How can you distinguish between androgenetic alopecia and telogen effluvium?

With telogen effluvium, something triggers more hair to enter the telogen phase at one time and you notice increased hair loss and thinning hair. What is androgenetic alopecia? Androgenetic alopecia is also called male- or female-pattern hair loss. … Your hair will take longer to grow back after shedding.

How can you tell the difference between androgenetic alopecia and telogen effluvium?

True androgenetic alopecia has less density on the top middle and front of the scalp compared to the back of the scalp. … In telogen effluvium, the density is reduced equally all over the scalp.

Can telogen effluvium trigger androgenetic alopecia?

With telogen effluvium, the “party line” is that shedding does not cause permanent hair loss. However, what we now know is that repeated cycles of shedding speeds up the onset of androgenetic alopecia in patients WHO ARE GENETICALLY PREDISPOSED to develop genetic hair loss.

How does telogen effluvium unmask androgenetic alopecia?

In women, pattern baldness is often unmasked by telogen effluvium, which occurs 1 to 6 months after a stressor causes a larger portion of the hair to shift from the anagen phase to the telogen phase, leading to an increasing number of hair follicles in the exogen phase.

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How do you test for telogen effluvium?

Scalp biopsy is the most useful test to confirm the diagnosis, although this is seldom necessary if the history is characteristic and a gentle hair pull produces numerous telogen hairs. Telogen hairs are identified by a white bulb and the lack of a gelatinous hair sheath.

What does telogen effluvium look like?

If the doctor gently tugs on some hairs on your scalp and four or more hairs come out, you probably have telogen effluvium. Also, the hairs will look like hairs in the telogen phase — they will have a white bulb at the end that was in the scalp, and will not have a gel-like covering around that end of the hair.

Can telogen effluvium last 2 years?

Observation is the first step in patient management. Expect recovery in 6-12 months; however, chronic telogen effluvium can last up to 7 years. Monitor females with diffuse shedding at 6- or 12-month intervals, as some may evolve into female pattern hair loss.

Does hair grow back with androgenetic alopecia?

If you’re living with androgenetic alopecia, you may experience regrowth of hair, but the rate of regrowth is different from individual to individual. Although androgenetic alopecia cannot be prevented, there are many hair loss treatments available to slow down the process of hair loss or to restore hair permanently.

How do you know when telogen effluvium is ending?

How Do You Know When Telogen Effluvium Is Ending? If you notice hair regrowth after 3-6 months of shedding, then it is an indication of the recovery from telogen effluvium. If this regrowth is consistent for more than 3 months without any further abnormal hair fall, then your telogen effluvium has come to end.

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How do I know if I have androgenic alopecia?

Signs of androgenetic alopecia include the following:

  1. Gradual onset.
  2. Increased hair shedding.
  3. Transition in the involved areas from large, thick, pigmented terminal hairs to thinner, shorter, indeterminate hairs and finally to short, wispy, nonpigmented vellus hairs.

What does androgenic alopecia look like?

In men, this condition is also known as male-pattern baldness. Hair is lost in a well-defined pattern, beginning above both temples. Over time, the hairline recedes to form a characteristic “M” shape. Hair also thins at the crown (near the top of the head), often progressing to partial or complete baldness.

What mimics androgenetic alopecia?

Common conditions that mimic androgenetic alopecia include thyroid disease, iron deficiency anemia, and malnutrition.

Should I cut my hair if I have telogen effluvium?

Even cutting your hair into a lob will help disguise sudden hair loss and diffuse thinning. If you’re open to it, talk to your hairstylist about a haircut that will work best for your hair texture while you wait for telogen effluvium regrowth.

Does telogen effluvium affect the whole scalp?

Telogen effluvium is usually diagnosed by its clinical features. Hair thinning involves the entire scalp +/- loss of other body hair. Examination shows diffuse thinning without focal areas of total alopecia and short hairs of normal thickness.

How do you know if your hair follicles are scarred?

Symptoms of Scarring Alopecia

  • Itching scalp.
  • Burning of scalp.
  • Pus of purulent discharge from scalp.
  • Pain.
  • Patches of rough and scaly skin.
  • Formation of blisters.
  • crusting.