Telogen Effluvium as a Sign of Hodgkin Disease

The document discusses a rare instance where alopecia, or hair loss, was an early sign of Hodgkin disease in a patient. The hair loss, characterized as telogen effluvium, occurred several months before any other symptoms of the disease appeared. The alopecia could have been due to the disease infiltrating and destroying hair follicles, or it could have been a secondary "toxic" manifestation of the disease. Other cases of hair loss associated with Hodgkin disease are also discussed in the literature.