A female presented with complaints of hair fall. Her delivery was before 2 months. Physician diagnosed her condition as Telogen Effluvium. All of the following are true regarding telogen effluvium, EXCEPT:
Telogen Effluvium (TE): The second most common cause of hair loss in women. Androgenetic Alopecia or pattern hair loss is by far the most common type of hair loss in men and women. TE is a non scarring alopecia. The pathophysiology underlying TE is best characterized as a premature shift of hairs from the anagen (growth) phase into the catagen (resting) and telogen (terminal) phases. Seen after severe illness, surgery, nutritional deficiency, iron deficiency, childbih, in association with medications and in patients with thyroid disease. Reversible once the initiating factor is eliminated. Ref: Otberg N., Shapiro J. (2012). Chapter 88. Hair Growth Disorders. In L.A. Goldsmith, S.I. Katz, B.A. Gilchrest, A.S. Paller, D.J. Leffell, N.A. Dallas (Eds), Fitzpatrick's Dermatology in General Medicine, 8e.
Scarring
Metabolic stress
Recovery within 6 months
Insidious onset