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Effluvium chronic telogenesL65.8
Synonym(s)
Chronic telogenic effluvium
HistoryThis section has been translated automatically.
Whiting 1996
DefinitionThis section has been translated automatically.
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%).
EtiopathogenesisThis section has been translated automatically.
Etiologically unexplained shortened anagen phase of about 2-3 years. Possible causes include iron deficiency, zinc deficiency, nutritive disorders, thyroid disorders, hyperprolactinemia.
ManifestationThis section has been translated automatically.
For women over 40.
Clinical featuresThis section has been translated automatically.
At best thinning of the main hair, but no alopecia.
DiagnosisThis section has been translated automatically.
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 therapyThis section has been translated automatically.
A prolongation of the shortened hair cycles can be achieved in individual cases by minoxidil solution (e.g. Regaine).
Internal therapyThis section has been translated automatically.
Additional iron or zinc substitution may be necessary (e.g. zinc orotate 20 mg/day; ferro sanol duodenal 100 mg/day).
LiteratureThis section has been translated automatically.
- Wolff H et al (2008) Hair loss in women - diagnosis and treatment. Close to the skin Derm 24: 10-14