A form of alopecia that does not cause scarring, Telogen effluvium is distinguished by scattered hair shedding across the scalp.
Hair has two phases; one called anagen that signifies the growth phase and the other telogen, that is known as the resting phase. During the telogen state hair remains dormant in the follicle until it is shoved out with the growth of a new anagen hair.
Telogen effluvium occurs when physiologic stress or hormone disruptions cause more then enough hairs to enter the telogen state at once. Shedding starts after the new anagen hairs start to grow and push the resting hairs out of the follicle.
Causes that trigger Telogen effluvium include:
- Physiologic stress
- Hormone disruptions due to pregnancy, delivery, diet changes.
- Interactions with other medications or abrupt discontinuation of medications i.e. estrogen.
- Febrile illness
- Serious injuries to the scalp
- immunizations
- Papulosquamous scalp diseases such as psoriasis and seborrheic dermatitis
- Chronic diseases which include lymphoproliferative malignancy, systemic lupus erythematosus, end-stage renal disease and liver disease.
Telogen effluvium can manifest at any age thus it is not uncommon to see infants with such a disease. Women are more prone to encounter Telogen effluvium because they experience conditions for instance postpartum period which generates hormonal changes.
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