Effluvium chronic telogenes L65.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 01.07.2022

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Synonym(s)

Chronic telogenic effluvium

History
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Whiting 1996

Definition
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Permanent, diffuse hair loss that has existed for years, deteriorating in phases, with loss of 100-200 hairs per day (telogen rate 20% or >20%).

Etiopathogenesis
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Etiologically unexplained shortened anagen phase of about 2-3 years. Possible causes include iron deficiency, zinc deficiency, nutritive disorders, thyroid disorders, hyperprolactinemia.

Manifestation
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For women over 40.

Clinical features
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At best thinning of the main hair, but no alopecia.

Diagnosis
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Diagnosis is necessary if classic causes of telogenic effluvium (see below alopecia androgenetica in women) are excluded and a telogen rate > 20% is detectable in the trichogram over a longer period of time.

External therapy
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A prolongation of the shortened hair cycles can be achieved in individual cases by minoxidil solution (e.g. Regaine).

Internal therapy
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Additional iron or zinc substitution may be necessary (e.g. zinc orotate 20 mg/day; ferro sanol duodenal 100 mg/day).

Literature
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  1. Wolff H et al (2008) Hair loss in women - diagnosis and treatment. Close to the skin Derm 24: 10-14

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 01.07.2022