{"id":6160,"date":"2025-01-09T18:01:27","date_gmt":"2025-01-09T12:31:27","guid":{"rendered":"https:\/\/fidorehealth.com\/5-best-hair-straightening-serums\/"},"modified":"2025-10-29T16:26:32","modified_gmt":"2025-10-29T10:56:32","slug":"telogen-effluvium","status":"publish","type":"post","link":"https:\/\/fidorehealth.com\/blog\/telogen-effluvium\/","title":{"rendered":"Telogen Effluvium"},"content":{"rendered":"\n

The human scalp has over 100,000 hair follicles<\/strong>, with 90% in the growth (anagen) phase and 10% in the resting (telogen) phase. Shedding more than 100 hairs daily may indicate Telogen effluvium (TE).<\/strong><\/p>\n\n\n\n


TE is a common, non-scarring hair loss caused by triggers like stress, illness (Covid , Typhoid, Dengue, Accidents)<\/strong>, or medications. It leads to excessive hair shedding and reduced volume<\/strong>. Acute TE lasts under six months, while chronic TE persists longer .<\/p>\n\n\n\n

Clinical Features: Recognizing Telogen Effluvium <\/strong><\/p>\n\n\n\n

Excessive Hair Shedding<\/strong>
Patients with TE often report sudden and heavy hair loss, sometimes collecting shed hairs (a “Bag Sign”) to show the extent. Severe cases, involving over 25% hair loss, result in noticeable thinning, such as reduced ponytail volume, mostly hair are lost with the hair bulb attached<\/strong>.<\/p>\n\n\n\n

\n

Examination Finding<\/strong>
Hair analysis shows thinner, weaker hairs with many in the telogen phase with white roots.<\/p>\n<\/div>\n\n\n\n

\"Telogen<\/figure>\n\n\n\n

Key Triggers<\/strong>
Common causes include
stress, illness, nutritional deficits, thyroid dysfunction, and medication side effects.<\/p>\n\n\n\n

Acute TE<\/strong>
Hair loss begins 2-3 months after a trigger and lasts 4-8 weeks.<\/p>\n\n\n\n

Chronic TE<\/strong>
CTE lasts over 6 months and predominantly affects women aged 30-60. The hair loss
is abrupt but does not lead to complete baldness. The course often fluctuates, with
improvement after addressing triggers.<\/p>\n\n\n\n

Investigations: Diagnosing TE<\/strong><\/p>\n\n\n\n


Clinical Tests
<\/strong>Hair Pull Test <\/em>
Trichogram<\/em>: Shows >25% telogen<\/strong><\/em> hairs, identified by their club-shaped, non-pigmented roots.<\/p>\n\n\n\n


Trichoscopy: Helps rule out other conditions like androgenetic alopecia, revealing unique signs like
ollicular miniaturization.<\/p>\n\n\n\n


Blood Tests<\/strong><\/p>\n\n\n\n


Thyroid dysfunction (TSH, T3, T4)
Nutritional deficiencies (iron, zinc, vitamin D)
Hormonal imbalances, especially in women
Other Tests<\/p>\n\n\n\n


Scalp biopsy (rarely needed)<\/strong><\/p>\n\n\n\n


Blood counts and organ function tests to identify systemic causes
Treatment: Managing Telogen Effluvium
Address the Cause
Identify and eliminate triggers such as stress, illness, or nutritional deficiencies.<\/p>\n\n\n\n


Iron supplements for ferritin <70 mg\/ml<\/strong>
Thyroid hormone therapy if dysfunction is present
Medications<\/p>\n\n\n\n


Minoxidil: A 2%-5%<\/strong> topical solution applied twice daily to stimulate regrowth, especially in chronic or drug-induced TE.
Supportive Care<\/p>\n\n\n\n


Balanced nutrition and stress management aid recovery.
Monitor progress regularly for adjustments in treatment.<\/p>\n\n\n\n


Differential Diagnoses<\/strong><\/p>\n\n\n\n


Androgenetic Alopecia: Gradual thinning, unlike the abrupt shedding in TE.
Diffuse Alopecia Areata: Autoimmune cause with patchy hair loss.<\/p>\n\n\n\n


Anagen Effluvium<\/strong>: Sudden loss during the growth phase, often from chemotherapy.<\/p>\n\n\n\n


By identifying triggers and providing timely interventions, TE is usually reversible,
restoring hair volume and confidence.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

The human scalp has over 100,000 hair follicles, with 90% in the growth (anagen) phase and 10% in the resting (telogen) phase. Shedding more than 100 hairs daily may indicate Telogen effluvium (TE). TE is a common, non-scarring hair loss caused by triggers like stress, illness (Covid , Typhoid, Dengue, Accidents), or medications. It leads […]<\/p>\n","protected":false},"author":1,"featured_media":7298,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6160","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/posts\/6160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/comments?post=6160"}],"version-history":[{"count":13,"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/posts\/6160\/revisions"}],"predecessor-version":[{"id":7444,"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/posts\/6160\/revisions\/7444"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/media\/7298"}],"wp:attachment":[{"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/media?parent=6160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/categories?post=6160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fidorehealth.com\/blog\/wp-json\/wp\/v2\/tags?post=6160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}