In fact, there is another condition in the effluvium family: anagen effluvium. People with anagen effluvium can consult a dermatologist for medicines to help hair growth a faster rate. A carefully obtained history along with scalp dermoscopy and examination of hairs extracted from the pull test will help to distinguish these conditions. In many cases, hair loss is excessive and in clumps. Anagen effluvium can be extreme, but when it occurs it rarely comes as a shock. Anagen effluvium may be triggered by chemotherapeutic agents (antimetabolites, alkylating agents, and mitotic inhibitors) and usually occurs within 14 days of treatment. The patients experience excessive hair loss within days of the causative factor. Anagen Effluvium. Telogen effluvium shows an increased percentage of telogen-phase hairs on microscopic examination (typically > 20%), whereas anagen effluvium shows a decrease in telogen-phase hairs and an increased number of broken hairs. Anagen effluvium. The affected children have normal physical and mental development. An increased proportion of hairs shift from the growing phase (anagen) to the shedding phase (telogen). This type of hair loss refers to the sudden shedding that takes place during the anagen growth stage (due to an impairment of the cellular-level metabolic / mitotic activity, causing a tapered fracture of breakage of the hair shaft). There are many types of hair loss with different symptoms and causes. Anagen Effluvium â Exposure to substances or treatments, most commonly chemotherapy and radiation therapy. Shedding takes place predominantly on the scalp, but all other bodily hair may also be affected. Humans have up to 150,000 hairs on their head and normally lose about 100 hairs per day. Anagen Effluvium. Their hair follicles stay in the Telogen phase much longer. Anagen effluvium. Anagen Effluvium. Anagen effluvium. Consider a Haircut. Anagen Effluvium Normally caused by cancer treatment drugs, anagen effluvium results in patchy hair loss and eventually a total loss of hair (it usually grows back after treatment ceases). Anagen effluvium results from an attack on the metabolic activity of the follicle and its associated structures. Anagen and Telogen Effluvium â is the premature hair loss resulting in diffuse hair fall throughout the scalp.Diffuse meaning a general consistent loss throughout the scalp. Histopathologic Appearances 3. Discussion Alopecia is a frequent adverse effect of PEG-IFN-α-2a/RBV combination therapy in 19% of reported patients ().Drug-induced hair loss can be TE, DAE, dystrophic-telogen effluvium (DTE) or anagen effluvium (AE) according to the degree of toxicity in the hair molecules and the types of affected hair cycles (3, 4). Aplastic Anemia & Bleeding Gums & Telogen Effluvium Symptom Checker: Possible causes include Acute Radiation Sickness. Anagen effluvium. As a result, more ⦠This attack is generally caused by chemical medication taken to combat cancer, ie chemotherapy. https://www.webmd.com/skin-problems-and-treatments/hair-loss/hair-loss-types Radiotherapy and immunotherapy have also been known to cause hair loss although not as commonly as chemotherapy. The most promising pharmacologic interventions have been minoxidil and AS101, although their benefits were restricted to improvement of symptoms or disease duration and not applicable to prevention ( Wang et al. This is because anagen effluvium is primarily caused by chemotherapy, most often used as a cancer treatment. There are a variety of documented causes however, with people experiencing alopecia areata or pemphigus vulgaris sometimes affected. Anagen effluvium is a nonscarring alopecia that often presents after a toxic or inflammatory insult fractures the hair shaft. Anagen Effluvium: Anagen Effluvium is widespread hair loss that can affect any part of your body. Telogen effluvium or TE is the second most common type of hair loss problem that is usually diagnosed correctly by the dermatologists. Anagen effluvium (first phase) It is the first phase of growth cycle. The best example is chemotherapy. Anagen effluvium symptoms Anagen effluvium refers to hair shedding that arises during the anagen or growth stage of the hair cycle. You observed the Effect of Anagen Effluvium on Survival Rates of hair transplant in this article with detail. Anagen effluvium is widespread hair loss that can affect your scalp, face and body. The hair loss pattern is just like that of telogen effluvium in that the hair loss tends to be in a diffuse manner. 8. The chronic variant of diffuse hair loss, telogen effluvium, is more difficult to diagnose. In an anagen effluvium, hair loss occurs because the hair shafts are broken rather than shed. Drug-induced telogen effluvium may account for it. Both Anagen and Telogen Effluvium refer to the initial (active hair growth) and last (natural shedding of hair) stage of the hair growth cycle respectively. Regarding the causes of telogen effluvium, there are reports on the use of heparin or heparinoid (anticoagulants) and excessive intake of ⦠2. Clumps of hair may fall out. We wish you a cure and never get sick of this disease! Telogen is the 3rd phase of the hair cycle.It typically lasts 3-5 months on the scalp. 