Effluvium, infection-related L65.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.09.2022

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Definition
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Diffuse reversible loss of scalp hair due to infection-related disorders of the hair cycle.

Etiopathogenesis
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Associations with febrile acute or chronic infections have been described.

Clinical features
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The hair loss is acute and progressive. In most cases, a relatively dense fronto-parietal hairline remains.

Diagnosis
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Only unspecific pathological root patterns are detectable in the trichogram (telogenic, dystrophic, mixed), which do not allow conclusions to be drawn about the triggering noxious agent. In the case of anamnestic evidence, the time range, e.g. in the case of infections of 4 to 6 weeks, before the onset of an acute dystrophic effluvium is decisive.

Progression/forecast
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After about three months, the hair can be expected to grow again.

Literature
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  1. Almagro M et al (2002) Telogen effluvium as a clinical presentation of human immunodeficiency virus infection. At J Med 112: 508-509
  2. Ross EK, Shapiro J (2005) Management of hair loss. Dermatol Clin 23: 227-243
  3. Schell H (1997) Hair diseases. W. Kohlhammer, Stuttgart Berlin Cologne

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Last updated on: 29.09.2022