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What Is Telogen Effluvium?

Telogen Effluvium is a condition, often a stressor of some sort to your system, that pushes many hair follicles into the resting or telogen stage all at once. This sudden shift into the resting stage causes more hair to fall out all at once than is normal. Normally about 10-15% of hair is in the telogen phase at any given time. This phase ends with...

What Are The Symptoms of Telogen Effluvium?

Your hair may fall out in handfuls, you may notice more falling out in the shower or when you brush your hair. The hair loss often occurs all over the scalp rather than in the areas typically considered to be “male pattern” hair loss (androgenic alopecia), which occurs at the front, crown, or temples. This hair loss may be accompanied by symptoms o...

What Causes Telogen Effluvium Hair Loss?

The most common causes of TE include: 1. Iron deficiency 2. Hypothyroidism 3. Childbirth 4. Menopause 5. Protein malnutrition 6. Caloric restriction 7. Stress 8. Chronic illness

How Is Telogen Effluvium Diagnosed?

On physical exam of the scalp, there will be non-scarring hair loss. Some doctors will perform a “pull test”. The test is performed by gently pulling 10-20 hairs at once. In Telogen effluvium more than 35% of the hair will pull out and be in the telogen stage, which is identified by looking at the scalp end of the hair shaft. Telogen hairs will hav...

Tests For Telogen Effluvium

Aside from the pull test, testing can be done for iron deficiency and thyroid. These tests would include ferritin (stored iron) and TSH, free T3, free T4, reverse T3, anti-TPO, and anti-thyroglobulin. Recent childbirth or a lack of a period for a full year (menopause) do not require testing. Protein malnutrition or caloric restriction can be determ...

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