Telogen Effluvium

Question 1

Name 3 phases hair follicles pass through?

Answer 1

Anagen
Catagen
Telogen

Question 2

Explain acute telogen effluvium

Answer 2

Stressor → abrupt transit of atleast 20% hair follicles from
Anagen ( active growth phase ) → telogen ( resting phase) → physiological hair loss after 3-4 months

Question 3

When does hair fall stop?

Answer 3

2-3 months
Rx - minoxidil 2%

Question 4

Ix?

Answer 4

History
Trichogram- shows telogen count of 25%

Question 5

What would patient history look like?

Answer 5

Decreased hair volume without well defined alopecia patches
Pull test - typically +ve
Diffuse hair loss
Severe cases all - anemia & beau’s lines of nails

Question 6

Chronic telogen effluvium?

Answer 6

Persists > months
Pt. Complains of losing > 100 hair over long periods
Happen to women 40 -50 yrs of age

Question 7

Triggers that precipitate telogen?

Answer 7

Infections → typhoid, malaria, dengue, COVID, chikungunya
Childbirth
Emotional stress → exam, marital discord
Minor / major surgery
Hemorrhage→ surgical, traumatic

Question 8

Anagen effluvium is seen in?

Answer 8

Patients receiving chemotherapy