Telogen Effluvium

This is most common diagnosis in women in everyday hair clinic
TE is characterized by sudden shedding of hair on the entire scalp as a result of an early ,synchronous entry of hair follicles (more than 20%) in to the telogen phase.
TE is more common in women than men.

Causes of TE

  • hyroid influences- hypo or hyperthyroidism .
  • Iron deficiency( In about 72% of women patients).
  • Fever.
  • Postpartum.
  • Major intervention and prolonged anesthesia.
  • Malignant disease and malabsorption.
  • Crash dieting /hypoproteinemia( rapid weight loss with less than 1000 calories/day intake can often causes immediate arrest of anagen followed by TE ).
  • Vitamin D deficiency.
  • Vitamin A overdose (more than 50,000 IE daily).
  • Zinc deficiency.
  • Copper deficiency.
  • Selenium deficiency.
  • Essential fatty acids ( Vitamin F) deficiency.
  • Psychological stress, Acute anxiety and depressions.
  • Medications like chemotherapy, Radiotherapy.

Clinical Features

  • Predominately occurs in female.
  • Abrupt onset of shedding of hairs.
  • Reduction in density and their pony tail diameter.
  • Hair thinning, especially on the temples..


  • Removal of cause.
  • Iron supplementation.
  • Correction thyroid functions.
  • Psychotherapy-assurance.
  • Medication- Topical minoxidil.
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