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COVID-19 induced telogen effluvium
Hasan Aksoy1, Umut Mert Yıldırım1, Pınar Ergen2
1Department of Dermatology, Istanbul Medeniyet University Prof. Dr. Suleyman Yalcin City Hospital, İstanbul, Turkey.
Dermatologic Therapy
|October 28, 2021
Summary
This study found that approximately one-quarter of COVID-19 survivors develop telogen effluvium (TE), a type of hair loss. This post-viral hair shedding, termed COVID-19 associated TE (CATE), occurred about 7-8 weeks after infection and was more common in women and those with hypertension or respiratory symptoms.
Area of Science:
- Dermatology
- Infectious Diseases
- Trichology
Background:
- Telogen effluvium (TE) is a known consequence of febrile illnesses.
- No prior studies have quantified the incidence of TE following COVID-19.
- Understanding TE post-COVID-19 is crucial for patient management.
Purpose of the Study:
- To determine the frequency of TE in patients after SARS-CoV-2 infection.
- To correlate TE development with COVID-19 severity.
- To investigate the roles of emotional stress and medications in post-COVID-19 TE.
Main Methods:
- A study included 204 patients with recent SARS-CoV-2 infection.
- TE diagnosis involved hair shedding history, hair pull tests, and trichoscopy.
- COVID-19 associated TE (CATE) was defined as TE with no other identifiable cause post-infection.
Main Results:
- TE was observed in 36.7% of patients; CATE was present in 27.9%.
- CATE onset averaged 53.76 days post-RT-PCR positivity, with higher incidence in women, hypertensive patients, and those with respiratory symptoms.
- No significant difference in stress levels or medication use was found between CATE and non-CATE groups.
Conclusions:
- TE affects approximately a quarter of COVID-19 survivors, with onset around 7-8 weeks post-infection.
- Severe COVID-19 may increase susceptibility to TE.
- Clinicians should consider prior SARS-CoV-2 infection in patients presenting with hair loss, especially those with androgenetic alopecia (AGA), which correlates with more severe COVID-19.
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