Telogen Effluvium Following the Treatment of Euglycemic Diabetic Ketoacidosis in a Patient With Heavy Soft Drink Intake: A Case Report

October 2024 in “ Cureus ”

Yuta Yoshino, Maho Hayashi

telogen effluvium euglycemic diabetic ketoacidosis luseogliflozin hyperglycemia ketoacidosis

Studysummary This case report explores a 28-year-old man with type 2 diabetes who experienced telogen effluvium, a type of hair loss, following treatment for euglycemic diabetic ketoacidosis with luseogliflozin, possibly triggered by physical stress related to his condition and treatment. Our plain-language summary of this paper — not a Tressless recommendation.

This case report describes a 28-year-old man with type 2 diabetes mellitus, linked to heavy soft drink consumption, who developed telogen effluvium after treatment for euglycemic diabetic ketoacidosis with luseogliflozin. The patient experienced significant hair loss two months post-discharge, which lasted for three months. The hair loss was attributed to physical wasting from hyperglycemia and ketoacidosis, compounded by rapid weight loss. The case highlights the importance of identifying triggers for telogen effluvium, which often occur two to three months before hair loss onset, and emphasizes the need for psychological support due to the impact of hair loss on quality of life.

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research Telogen Effluvium: A Review of the Literature

40 citations , May 2020 in “Cureus”

This review discusses the causes, diagnosis, and treatment of telogen effluvium and reports no new clinical findings; the authors underscore the importance of identifying and eliminating causative factors.

research Alopecia Areata: Overview and Insights from January 2018

290 citations , December 2017 in “Journal of The American Academy of Dermatology”

This article reviews the epidemiology, clinical evaluation, and pathogenesis of alopecia areata and highlights recent advancements, but it does not report new clinical findings.

research Telogen Effluvium: A Review

70 citations , January 2015 in “Journal of Clinical and Diagnostic Research”

This review discusses the various triggers and diagnostic challenges in determining the cause of telogen effluvium-related hair loss, without providing new clinical results.

research Telogen Effluvium: A Review of Acute and Chronic Forms

67 citations , January 2013 in “Indian Journal of Dermatology, Venereology and Leprology”

This review discusses telogen effluvium, a common type of hair loss, focusing on differentiation from other conditions and potential causes, but presents no new research findings.

research Androgenetic Alopecia: An Update

88 citations , January 2013 in “Indian Journal of Dermatology, Venereology and Leprology”

This article reviews recent advancements in understanding and treating androgenetic alopecia, focusing on new genetic insights, stem cell roles, and diagnostic tools, without reporting new clinical results.

research Diffuse Hair Loss: Its Triggers and Management

88 citations , June 2009 in “Cleveland Clinic Journal of Medicine”

This article reviews various causes of diffuse hair loss, highlighting the importance of identifying triggers through thorough examination for effective treatment and emphasizing patient education in management; it reports no new clinical findings.

research Diffuse Hair Loss in an Adult Female: Approach to Diagnosis and Management

70 citations , January 2009 in “Indian Journal of Dermatology, Venereology and Leprology”

This article reviews the characteristics, diagnosis, and management of different types of diffuse alopecia in women and provides no original research findings.

research The Reliability of Horizontally Sectioned Scalp Biopsies in the Diagnosis of Chronic Diffuse Telogen Hair Loss in Women

137 citations , July 2004 in “Journal of The American Academy of Dermatology”

This study observed that triple horizontal scalp biopsies provided a more accurate diagnosis of female pattern hair loss in women than a single horizontal biopsy, especially for those with advanced hair loss.

research Shedding: How to Manage a Common Cause of Hair Loss

34 citations , March 2001 in “Cleveland Clinic Journal of Medicine”

This article reviews the triggers, diagnosis, and management of telogen effluvium in men and women, emphasizing the role of patient education and reassurance, but presents no new clinical findings.

research Diffuse Hair Loss: Causes, Diagnosis, and Treatment

83 citations , May 1999 in “International Journal of Dermatology”

Hair loss that spreads out can often fix itself or be treated by finding and handling the cause.

research Telogen Effluvium: A Comprehensive Review

214 citations , March 1993 in “Archives of Dermatology”

This article proposes five different mechanisms for telogen effluvium, supported by clinical findings, based on changes in different phases of the hair cycle.