Telogen Effluvium Guilan university of Medical Sciences Nargess Tavakoli
<ul><li>Nonscarring alopecia  </li></ul><ul><li>Diffuse hair shedding </li></ul><ul><li>No inflammation </li></ul><ul><li>...
Physiopathology <ul><li>Systemic stress   a large number of hairs to enter telogen at one time </li></ul><ul><li>Shedding...
<ul><li>Sex: both /more   female? </li></ul><ul><li>Age: Any/ even infancy </li></ul><ul><li>Can affect any parts of the ...
No <ul><li>Areas of total alopecia  </li></ul><ul><li>Scarring  </li></ul><ul><li>Inflammatory scalp dermatitis </li></ul>...
<ul><li>The physician does not appreciate a decrease in hair density </li></ul><ul><li>Short new hairs growing  </li></ul>...
 
 
 
Causes? <ul><li>Acute illness </li></ul><ul><li>Chronic illness </li></ul><ul><li>Hormonal changes </li></ul><ul><li>Chang...
 
Lab Studies <ul><li>Hair pluck? </li></ul><ul><li>Biopsy? </li></ul><ul><li>CBC/ferritin/Alb/Thyriod tests?? </li></ul>
Prognosis <ul><li>Good </li></ul><ul><li>Self limited </li></ul><ul><li>No sequelae </li></ul><ul><li>Chronic    not pred...
Treatment <ul><li>Caused by medication?    D/C </li></ul><ul><li>Reassure the patient </li></ul><ul><li>Balanced diet </l...
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Telogen Effluvium

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Telogen Effluvium

  1. 1. Telogen Effluvium Guilan university of Medical Sciences Nargess Tavakoli
  2. 2. <ul><li>Nonscarring alopecia </li></ul><ul><li>Diffuse hair shedding </li></ul><ul><li>No inflammation </li></ul><ul><li>Systemic stress (3 months) </li></ul><ul><li>spontaneous recovery </li></ul>
  3. 3. Physiopathology <ul><li>Systemic stress  a large number of hairs to enter telogen at one time </li></ul><ul><li>Shedding does not occur until the new anagen hairs begin to grow </li></ul>
  4. 4. <ul><li>Sex: both /more  female? </li></ul><ul><li>Age: Any/ even infancy </li></ul><ul><li>Can affect any parts of the body, but only loss of scalp hair is symptomatic. </li></ul><ul><li>Acute/chronic (12 months) </li></ul><ul><li>Patients usually only complain that their hair is falling out at an increased rate </li></ul>
  5. 5. No <ul><li>Areas of total alopecia </li></ul><ul><li>Scarring </li></ul><ul><li>Inflammatory scalp dermatitis </li></ul><ul><li>Complaints of body hair loss (usually) </li></ul>
  6. 6. <ul><li>The physician does not appreciate a decrease in hair density </li></ul><ul><li>Short new hairs growing </li></ul><ul><li>+ Pull test, telogen hairs </li></ul><ul><li>Individual characteristic growth cycle </li></ul><ul><li>Nail changes? Beau’s Lines </li></ul>
  7. 10. Causes? <ul><li>Acute illness </li></ul><ul><li>Chronic illness </li></ul><ul><li>Hormonal changes </li></ul><ul><li>Changes in diet </li></ul><ul><li>Medications </li></ul>
  8. 12. Lab Studies <ul><li>Hair pluck? </li></ul><ul><li>Biopsy? </li></ul><ul><li>CBC/ferritin/Alb/Thyriod tests?? </li></ul>
  9. 13. Prognosis <ul><li>Good </li></ul><ul><li>Self limited </li></ul><ul><li>No sequelae </li></ul><ul><li>Chronic  not predictable, not rapidly resolved </li></ul>
  10. 14. Treatment <ul><li>Caused by medication?  D/C </li></ul><ul><li>Reassure the patient </li></ul><ul><li>Balanced diet </li></ul><ul><li>Collecting all hairs shed  compare </li></ul><ul><li>No medication </li></ul><ul><li>Minoxidil 5%  chronic </li></ul>

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