Telogen effluvium (TE) type of hair loss in most cases is temporary and need no special treatment. The typical sign of telogen shedding is the presence of barely perceptible follicular bulb at the end of most of the shed hair strands.
Acute telogen effluviumNormally an individual loses between 50 to 100 strands in a day. Acute telogen effluvium may begins relatively abruptly with drastic increase in shedding. The increased shedding may start two to three months after the initiating episode. In worst cases even up to 70% of the strands may be lost. However there is no risk of balding. The typical decrease in shedding and the recovery and and regrowth may commence by about six months. There is a 95% chance of complete recovery from the acute telogen hair loss. Identifying the triggers and taking corrective measures may speed up recovery and regrowth as well as reduce the risk of recurrence.
Chronic telogen effluviumFor patients with chronic telogen hair loss, it is very difficult to predict the time frame for recovery and regrowth. The mental stress created by the chronic condition adds to the hair loss problem. Patients with chronic loss require a lot of reassurance. It is very difficult to see the light at the end of the tunnel as the recovery and regrowth in chronic cases are very gradual processes, may sometimes take years. Whatever form of telogen loss occurs, it is fully reversible and complete regrowth is possible.
Managing telogen effluviumAnalyzing the causative factors and triggers can help us in the better management of TE loss and also help in recovery and regrowth.
- acute illness,
- extreme physical or mental stress,
- extensive dental procedures,
- acute malnutrition,
- eating disorders,
- rapid weight loss,
- substantial blood loss,
- anaphylactic reaction,
- childbirth (postpartum),
- crash dieting and
- commencement or cessation of hormonal therapy.
Leading a relaxed life, sleeping well, taking balanced food and exercising regularly can reduce telogen hair loss and speed up recovery and regrowth.
1.Whiting, DA. Chronic telogen effluvium: Increased scalp hair shedding in middle-aged women. Journal of the American Academy of Dermatology 35(6): 899-906 ,1996.