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Telogen Effluvium

Quratulanne H. Jan, MD and Arham K. Barakzai, MD Reviewed 06/2018
 


BASICS

Diffuse hair loss or hair thinning; most often an acute self-limited process 

DESCRIPTION

Telogen effluvium (TE) is a transient condition in which there is a premature conversion of a significant...

DIAGNOSIS

HISTORY

  • Commonly, an inciting event 2 to 6 months previous

  • Fear of becoming bald

  • Patients often present with bags of hair to emphasize the severity of their hair loss.

PHYSICAL EXAM

  • Decreased den...

TREATMENT

TE is a benign, self-limited process. Identify and correct underlying cause. Patient should be reassured that full hair growth will occur in ~6 months to 1 year. No treatment is required. 

MEDICATION

REFERENCES

1
Grover C, Khurana A. Telogen effluvium. Indian J Dermatol Venereol Leprol.  2013;79(5):591–603. [View Abstract on OvidMedline]
2
Peters EMJ, Liotiri S, Bodó E, et al. Probing the effec...

ADDITIONAL READING

  • Headington JT. Telogen effluvium. New concepts and review. Arch Dermatol.  1993;129(3):356–563. [View Abstract on OvidMedline]

  • Mounsey AL, Reed SW. Diagnosing and treating hair...

CODES

ICD10

L65.0 Telogen effluvium 

ICD9

704.02 Telogen effluvium 

SNOMED

  • 39479004 Telogen effluvium (disorder)

  • 403328001 Chronic telogen effluvium (disorder)

CLINICAL PEARLS

  • TE is a self-limited form of nonscarring alopecia; most often acute.

  • TE is due to a premature conversion of a significant proportion of anagen (growth phase) hairs into telogen (resting...

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