Telogen Effluvium
Symptoms
Telogen effluvium is a form of temporary hair loss that usually presents as diffuse thinning across the scalp. Patients may notice increased hair shedding, especially while brushing or washing their hair. The scalp typically looks healthy with no inflammation or scarring. The hair loss is not patchy, unlike alopecia areata. In many cases, the condition starts suddenly and can be alarming due to the volume of hair lost. It’s more noticeable in people with longer hair. Some patients also report changes in hair texture. Usually, no itching or pain is associated.
Cause
Telogen effluvium occurs when a large number of hair follicles prematurely shift from the growth (anagen) phase to the shedding (telogen) phase. It can be triggered by physical or emotional stress, illness, surgery, major weight loss, childbirth, or medication changes. Nutritional deficiencies, especially in iron or protein, can also contribute. Hormonal imbalances like thyroid disease may play a role. The condition often appears 2–3 months after the triggering event. It is not hereditary or infectious. The follicle remains intact, so hair can regrow. Chronic telogen effluvium may persist for more than six months.
Treatment
Treatment focuses on identifying and addressing the underlying trigger. Nutritional counseling or supplementation (iron, biotin, zinc) may be recommended if deficiencies are found. In many cases, the condition resolves spontaneously within 6–12 months. Gentle hair care, including avoiding heat and harsh styling, is encouraged. Topical minoxidil may be used to speed regrowth. Managing stress and supporting the body’s healing process is key. For chronic cases, dermatologists may recommend scalp biopsies or blood tests to rule out other causes. Education and reassurance are important to reduce anxiety over hair loss.
Dr. Beth Schulz-Butulis
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.