Telogen Effluvium: A Review of the Literature

Cureus. 2020 May 27;12(5):e8320. doi: 10.7759/cureus.8320.


Telogen effluvium is one of the most common causes of alopecia. It is a scalp disorder characterized by excessive shedding of hair. Several factors such as drugs, trauma, and emotional and physiological stress can lead to the development of telogen effluvium. Multiple alterations in the hair cycle have been proposed as the underlying mechanism. Telogen effluvium can present as acute or chronic hair fall with symptoms such as trichodynia. Diagnostic tests that can be used include hair wash test, trichogram, phototrichogram, and scalp biopsy. In the treatment of telogen effluvium, it is essential to identify and remove the causative factors and to use drugs such as corticosteroids, minoxidil, and novel treatments such as CNPDA (caffeine, niacinamide, panthenol, dimethicone, and an acrylate polymer). Herein, we discuss the presentation, diagnostic approaches, and effective treatment options available for telogen effluvium.

Keywords: acute telogen effluvium; alopecia; causes of telogen effluvium; chronic telogen effluvium; diagnosis; epidemiology; literature review; pathogenesis; telogen effluvium; treatment.

Publication types

  • Review