Wednesday, February 8, 2017

A 27 year Old Woman presents With Sudden Excessive Hair Loss



A 27-year-old woman , a mother of 2 children and who is now 6 months postpartum complains of excessive hair loss.
The most likely diagnosis is
A) Alopecia areata
B) Telogen effluvium
C) Trichotillomania
D) Tinea capitis
E) Hypothyroidism

The answer is
B. (Telogen effluvium)

Discussion:
Telogen effluvium is sudden, diffuse hair loss that occurs 3 to 6 months after a stressful event.

The causes include:

  • medications (heparin, coumarin, propranolol, haloperidol, and lithium), 
  • neoplasms, 
  • infection, and 
  • crash diets. 

The stressful event triggers the hair follicles to go into a rest phase, and once the cycle returns a larger amount of hair is lost at one time. Typically, 30% to 50% of the scalp hair is affected.

No treatment is needed. Patients should be reassured that normal hair growth should resume.

4 comments:

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  2. I feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
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