Telogen Effluvium in Daily Practice: Patient Characteristics, Laboratory Parameters, and Treatment Modalities of 3028 Patients

    August 2021 in “ Journal of Cosmetic Dermatology
    Ahu Yorulmaz, Yıldız Hayran, Ahmet Kağan Özdemir, Orhan Şen, Ilgaz Genc, Güneş Gür Aksoy, Başak Yalçın
    Image of study
    TLDR Most patients with telogen effluvium had low iron and vitamin D levels; iron supplements were commonly prescribed.
    This retrospective study analyzed the records of 3028 patients with telogen effluvium (TE) and found that the most common laboratory abnormalities were low serum ferritin (92.8% of patients with levels less than 70 ng/ml) and vitamin D deficiency (72.2%). Other deficiencies included vitamin B12 (30.7%), folate (4.4%), and zinc (2.1%). Iron deficiency anemia was present in 6.7% of women and 6.2% of men. The study suggests that a routine work-up for TE should include a complete blood count, serum ferritin, vitamin B12 levels, and thyroid panel. Iron replacement was the most frequently ordered treatment (37.5% of prescriptions), and the study provides a diagnostic algorithm for TE, emphasizing its significance due to the large patient sample and detailed information provided. However, it does not include treatment outcomes.
    Discuss this study in the Community →

    Research cited in this study

    17 / 17 results

    Related Community Posts Join

    6 / 419 results

      community C’est terrible - at my wits end

      in Female  449 upvotes 1 year ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

      community Vitamin D deficiency hair loss

      in Chat  10 upvotes 1 year ago
      A 20-year-old male has been experiencing hair loss for three years due to a vitamin D deficiency and has seen no improvement after 3.5 months of taking supplements. Another person suggested that if the hair loss follows a pattern, it might be regular baldness rather than due to the deficiency.

      community Diffuse thinning fucking sucks

      in Update  430 upvotes 10 months ago
      The conversation discusses various treatments for hair loss, including finasteride, minoxidil, dutasteride, microneedling, and checking for nutrient deficiencies. Some users suggest adding hydrocortisone butyrate, low-dose progesterone, or tretinoin to treatment regimens, while others recommend cosmetic solutions like Toppik hair fibers or shaving the head.

      community fin 0.5 mg everday 6 months update

      in Finasteride/Dutasteride  28 upvotes 1 year ago
      The post discusses the experiences of individuals with diffuse hair thinning using finasteride, with many reporting no improvement or worsening conditions after 6 months. Various suggestions include persisting with the treatment, checking for underlying conditions, adding minoxidil for volume, adjusting dosage, and considering other potential causes like autoimmune responses and inflammation.

    Related Research

    3 / 3 results