Desafio clínico e histológico no diagnóstico diferencial de alopecia difusa: alopecia androgenética, eflúvio telógeno e alopecia areata – parte II. Betina WernerI. LEARN HOW TO CHOOSE THE BEST COSMETIC PRODUCTS SUITED TO YOUR SKIN. How to choose the ideal facial cosmetic product for you?. Esto se conoce como efluvio telógeno que hemos comentado más arriba. Esta es la forma más común de perder pelo y por lo general, dos o tres meses.

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Sperling calls those hairs “nanogen” and presents some subtle wfluvio characteristics that differentiate them from real vellus hairs for instance, absence of the hair shaft in the follicular channel.

Moreover, the three causes of diffuse alopecia are compared in a flowchart and feluvio diagnostic approach based on physical examination, clinical, and dermoscopic findings is suggested. Significance of dermoscopy in acute diffuse and total alopecia of the female scalp: Are your pores dilated?

Clinical picture, histopathology, and pathogenesis. People with combination or oily skin can skip night creams and follow their cleaning routine with our without applying a serum. Services on Demand Journal. Accuracy of various iron parameters in the prediction of iron deficiency in an acute care hospital.

Efluvio Telógeno

Chronic forms of TE may have shedding periods longer than six months, especially when the triggering factors are persistent or multiple. A scalp biopsy in diffuse alopecia is recommended when the clinical and dermoscopic findings are not enough to differentiate the three conditions. Do you suffer from redness sometimes? Multiple samples to compare the parietal and occipital regions, for example collected at different moments may be necessary to distinguish between the two conditions.

Translation of “efluvio telógeno” in English

In summary, a T: Yellow dots were initially described as pathognomonic of diffuse AA, being highly emphasized in the diagnosis of the diffuse form “incognita” by Tosti et al. There is an inversion of the T: Si las lesiones son muy intensas o se sobreinfectan pueden quedar lesiones residuales en la piel.

It is often difficult to distinguish one from the telogsno, and clinical data, laboratory findings, physical examination, propaedeutic procedures, and biopsy may be needed for a definitive diagnosis. People with sensitive skin can skip the morning cleanse and apply a light calming cream, with or without a touch of colour. Total iron-binding capacity and saturation index appear to be less important.


Rio Branco, 39 This shows that AA is a cyclic disease, and the histological findings may reflect the stage in which the ecluvio with alopecia is at the time of biopsy, not necessarily identifying the stage of evolution of the disease in general.

Diffuse alopecia areata In diffuse AA, the typical “patches” of hair loss do not exist, and hair thinning is subtly distributed throughout the scalp. The chronic stage corresponds to the disease with well-established and long-lasting areas of alopecia and also to well-established cases of alopecia totalis and universalis.

Occipital involvement in female pattern hair loss: The number of catagen follicles increases.

Histopathologic evaluation of alopecias. Dermoscopy in diffuse AA has been much discussed, and many experts consider it the best way to efluvi the condition. When applying it, we should feel that it leaves our skin softer and more hydrated. Am J Dermatopathol ; Es fundamental evitar cualquier tipo de traumatismo local para evitar los brotes de la enfermedad. Do you get flaky skin? It is suggested that early entrance in telogenp telogen phase is triggered by the inciting event, causing the habitual asynchrony in normal hair loss to go through helogeno synchronic shedding period.

There are also tinted sun protection products or products that include makeup in their formula. Female androgenetic alopecia FAA or female-pattern hair loss, efluvoi telogen effluvium TEand diffuse alopecia areata AA are its three main causes. Aparecen generalmente en personas sanas y con mayor frecuencia en mujeres que en hombres. When parting the hair on the efluvoi, no predilection for involvement of the frontal area is observed, and there may be similar or greater hair thinning in the helogeno scalp.

Clinical and histological challenge in the differential diagnosis of diffuse alopecia: The debate over the definition of the condition began inwhen a form of noninflammatory anagen effluvium was described as a differential diagnosis of TE and called AA incognita.


Dietary restrictions, especially protein and iron restrictions, should be excluded, and vegetarians are a risk group for TE. Alopecia; Alopecia areata; Biopsy; Dermoscopy; Histology.

This article, which was divided into two parts, aims to highlight the clinical, dermoscopic, and histological differences between TE, FAA, and diffuse AA dfluvio a practical and objective manner.

Lastly, we need to bear in mind all alterations we may notice on our skin: History, physical examination and laboratory findings. In the authors’ experience, the telogen germinal units in AA may present some distortion or dystrophy Figure 5C. Diffuse alopecia is mainly caused by telogen effluvium, diffuse androgenetic alopecia femalepattern hair loss and diffuse alopecia areata.

efluvio telogeno by Regina Lucia Silva Parente on Prezi

The light hair pull test is positive during the active phase of the disease, and large amounts of hair more than hairs are shed daily. Our skin should be soft and have a good appearance, and we should never see that the products form little balls.

When AA is long lasting, the hair follicles may acquire extreme degrees of miniaturization and lose the ability to return to a normal anagen phase helogeno alopecia. The acute stage corresponds to recent onset of the disease or to the disorder with fast progression of the area of alopecia.

Diffuse alopecia is a common complaint and a major challenge in the practice of dermatology, especially when it affects women.

Do you get blemishes? A microscopic evaluation of the hairs shed reveals dystrophic anagen hairs or “pencil point” hairs corresponding to teoogeno shafts tapered at the proximal end among telogen hairs. Histopathologic features of alopecia areata: The number of telogrno tracts also becomes prominent, and they may have a lymphocytic inflammatory infiltrate around or inside them Figure 5D.