Intermittent Chronic Telogen Effluvium

Abstract

Chronic telogen effluvium is most often intermittent, alternating periods of spontaneous remissions with episodes of unexplained relapses. This article reports the case of a male who was able to graphically depict the sequence of emotional events and the corresponding severity of his telogen effluvium during 31 months. The case is interesting as it documents for the first time the intermittency of chronic telogen effluvium and the pathogenetic role of emotional strains, and it stresses the importance of the modified wash test in evaluating the severity of hair shedding.

<p>Telogen effluvium: a comprehensive review</p>

“…The hairs shorter than 3 cm, which, according to Rushton,9 are to be considered vellus hairs, are counted apart. The method is apparently simplistic, but it is easily accepted by the patients, provides important information and, instead of histopathology, may be repeated every month to monitor the disorder 10. Prepubertal children who, because of the absence of 5 alfa reductase, must be considered as “normal” from the AGA point of view at least, shed under standardized condition, only 10.68±3.91 hairs every 5 days,11 a number very far from the 100 a day claimed elsewhere to be the “normality” 12…”

“…A typical acute course is that of post-partum TE. In the autoimmune TE, instead, the course is characteristically chronic, with intermittent episodes of improvement 10. The severity of any relapse can be assessed by MWT,7,10 but it is often impossible to establish its possible cause.…”

“…In the autoimmune TE, instead, the course is characteristically chronic, with intermittent episodes of improvement 10. The severity of any relapse can be assessed by MWT,7,10 but it is often impossible to establish its possible cause. Intermittency, however, is important especially because the spontaneous recovery that can intervene in the course of any chronic TE may be erroneously credited to the therapy.…”

Etiological Role of Ferritin and Vitamin D in Patients with Telogen Effluvium

“…In some patients, hair shedding continues to be intermittently or continuously greater than normal for long time [3].…”

Deflúvio Telogénico Crónico

“…Rebora e colaboradores [14][15][16] consideram dois mecanismos principais para o deflúvio: teloptose prematura/coletiva e entrada prematura em telogénese.…”