MCH), and hematocrit levels, with 64% having serum ferritin levels below 30 ng/mL. While the effectiveness of topical minoxidil in treating TE was not proven, many patients used hair tonics, anti-hair fall shampoos, and received supplementation with iron, folic acid, and zinc. The study concluded that maintaining serum ferritin above certain levels may help reverse hair loss, recommending adequate dietary iron intake and oral ferrous sulfate supplementation as initial therapy for those with low serum ferritin levels.

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