Telogen Effluvium: A Comprehensive Review

    Alfredo Rebora
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    TLDR The document concludes that Telogen Effluvium is a hair loss disorder that can be assessed with the modified wash test and may be treated with clobetasol foam, with patient management being important.
    The 2019 document provided a comprehensive review of Telogen Effluvium (TE), a disorder characterized by excessive hair shedding, primarily affecting women. The paper discussed the challenges in diagnosing TE, such as determining the extent of hair loss, distinguishing it from androgenetic alopecia, and understanding its main symptom, trichodynia. The paper suggested the use of the modified wash test (MWT) to assess hair loss, with TE considered when hair shedding exceeds 100 hairs every 5 days. The document also explored the different types of TE, including premature teloptosis, collective teloptosis, and premature entry into the telogen phase, and potential causes such as drug-induced TE, nutritional deficiencies, and lymphocytotoxicity. The presence of trichodynia was noted in about 20% of TE cases and could indicate the severity of the disorder. The document also mentioned the use of clobetasol foam as a potential treatment for autoimmune TE. The importance of patient management, including assessing the severity of hair loss and monitoring its course, was emphasized.
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      community A reminder that Telogen Effluvium could look like MPB; my progress

      in Progress Pictures  32 upvotes 2 years ago
      A 19-year-old male experienced significant hair loss, initially thought to be male pattern baldness (MPB), and used minoxidil and briefly finasteride. After realizing the issue was telogen effluvium (TE), he improved his diet and supplemented with vitamins, which led to substantial hair regrowth.

      community 22 year old, losing hair for 1 year

      in General  181 upvotes 2 weeks ago
      A 22-year-old male experiencing hair loss suspects androgenetic alopecia (AGA) and possibly telogen effluvium (TE), with a noted improvement in scalp itch after adopting a gluten-free diet. He is advised to consider treatments like finasteride or minoxidil and to check iron and ferritin levels.

      community 31M - major hair shedding after weight loss + stopping vitamins — help!

      in Minoxidil  4 upvotes 1 month ago
      A 31-year-old male experienced hair shedding after rapid weight loss and stopping vitamins, despite using minoxidil and other supplements. He is considering Saw Palmetto and Pumpkin Seed Oil instead of finasteride due to trying for kids, and is concerned about high ferritin and DHEAS levels.

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