Background/objectives: Telogen effluvium is a common hair-loss pattern in women. The fact that it is not affected by daily changes and that it reflects the long-term history of a person makes hair a favorable biological sample for the evaluation of levels of trace elements. In this study, it was aimed to evaluate the levels of zinc, copper, iron, and ferritin in serum and the levels of zinc, copper, and iron in hair of female patients with chronic telogen effluvium. Materials and methods: A total of 30 healthy female controls and 39 female patients diagnosed by the hairpull test were included in the study. Ferritin levels were obtained by studying the serum samples in an auto-analyzer. Zinc, copper, and iron levels in the hair and serum samples were measured by an atomic absorption spectrophotometer. Results: Zinc and copper levels in the serum and hair samples from the chronic telogen effluvium group were significantly lower compared to the control group. There was no significant difference in the iron levels between the groups. The levels of serum ferritin were significantly lower in patients with chronic telogen effluvium. The evaluation of the levels of zinc, copper, and iron in the serum and hair samples demonstrated a positive correlation. Conclusion: In this study, it was observed that chronic telogen effluvium was associated with low levels of zinc, copper, and ferritin in serum. The trace element levels in the hair samples were found to reflect the levels of trace elements in the serum.