Abstract
Trichoscopy has limited value in diagnosing telogen effluvium. Frequent, but not specific, findings include the presence of empty hair follicles, a predominance of follicular units with only one hair, perifollicular discoloration (the peripilar sign), and upright regrowing hairs. There is no significant difference between the findings in the frontal area and those of the occipital area, which differentiates telogen effluvium from androgenetic alopecia. However, clinicians should be aware of the frequent coexistence of both diseases.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Kligman AM. Pathologic dynamics of human hair loss. I. Telogen effuvium. Arch Dermatol. 1961;83:175–98.
Blume-Peytavi U, Tosti A, Whiting DA, Trüeb RM, editors. Hair growth and disorders. Berlin/Heidelberg: Springer; 2008.
Camacho F, Montagna W, editors. Trichology: diseases of pilosebaceous follicle. Madrid: Aula Medica Group; 1997.
Trueb RM. Systematic approach to hair loss in women. J Dtsch Dermatol Ges. 2010;8(4):284–97, 98.
Mounsey AL, Reed SW. Diagnosing and treating hair loss. Am Fam Physician. 2009;80(4):356–62.
Durusoy C, Ozenli Y, Adiguzel A, Budakoglu IY, Tugal O, Arikan S, et al. The role of psychological factors and serum zinc, folate and vitamin B12 levels in the aetiology of trichodynia: a case-control study. Clin Exp Dermatol. 2009;34(7):789–92.
Katz KA, Cotsarelis G, Gupta R, Seykora JT. Telogen effluvium associated with the dopamine agonist pramipexole in a 55-year-old woman with Parkinson’s disease. J Am Acad Dermatol. 2006;55(5 Suppl):S103–4.
Patrizi A, Savoia F, Negosanti F, Posar A, Santucci M, Neri I. Telogen effluvium caused by magnesium valproate and lamotrigine. Acta Derm Venereol. 2005;85(1):77–8.
Piraccini BM, Iorizzo M, Rech G, Tosti A. Drug-induced hair disorders. Curr Drug Saf. 2006;1(3):301–5.
Tosti A, Piraccini BM, van Neste DJ. Telogen effluvium after allergic contact dermatitis of the scalp. Arch Dermatol. 2001;137(2):187–90.
Harrison S, Sinclair R. Telogen effluvium. Clin Exp Dermatol. 2002;27(5):389–95.
Whiting DA. Chronic telogen effluvium. Dermatol Clin. 1996;14(4):723–31.
Chen W, Yang CC, Todorova A, Al Khuzaei S, Chiu HC, Worret WI, et al. Hair loss in elderly women. Eur J Dermatol. 2010;20(2):145–51.
Rakowska A, Slowinska M, Kowalska-Oledzka E, Olszewska M, Rudnicka L. Dermoscopy in female androgenic alopecia: method standardization and diagnostic criteria. Int J Trichol. 2009;1(2):123–30.
Garcia-Hernandez MJ, Camacho FM. Chronic telogen effluvium: incidence, clinical and biochemical features, and treatment. Arch Dermatol. 1999;135(9):1123–4.
Olszewska M, Warszawik O, Rakowska A, Slowinska M, Rudnicka L. Methods of hair loss evaluation in patients with endocrine disorders. Endokrynol Pol. 2010;61(4):406–11.
Rakowska A. Trichoscopy (hair and scalp videodermoscopy) in the healthy female. Method standardization and norms for measurable parameters. J Dermatol Case Rep. 2009;3(1):14–9.
Slowinska M. The value of videodermoscopy in differential diagnosis of androgenetic alopecia [doctoral thesis]. Warsaw: Medical University of Warsaw; 2010.
Deloche C, de Lacharriere O, Misciali C, Piraccini BM, Vincenzi C, Bastien P, et al. Histological features of peripilar signs associated with androgenetic alopecia. Arch Dermatol Res. 2004;295(10):422–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag London
About this chapter
Cite this chapter
Rakowska, A., Olszewska, M., Rudnicka, L. (2012). Telogen Effluvium. In: Rudnicka, L., Olszewska, M., Rakowska, A. (eds) Atlas of Trichoscopy. Springer, London. https://doi.org/10.1007/978-1-4471-4486-1_18
Download citation
DOI: https://doi.org/10.1007/978-1-4471-4486-1_18
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4485-4
Online ISBN: 978-1-4471-4486-1
eBook Packages: MedicineMedicine (R0)