Trichoscopy as a Useful Tool to Diagnose Telogen Effluvium

    November 2024 in “ Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University ”
    Anam Altaf, Nathália Nascentes Coelho dos Santos Omer, Tariq Malik, Uroosa Saleem, Ata Abbasi, Arslan Ahmed
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    TLDR Trichoscopy is an effective, non-invasive way to diagnose telogen effluvium.
    Trichoscopy has been demonstrated to be an effective, non-invasive diagnostic tool for identifying telogen effluvium (TE) in a study conducted at PNS Shifa Hospital, Karachi. The study involved 100 individuals with clinically confirmed TE, with a mean age of 32.7 years. Trichoscopic imaging revealed that perifollicular scaling was the most frequent finding (95%), followed by hair diameter diversity (48%) and vellus hair (42%). Significant differences in trichoscopic findings were observed between the frontal and occipital scalp regions, aiding in differentiating TE from androgenetic alopecia. This method allows for early and accurate diagnosis, reducing the need for invasive procedures.
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      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 6 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community Here's why you don't assume you have TE, because you likely don't

      in Chat  49 upvotes 5 months ago
      TE (telogen effluvium) is often misunderstood and is triggered by severe stress or trauma, not minor daily inconveniences. Most hair loss cases are due to male pattern baldness (AGA), and treatments like Minoxidil and finasteride can help.

      community CTE and lots of shedding for over a year

      in Female  5 upvotes 11 months ago
      A female user has experienced severe hair shedding since stopping birth control in late 2022, diagnosed as telogen effluvium with no signs of androgenetic alopecia. Despite healthy living and optimal bloodwork, she continues to shed hair daily but also sees significant regrowth.

      community 9 months on Fin - no progress , should I get on Dutasteride?

      in Chat  10 upvotes 3 months ago
      The user has been using finasteride, minoxidil, and nizoral for hair loss but hasn't seen regrowth, only maintenance. They are considering switching to dutasteride, which is believed to be more effective, but are concerned about potential side effects.

      community How essential is scalp biopsy when dealing with hair loss?

      in Treatment  6 upvotes 3 months ago
      The user experienced hair loss despite using Fin and Min for 12 years and switched to Dutasteride, RU58841, and Keto scalp serum, but shedding and itch persist. They are considering increasing Dutasteride to 2.5mg and questioning the necessity of a scalp biopsy, with mixed opinions on its usefulness.

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