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DR. RAFAEL DE FREITAS    INJERTO CAPILAR
HOME / Alopecia / ACUTE TELOGEN EFFLUVIUM

ACUTE TELOGEN EFFLUVIUM

Acute Telogen Effluvium is the most frequent alopecia after Androgenetic Alopecia.

It is a diffuse, reversible and more intense loss than Androgenetic Alopecia. It arises 2-5 months after the trigger has been determined in telogen phase. It is a very common hair loss, especially in women. It consists of massive hair loss, something that makes the patient be anxious because he sees a big amount of hair in the brush, shower or pillow. It is produced because many follicles start ageing phase, known as telogen phase, which lasts from 2-5 months until the loss is seen. Also the hair is more fragile and as a consequence it easily falls out. However, the patient does not lose hair density. 
 

There are some stimuli that may cause telogen effluvium, such as: 

  • Physical stress (disease, surgery, pregnancy).
  • Drugs and Hormones (contraceptive, anticoagulant drugs)  
  • Severe infections and high fever
  • Haemorrhage
  • Emotional stress (losing a relative, personal problems).
  • Ultraviolet radiation
  • Extreme hypocaloric diets
  • Stress related to studies or work

 
These causes make a big amount of hair start telogen phase and in a few months time it begins to fall out. When this has happened, Telogen Efflivium usually generates anxiety in patients who see that they lose more than 100 hairs per day, something which produces a vicious circle of stress and higher hair loss.
It is very important to know that this kind of alopecia is reversible. Fallen out hair is replaced by new hair, so the total amount of hair is always maintained. That means that the patient will not go bald in a few months, even though they think so. Actually Telogen Effluvium can be considered as an “acceleration” of the hair cycle loss and growth.

Regarding treatment, the perfect thing to do is to identify the cause that is generating the effluvium and act over it. There is no cause quite often but work stress; in those cases there is no treatment available except waiting, since Telogen Effluivum duration is usually limited to a few months.

 

Clinic:

  • Big amount of hair in brush, comb, pillow, etc. 
  • It starts 3 months maximum after the aggression
  • Random loss no matter the region, without previous stimulus. 
  • Non seborrhoeic constitution connection 
  • The laboratory testing for toxics, dysproteinemia,  endocrinopathy, etc 
  • Pulling out and trychogram having high percentage of hair undergoing anagen or telogen phase 
  • It lasts until the cause is overcome 
  • Severe evolution and good prediction 


 
Diagnosis:

The diagnosis is done by clinic studies together with anamnesis. The patient quite often gives clues about  the diagnostic. Sometimes it is recommended to do an analytical study in order to identify some kind of nutritional lack or disease which may not be previously diagnosed.

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