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General Practice 2023

Eflúvio telógeno: what é, causes and treatment

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Eflúvio telógeno: what é, causes and treatment
Eflúvio telógeno: what é, causes and treatment

Telogenous effluvium is a condition characterized by increased hair loss, in which the person can lose more than 300 hairs a day, which is mainly noticed when combing or washing the hair.

In general, the person loses about 100 hairs a day, which is considered normal, but due to situations of stress, anxiety, hormonal changes or infections, for example, it is possible to have an increase in hair loss.

Telogen effluvium usually does not require specific treatment, being resolved within 6 months. However, the dermatologist can indicate some measures that can help to accelerate the growth of the wires and delay the fall, in addition to being necessary to carry out treatment for the cause of the fall.

How to identify

Telogen effluvium can be easily identified from the increase in hair loss throughout the day, especially when brushing the hair or when washing, with a greater amount of hair being noticed in the brush or in the bathroom drain, for example.

The hair loss usually happens up to 3 months after the triggering factor occurs and can last between 6 and 9 months, however, at the same time there is a hair loss, there is also the birth of others, so it is common notice the appearance of smaller hairs on the scalp.

In a consultation with the dermatologist, an assessment of the scalp and the structure of the hair can be carried out, as well as blood tests such as a blood count, tests that evaluate the thyroid and female hormones and the dosage of zinc and iron, for example, so that it is possible to identify the cause of telogen effluvium and, thus, start treatment according to the cause, if necessary.

Causes of Telogen Effluvium

Telogen effluvium can happen due to several changes that happen in the body or be a consequence of procedures performed on the hair, the main ones being:

  • Hormonal changes, common in menopause, pregnancy and postpartum period;
  • Changes in the thyroid;
  • Stress and anxiety;
  • Use of medicines;
  • Nutritional deficiencies, mainly of iron and zinc;
  • Anemia;
  • Performing chemical procedures on the hair;
  • Infections such as dengue and chikungunya viruses.

In addition, there have been reports of increased hair loss in people who have had COVID-19, which may be related to an increase in the amount of pro-inflammatory cytokines circulating in the body due to SARS-CoV-2 infection and with the stress, anxiety and/or high fever that are common during this period.See more about the causes of hair loss.

How the treatment is done

In most cases of telogen effluvium, no treatment is necessary, as the hair loss improves over time, and in some cases there may be a full recovery between 6 to 9 months. However, it is interesting that the dermatologist is consulted so that an evaluation of the scalp and hairs is carried out and that tests are requested so that it is possible to identify the cause and assess the need for more specific treatment.

In case hair loss is due to hormonal changes, specific treatment may be indicated according to the observed change. It may be recommended by the doctor to change some habits, especially food, giving preference to foods rich in proteins, vitamins and minerals, because this way it is possible to promote the he alth of the hair and promote growth.

In some cases, the doctor may indicate the use of some medicines and supplements to stimulate hair growth and delay the fall, and the use of Minoxidil, Finasteride and Spironolactone, for example, may be indicated. Learn more about hair loss remedies.

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