Telogen effluvium

Telogen effluvium is the most common cause of diffuse hair loss. The disease results in reversible diffuse loss of mature, terminal hairs, usually following a significant stressful event . Common triggers include pregnancy, severe weight loss (including with dieting), major illnesses and surgery, and traumatic psychological events.

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About Telogen effluvium

Normal hair loss averages 75 to 100 hairs per day. In telogen effluvium, rather than hair being lost in a staggered fashion, a stress triggers a shift of many follicles into the telogen phase, causing diffuse hair loss that peaks approximately three to four months after the inciting event. Usually up to 20 percent of the hair must be lost before it is cosmetically apparent. Thus, complaints of hair loss should not be discounted in someone who still has a full head of hair.

The diagnosis of nonscarring hair loss requires a careful history combined with a good physical examination. Knowledge of an inciting stressful event in a patient with diffuse hair loss suggests the possibility of telogen effluvium. Patterned hair loss suggests the possibility of other disorders such as androgenetic alopecia, alopecia areata, and trichotillomania. However, telogen effluvium may coexist with other types of hair loss. Patients with telogen effluvium should be reassured that they will not lose all of their hair, that the process is usually reversible, and that regrowth should occur over the next three to four months.

Indications