Telogen effluvium is characterized by sudden, diffuse
hair loss caused by an interruption in the normal hair growth cycle.
Causes
This interruption is often the result of
trauma, such as
chemotherapy,
childbirth,
puberty, major
surgery, severe
stress, and severe chronic illness. This trauma causes large numbers of
hair follicles to enter a stage of telogen, or rest, simultaneously. After roughly 3 months of the telogen cycle the follicles will enter the anagen cycle, a stage of growth. The old hair will be forced out of the follicle by a new hair that is formed beneath it. This will cause a period of diffuse hair shedding. This condition is usually self correcting and can affect people of all ages.
Classification
There is also another form of telogen effluvium referred to as 'chronic'. This is essentially the same except it is on-going.
Presentation in pregnancy
A typical example of telogen effluvium is seen after
pregnancy. In this condition women lose a significant amount of hair a few months after delivery when the protective effect of
estrogen is removed. This shedding usually stops spontaneously and these patients will re-grow hair after 3 months.
References
External links