chapter  6
8 Pages

Telogen effluvium: acute and chronic


Telogen effluvium (TE) is discussed at length in Chapter 5 as it relates to medications. However, TE can occur as a result of a systemic disturbance. Metabolic imbalances, such as those described below, may cause an immediate anagen release (IAR) as described by Headington.1 Follicles that would normally complete a longer cycle by remaining in anagen prematurely enter telogen and are subsequently shed 2-3 months after the offending insult has been instituted.