TELOGEN EFFLUVIUM

General Information

DEFINITION--Generalized hair loss in which numerous, scattered hair follicles simultaneously change from the growing phase to the resting stage of the hair-growth cycle. Persons with telogen effluvium rarely progress to significant baldness and it is not contagious.

BODY PARTS INVOLVED--Hair; scalp.

SEX OR AGE MOST AFFECTED--Both sexes and all ages but most common in young females (age 8 through adolescence).

SIGNS & SYMPTOMS

• Hair loss of 4 to 5 times the normal rate. Normal hair loss is approximately 400 hairs a day, mostly during washing or brushing.
• No itching or pain.

> Severe psychological stress--including that of serious illness, such as high fever, heart attack or stroke.

RISK INCREASES WITH

• Stress.
• Pregnancy.
• Menopause.

HOW TO PREVENT--No specific preventive measures.

What To Expect

DIAGNOSTIC MEASURES--

• Your own observation of symptoms.
• Medical history and physical exam by a doctor (severe, prolonged cases only).

APPROPRIATE HEALTH CARE--Self-care.

POSSIBLE COMPLICATIONS--None expected.

PROBABLE OUTCOME--Spontaneous recovery in 6 to 12 months.

How To Treat

GENERAL MEASURES--

• Continue to wash and brush your hair as usual.
• Confront and define areas of conflict in your family life, occupational and leisure-time activities. If you cannot resolve conflicts, ask for help from family, friends or competent counselors.
• Aim for a balance of work, recreation, reflection and rest.
• Concentrate on feeling positive. A good attitude toward yourself and others is a powerful asset.

MEDICATION--Medicine usually is not necessary for this disorder.

ACTIVITY--No restrictions. Engage in a regular exercise program at least 3 times a week to reduce stress and maintain good overall fitness.

DIET--No special diet or supplements. Eat a normal, well-balanced diet to provide the nutrients necessary for healthy hair growth.

Call Your Doctor If

• Hair loss doesn't improve in 4 months.
• Signs of infection (pain, redness, tenderness, swelling) begin at the site of hair loss.