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effluvium treatments

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  • Effluvium treatment by avoidance
  • Effluvium treatment with drugs
  • Effluvium treatment by lifestyle changes
  • Effluvium treatment references

  • Effluvium treatment by avoidance

    Most forms of effluvium hair loss are caused by environmental factors or at least something that is external to the individual’s own body. So the easiest way to treat an effluvium is to avoid the cause. For example, if the hair loss involves exposure to toxic chemicals then the most effective and immediate treatment is to avoid that toxic chemical. However, the hard part is identifying the potential cause of the hair loss. Dermatologists who suspect someone has telogen effluvium may ask many questions about lifestyle and the environment in which the person lives to try and identify an external cause for the hair loss.


    Effluvium treatment with drugs

    As the mane suggests, telogen effluvium is hair loss caused by hair follicles entering a telogen resting state. All hair follicles go through a cycle of growth and rest (see hair biology), but in healthy individuals the number of hair follicles in the telogen resting stage averages only 10%. If this figure is increased, as in a telogen effluvium, then diffuse hair thinning is clearly visible.

    Knowing that telogen effluvium is the result of too many hair follicles entering a resting stage at the same time, the method of treatment is obvious. Find a method to force the resting hair follicles back into an active anagen growth phase! One approved drug does just this. Minoxidil (Rogaine, Regaine) is widely available drug with a key property of promoting telogen hair follicles to enter anagen growth activity. Minoxidil is advertised for treating pattern baldness but dermatologists also use it for treating some forms of telogen effluvium and for reducing the extent of anagen effluvium caused by chemotherapeutic drugs.

    Hormone supplements or hormone antagonizers may be recommended if hormone under or over activity is suspected as being a factor in effluvium type hair loss.


    Effluvium treatment by lifestyle changes

    If a nutrient deficiency is suspected as a cause of effluvium then blood tests may be conducted and nutrient supplements recommended. Changes in diet may be suggested particularly for crash dieters. Where stress is a potential trigger of hair loss, dermatologists may suggest stress avoidance/reduction and stress relaxation techniques as part of a treatment regimen.


    Effluvium treatment references

    • Sommer M, Wilson C. Therapeutic approaches to the management of common baldness. Int J Clin Pract. 1999 Jul-Aug;53(5):381-5.
    • Garcia-Hernandez MJ, Camacho FM. Chronic telogen effluvium: incidence, clinical and biochemical features, and treatment. Arch Dermatol. 1999 Sep;135(9):1123-4.
    • Rebora A. Telogen effluvium. Dermatology. 1997;195(3):209-12.
    • Tosi A, Misciali C, Piraccini BM, Peluso AM, Bardazzi F. Drug-induced hair loss and hair growth. Incidence, management and avoidance. Drug Saf. 1994 Apr;10(4):310-7.
    • Rushton DH. Management of hair loss in women. Dermatol Clin. 1993 Jan;11(1):47-53.
    • Bardelli A, Rebora A. Telogen effluvium and minoxidil. J Am Acad Dermatol. 1989 Sep;21(3 Pt 1):572-3.

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