While thyroidstimulating hormone, free thyroxine, antinuclear antibodies, free testosterone, prolactin, ’17hydroxy’ progesterone, cortisol level, and dehydroepiandrosterone sulfate, in searching for an underlying endocrine abnormality, just like hyperandrogenemia or thyroid dysfunction, blood work must include a complete blood count with differential, serum iron, serum ferritin. In individuals with telogen effluvium, some external factor instructs an abnormally large number of hairs to enter the telogen phase and subsequently be shed. With the clinician paying special attention to the pattern of loss and how easily the hair pulls out, women who present with excessive hair loss must undergo a detailed and extensive history and thorough examination of the hair. Eventually, the clinician also must order blood tests and examine the scalp. In might be necessary. Make sure you leave pulling from braids, tight hair buns, ponytails, or hair extensions can cause traction alopecia. Easily breakable hair may suggest hair damage caused by overprocessing. Also, disadvantages of this treatment option include cost and the appearance of the final result. Hair transplantation is a cosmetic procedure performed in the office under local anesthesia.
Hair from the uninvolved area is transplanted to the position with loss.
Telogen effluvium is a scalp disorder characterized by increased shedding of undamaged hairs in the telogen phase in response to a change in health status.
Hairs are normally shed in the telogen phase. Eventually, the process that tells the hair when to enter the anagen, telogen, and catagen phase is complex. I’m sure you heard about this. Basically the diagnosis of telogen effluvium is one of exclusion combined with analysis of the hairloss pattern, lab results, and patient history. Ok, and now one of the most important parts. Stop the offending agent/medication or correct the underlying abnormality, I’d say in case possible. Now please pay attention. Laboratory work should include thyroid and chemistry panels, erythrocyte sedimentation rate, antinuclear antibody, and a complete blood count with differential, hematocrit, and ferritin tests. Real or perceived symptom of increased hair loss can be psychologically devastating for female patients. Therefore this article is intended as a brief review of the most common causes of adult female alopecia and a thorough introduction to the evaluation of this complaint in the ‘primarycare’ setting. Assess all areas of body hair, including eyebrows, eyelashes, arm hair and pubic hair.
Six hairs or more definitely is a positive pull test, If fewer than six hairs come out, that’s considered normal shedding.