Localized Donor Area Acute Telogen Effluvium following Follicular Unit Extraction: Key Trichoscopic Findings

Area of Science:

• Dermatology
• Trichology
• Hair Restoration Surgery

Background:

• Telogen effluvium is a non-scarring alopecia defined by increased hair shedding.
• It is often triggered by mechanical or inflammatory factors.
• Acute telogen effluvium is frequently observed in the recipient area post-hair transplantation.

Purpose of the Study:

• To report a case of acute telogen effluvium in the donor region following follicular unit extraction.
• To describe the characteristic trichoscopic findings associated with this condition in the donor area.
• To highlight the diagnostic utility of trichoscopy in managing hair shedding post-transplantation.

Main Methods:

• A case report of a 27-year-old male patient who developed itchy alopecic patches in the occipital region six weeks after follicular unit extraction.
• Clinical examination and trichoscopy were performed.
• Treatment involved topical betamethasone lotion for pruritus.

Main Results:

• Trichoscopy revealed empty follicular openings, short regrowing hairs, and coudability hairs.
• The patient experienced significant improvement with topical treatment within one month.
• The presentation in the donor area, unlike the typical recipient area, is noted as uncommon.

Conclusions:

• Acute telogen effluvium can manifest in the donor area after hair transplantation, a presentation not previously well-documented.
• Specific trichoscopic findings aid in diagnosing telogen effluvium and differentiating it from other alopecia types.
• Understanding the self-limiting nature of telogen effluvium allows for patient reassurance and appropriate management.