2. Anagen hair loss is associated with any damage to the hair follicle that impairs its mitotic activity. Telogen effluvium shows an increased percentage of telogen-phase hairs on microscopic examination (typically > 20%), whereas anagen effluvium shows a decrease in telogen-phase hairs and an increased number of broken hairs. Loose anagen syndrome may be mistaken for alopecia areata, trichotillomania, telogen effluvium and rarely other causes such as short anagen syndrome and toxic ingestion. This is the hair loss that comes from situations when the body is put under extreme intentional stress. Telogen effluvium is temporary hair loss that occurs due to alterations of the growth cycle for causes like illness, surgery, anaemia, emotional disorders, thyroid issues etc. 3. More. The hair loss pattern is just like that of telogen effluvium in that the hair loss tends to be in a diffuse manner. Usually occurs after exposure to antineoplastic chemotherapeutic agents that cause immediate interference with hair-shaft formation and shedding of already formed anagen hairs. How is Anagen Effluvium Unique? An anagen effluvium is extensive hair loss caused by sudden profound disturbances to the matrix cells of the hair follicles. Rather than shedding, the hair is lost by fracturing of the hair shafts at the level of the scalp. This often causes sudden but typically reversible balding. Aside from rapid and dramatic hair shedding, there are typically no other anagen effluvium symptoms. Anagen Effluvium happens due to the direct affection of anagen hair due to cell toxicity and can cause excessive hair loss within days. What are its symptoms⦠Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Normally, 85 to 90% of hairs are in the anagen phase, about 10 to 15% are in telogen phase, and < 1% are in catagen phase. Telogen Effluvium prevents the new hair growth cycle in people, who face diffuse thinning condition. The photos of anagen effluvium treatment below are not recommended for people with a weak psyche! It may lead to diffuse non-scarring alopecia (baldness). 2- Anagen effluvium causes the hair shaft to break, while in telogen effluvium the hair sheds normally 3- There are no club hair in anagen effluvium but in telogen effluvium the hair is underdeveloped 4- Anagen effluvium is a more permanent kind of diffuse hair loss while telogen effluvium is a temporary condition in most cases The differential diagnosis include AGA, AA incognito, anagen effluvium, and diffuse hair loss caused by systemic conditions such as hypothyroidism and nutritional deficiencies. The NHS currently lists the main symptoms of COVID-19 as having a high temperature, a new, continuous cough and a loss or change to your sense of smell or. Some people experience chronic telogen effluvium, or female pattern hair loss. We can teach you the difference between Androgenetic Alopecia and Anagen Effluvium, and most importantly, what can cause them. ⢠Hair loss may also be classified based on the phases of hair growth namely Anagen effluvium and Telogen effluvium. Telogen effluvium is a form of temporary hair loss characterized by diffuse thinning of the hair (or diffuse alopecia). Rarely are more than 50% of the hairs on the head involved. Non scarring hair loss, also known as noncicatricial alopecia is the loss of hair without any scarring being present. Anagen effluvium occurs when the anagen phase is interrupted, causing premature termination of hair growth and abrupt hair shedding.. Anagen effluvium is most commonly due to chemotherapy (see Drug-induced alopecia) and usually begins one to two weeks after treatment is started.It may result in 80â90% loss of body hair, including eyebrows and eyelashes [1,2]. With this condition, a toxic substance impairs the hair follicle during the anagen phase. Telogen defluxion in dogs is caused by great stress on the body which has occurred in the last 1 to 3 months such as: Pregnancy/Nursing- Dogs can lose their hair after pregnancy or during nursing. The hair sheds during the anagen phase due to an alteration in the hair follicle. Alopecia is the general medical term for hair loss. The most common symptom of anagen effluvium is unexplained hair loss, which is sometimes sudden in its onset and progresses rapidly. In contrast, the ends of the hairs that are shed in a telogen effluvium have a characteristic club shape with unpigmented proximal ends. Irune E, Bast F, Williams G, Kirkpatrick N. Recovery of Transplanted Eyebrow From Radiation-Induced Anagen Effluvium. Anagen effluvium is a condition with the pathologic loss of growth-phase hairs or anagen. All the positive outcomes of this research are breakthroughs in the world of hair implantation surgeries. Anagen effluvium is the abrupt loss of hair during the growth phase due to an insult that impairs mitotic or metabolic activity of the hair follicle. Anagen effluvium. It can be caused by many things including certain medicines, injury, and physical or mental stress. However, conflicting views have been reported with Bleiker et al . Anagen effluvium is a nonscarring alopecia that often presents after a toxic or inflammatory insult fractures the hair shaft. Anagen effluvium occurs when there is an interruption to the anagen or predominant growth phase of the hair. Anagen effluvium: Hair loss throughout the body due to chemotherapy. Anagen Effluvium. 