Telogen effluvium regrowth - Telogen effluvium recovery

Home   ›   Telogen effluvium definition   ›   Telogen effluvium regrowth - Telogen effluvium recovery.
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.

There is diffuse shedding all over the scalp. Telogen effluvium is self-correcting and complete recovery and regrowth is possible. However the time taken for the recovery and regrowth varies widely among individuals. The telogen effluvium can be acute or chronic.

Acute telogen effluvium

Normally 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 effluvium

For 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 effluvium

Analyzing the causative factors and triggers can help us in the better management of TE loss and also help in recovery and regrowth.

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Some common triggering factors are:

• acute illness,
• chemotherapy,
• hemodialysis,
• surgery,
• extreme physical or mental stress,
• extensive dental procedures,
• acute malnutrition,
• eating disorders,
• rapid weight loss,
• substantial blood loss,
• anaphylactic reaction,
• childbirth (postpartum),
• miscarriage,
• sleep-deprivation,
• crash dieting and
• commencement or cessation of hormonal therapy.

Use of contraceptives, certain antibiotics, anti-androgen medications, anticoagulants, antidepressants and anticonvulsants are known to cause telogen hair loss. The withdrawal of the inducing factors helps recovery and regrowth. In individuals with genetic predisposition for androgenetic alopecia, a bout of TE may induce or trigger androgenetic alopecia. In nutritional deficiency caused shedding, recovery and regrowth can be induced by supplementing the deficient nutrient.

Leading a relaxed life, sleeping well, taking balanced food and exercising regularly can reduce telogen hair loss and speed up recovery and regrowth.

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Reference: 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.

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What is telogen effluvium? - Telogen effluvium definition

Home   ›   Anagen effluvium causes   ›   What is vellus hair   ›   What is telogen effluvium? - Telogen effluvium definition.

What is telogen effluvium?

Telogen effluvium is excessive shedding of hair during the resting or telogen phase.

In normal circumstances, at any given time, 80% to 90% of hairs of a person are in the growth (anagen) phase. The rest are in the transitional (catagen) and the resting (telogen) phases. The length of hair depends upon the duration of follicular growth phase, which in turn is genetically defined and determined.

The length of anagen phase differs in different areas of the body and in the same area under different conditions. When the follicular growth phase reaches the defined duration, the hair follicle, passing through the transitional stage, is transformed into telogen stage with the associated cellular changes. The resting may last up to two months.

In many mammals, the hair growth phases are synchronous and the coat shedding is apparent. In humans, the follicular growth phases are asynchronous.

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Each follicle is independently switches from growth phase to resting phase and vice versa. At the end of telogen, the follicle is reactivated and goes through cellular changes. The new hair pushes out the hair in the resting stage, leading to its detachment and shedding.

Typically a person sheds 50 to 100 hairs per day. When the loss of hair is greater than hundred strands and is very apparent on the comb and pillow, we may consider the loss as telogen hair loss. There will be thinning of the hair. The typical symptom of telogen effluvium is the presence of barely perceptible hair bulb on the end of the hair.

Due to many causative factors, the initiation of anagen phase and the growth of new hair is delayed, leading to increase in the percentage of telogen hair and increase in shedding and generalized thinning. There may be abrupt shift of an increased number of growing hairs into resting stage.
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Definition of telogen effluvium

Definition: considering what is telogen effluvium, it can be defined and summarize as "increased loss of hair, abrupt shift in growth phase to resting stage and delay in onset of fresh growth."

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Reference: 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.

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