Telogen Effluvium: Causes, Diagnosis, and Treatment

May 2017 in “ InTech eBooks ”

Emin Özlü, Ayşe Serap Karadağ

Telogen Effluvium hair cycle telogen hairs acute TE chronic TE stress illness nutritional deficiencies drugs hair pull test iron supplementation serum ferritin levels TE hair shedding iron supplements

Studysummary This article discusses telogen effluvium, emphasizing the importance of understanding its natural progression and highlights the need for a detailed patient evaluation but provides no new clinical results.

Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer

Telogen Effluvium (TE) is a widespread noninflammatory hair loss condition, marked by a diffuse shedding of telogen hairs due to disruptions in the hair cycle. The document describes TE as either acute, lasting less than 6 months, or chronic, persisting beyond 6 months. Acute TE typically starts 2-3 months after a trigger, which remains unidentified in about 33% of cases, while chronic TE is more prevalent in healthy women between their 40s and 50s. The etiology of TE includes stress, illness, nutritional deficiencies, and drugs, with diagnosis based on patient history, physical examination, and the hair pull test. Treatment is aimed at the underlying cause and patient education about the disease's natural progression. Iron supplementation is recommended for those with low serum ferritin levels, but the effectiveness of this treatment is not well-studied. The document notes that while acute TE generally resolves on its own, chronic TE requires a thorough investigation to exclude other hair loss causes, emphasizing the need for patient education and addressing the psychological effects of hair loss.

View this study on intechopen.com →

Discuss this study in the Community →

Research cited in this study

23 / 23 results

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 Hair Loss in Women: Diagnosis and Management of Nonscarring Diffuse Alopecias

11 citations , December 2014 in “Clinical Obstetrics and Gynecology”

This article presents a systematic approach for obstetricians/gynecologists to diagnose and manage common types of nonscarring hair loss in women, reporting no new clinical results.

research Evaluation and Diagnosis of the Hair Loss Patient

69 citations , August 2014 in “Journal of The American Academy of Dermatology”

This review discusses recent advances in trichoscopy for differentiating types of alopecia and presents a systematic approach for using its diagnostic findings, but reports no new clinical results.

research The Changes in the Hair Cycle During Gestation and the Post-Partum Period

34 citations , May 2013 in “Journal of the European Academy of Dermatology and Venereology”

In this study, changes in hair cycle phases during pregnancy and the post-partum period showed a rise in telogen rates after delivery, especially among non-breastfeeding women, but no drastic exaggerations were noted.

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 How to Diagnose Hair Loss

27 citations , September 2012 in “Dermatologic Clinics”

This review outlines a systematic method for diagnosing hair loss and presents no new findings; the authors emphasize the importance of biopsy in cicatricial alopecia cases.

research Hair and Scalp Dermatoscopy

245 citations , March 2012 in “Journal of The American Academy of Dermatology”

This review discusses the dermoscopic features of common hair and scalp disorders and reports no new clinical results, aiming to assist dermatologists in diagnosing conditions like tinea capitis and alopecia areata.

research The Role of Anemia and Vitamin D Levels in Acute and Chronic Telogen Effluvium

11 citations , January 2011 in “Turkish Journal of Medical Sciences”

This study found that iron deficiency anemia is a key factor in the development of telogen effluvium, and higher 25-hydroxyvitamin D3 levels in TE patients may be linked to increased UV exposure.

research Iron Deficiency in Female Pattern Hair Loss, Chronic Telogen Effluvium, and Control Groups

72 citations , October 2010 in “Journal of The American Academy of Dermatology”

This study concluded that iron deficiency is common among women but not more prevalent in those with female pattern hair loss or chronic telogen effluvium compared to control subjects without hair loss.

research Systematic Approach to Hair Loss in Women

45 citations , March 2010 in “Journal der Deutschen Dermatologischen Gesellschaft”

This article discusses methods for diagnosing and managing diffuse hair loss and reports no new results; the authors emphasize systematic evaluation and the importance of psychological support.

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 Diffuse Hair Loss

26 citations , June 2008

research Hair Loss in Women

129 citations , October 2007 in “The New England Journal of Medicine”

This article discusses the evaluation and management of a 45-year-old woman with diffuse scalp-hair loss and reports no new clinical findings.

research Hair Loss in Children in South-East Nigeria: Common and Uncommon Cases

34 citations , October 2007 in “International Journal of Dermatology”

This study reported that the most common hair loss disorder among children in south-east Nigeria was tinea capitis, and its clinical course was influenced by parental attitudes towards treatment.

research The Diagnosis and Treatment of Iron Deficiency and Its Potential Relationship to Hair Loss

207 citations , April 2006 in “Journal of The American Academy of Dermatology”

This review discusses the complexities of diagnosing and treating iron deficiency related to nutritional anemia and hair loss, concluding that routine screening and supplementation for hair loss are not yet supported by sufficient evidence.

research Approach to the Adult Female Patient with Diffuse Nonscarring Alopecia

67 citations , November 2002 in “Journal of The American Academy of Dermatology”

This review discusses diagnostic approaches for women with diffuse, nonscarring hair loss and reports no new clinical results.

research There Is No Clear Association Between Low Serum Ferritin And Chronic Diffuse Telogen Hair Loss

83 citations , November 2002 in “British Journal of Dermatology”

This study found no direct relationship between low serum ferritin and chronic diffuse telogen hair loss in women, questioning the usefulness of serum ferritin measurement and iron supplementation for managing this condition.

research Telogen Effluvium: Causes, Diagnosis, and Treatment

144 citations , July 2002 in “Clinical and Experimental Dermatology”

This article reviews the concept of telogen effluvium and emphasizes the importance of identifying triggers and using diagnostic investigations to determine the cause of hair loss, without reporting new results.

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 Chronic Telogen Effluvium: Increased Scalp Hair Shedding in Middle-Aged Women

234 citations , December 1996 in “Journal of The American Academy of Dermatology”

The authors concluded that chronic telogen effluvium in middle-aged women presents distinct clinical and histological features that differ from androgenetic alopecia and acute telogen effluvium.

research Drug-Induced Hair Loss and Hair Growth

147 citations , April 1994 in “Drug Safety”

Some drugs can cause hair loss or increase hair growth, but these effects are usually reversible when the drug is stopped.

research Telogen Effluvium: New Concepts and Review

69 citations , March 1993 in “Archives of Dermatology”

This article proposes five mechanisms for telogen effluvium based on changes in the follicular cycle, which are supported by clinical findings, highlighting the condition's diverse causes.

research Pregnancy, Hair Loss, and the Pill

23 citations , October 1971 in “BMJ”

This case report describes a woman who experienced diffuse hair loss both after stopping oral contraceptives and after childbirth, suggesting a similar pathogenesis in these situations.