1. This results in blisters and sores that can sometimes result in hair loss, although this particular side effect is quite rare. However, your scalp and the remaining hair look healthy. Evidence exists, that the hair follicle may respond to infection with either dystrophic anagen effluvium and early onset or with telogen effluvium and late onset, depending on the type and intensity of ⦠Anagen effluvium also occurs in persons with alopecia areata as the result of the inflammatory insult to the matrix. INVESTIGATIONS. The acute variant of diffuse hair loss, anagen effluvium, can be cured most quickly. Diseases that can mimic the widespread hair loss associated with alopecia areata include telogen and anagen effluvium, seasonal alopecias, follicular dysplasias (including color dilution alopecia), various nutritional deficiencies and chemical toxicosis, and diseases that result in defective hair shafts (eg, trichorrhexis nodosa and piedra). Telogen effluvium (TE) ⢠A non-scarring, diffuse, hair loss from the scalp ⢠Occurs around 3 months after a triggering event ⢠Usually self-limiting, lasting for about 6 month. Anagen phase is a growing phase. This happens when the follicles that are in the resting, or telogen, phase get lazy and donât want to go back to work in the anagen phase. Much investigation has been undertaken regarding the management of anagen effluvium caused by chemotherapeutic agents. Telogen effluvium occurs when the body goes through some sort of shock or change that forces more hairs to fall out than normal.. With TE, there is a natural period of about three months between the follicle entering the telogen phase and the hair eventually falling out. Campbell C, Bahrami S, Owen C. Anagen Effluvium Caused by Thallium Poisoning. Conclusion. At any given point, people should have 80-90% of their hair in the anagen phase, so if someone is suffering from anagen effluvium, they will suffer from a rapid type of hair loss since so many hairs will be affected. Anagen effluvium results from an attack on the metabolic activity of the follicle and its associated structures. Telogen effluvium: Excessive temporary loss of telogen hair (hair in the telogen, or resting, phase) caused by trauma such as childbirth, surgery, starvation, certain drugs, and high fever.A normal human hair goes through 3 successive stages of growth: The growing, or anagen, stage is the predominant phase (80% to 90% of a person's hair is usually in the anagen phase). All the positive outcomes of this research are breakthroughs in the world of hair implantation surgeries. With Telogen Effluvium more hairs than usual move into the telogen (resting) phase and shed, so you may notice more hair falling out than usual. This hair loss is commonly associated with chemotherapy . Anagen Effluvium. If you have telogen effluvium, you'll notice more hair than usual accumulating on your pillowcase, on the shower or bathroom floor and in your hairbrush. It may be congenital or acquired, circumscribed or diffuse, and cicatricial or nonscarring. Rarely are more than 50% of the hairs on the head ⦠A carefully obtained history along with scalp dermoscopy and examination of hairs extracted from the pull test will help to distinguish these conditions. ... A bad relationship, death of a family member or any other accidental event in life can trigger hair follicles skip anagen phase to telogen effluvium or resting phase. New hair continues to grow. One of the most common causes of this type of hair loss is the cancer treatment chemotherapy .In some cases, other cancer treatments including immunotherapy and radiotherapy may also cause hair loss. , a type of diffuse, nonscarring, acquired alopecia, is the most common, affecting > 70% of the general population by 70 years of age. Obviously you first need to find out exactly which type of hair loss you have. Telogen Or Resting Phase. It occurs mainly when the number of hair follicles responsible for the growth of hair changes. Chemotherapy targets fast-growing cells, which makes it effective at killing rapidly-producing cancer cells, but means that it can also negatively affect hair follicles. Conclusion. Quick Summary: Drug-Induced Alopecia is a non-scarring hair loss that occurs within days of starting a new medication, or due to a change in dosage of a medication already in use. SIGNS / SYMPTOMS. Cytotoxic drug-induced hair loss has been classically ascribed to anagen effluvium (loss of fractured hairs). The characteristic finding in anagen effluvium is the tapered fracture of the hair shafts. Chronic telogen effluvium. Androgenetic alopecia. Ze!Converter - Download Video From Dailymotion to mp4, mp3, aac, m4a, f4v, or 3gp for free! Symptoms Of Hair Loss. âIt should be distinguished from anagen effluvium, in which the hair shedding is due to interruption of active or anagen hair growth by drugs, toxins or inflammation. 2. Thinking can be limited to the one area or may affect the areas of back, & side scalp even. Anagen effluvium is rapid hair loss resulting from medical treatment, such as chemotherapy. 2006 ). Anagen effluvium. Started in 1995, this collection now contains 6952 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. