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Hair Loss Cause - Telogen Effluvium

Losing hair is normal. Excessive hair loss isn’t. When there’s too much hair falling out of your head then chances are high that you may have telogen effluvium.

What Is Telogen Effluvium (TE)?

It is simply a condition where a person loses hair because the hair cycle almost immediately switches from the growth stage (anagen) to dormancy (telogen) phase. Usually 10%-20% of the almost 100,000 hairs in the scalp are in a telogen state. But when the numbers move and involve 50% to 70% of hair are in that state, then a person has telogen effluvium hair loss.

 

This thinning of the hair is not even all over the scalp. Some may lose hair a lot in the back part or in very rare cases, in the forehead hair line. Though a person with this condition will not totally lose his or her hair, it is dreadfully noticeable. This hair loss problem is commonly isolated in the scalp but some few cases show that other hair-bearing areas are also affected.

What Causes TE?

There are a large number of different causes for telogen effluvium to exist.

Some of the most common ones are:

Severe infections

Severe chronic illness

High fevers

Childbirth

Severe psychological stress

Over or under active thyroid gland

Major surgery or illnesses

Crash or vegetable diets with inadequate protein

Vaccinations and medications

Physical trauma can also cause stress that urges the hair to its telogen state

 

TE can also be a symptom of other more serious hair disease like alopecia areata or male/female pattern baldness (androgenetic alopecia). High doses of vitamin A and iron can cause telogen effluvium as well.

 

It is important to note that when TE develops, basically, there are three types of it:

 

“Shock” TE - This usually happens when the hair follicles are traumatized because of some physical or environment change. For example, a woman has given birth. There are body changes that put the hair in the telogen state causing hair fall and thinning. Car accidents also fall under this type. This form of TE is usually short-lived and lasts about six months only.

 

Gradual TE - This type develops slowly and lasts longer than the shock TE. This is usually a response to a trigger factor like allergy.  In this case, the shedding of hair is noticed because the number of telogen hairs is getting bigger every cycle.

 

Truncated TE - This is different from gradual TE because in this case, follicles of the hair grow in truncated cycles. An individual with this type of TE has thin, short hair.

 

Treatment For Telogen Effluvium

TE can be reversed since the hair follicles are not damaged. But the treatment depends on what type of TE an individual has and what caused it.

 

Some TE cases can be treated by surgery especially if it is only short-term TE. But recurring TE may have longer treatment. For this type of TE, the physician should first determine the cause so that it can be addressed.

 

For example, if TE is caused by allergies, then the doctor should determine what triggers the allergy so the TE wouldn’t be triggered as well. In cases where the cause cannot be determined, some doctors give medication like minoxidil to prevent further hair loss.  

 

 

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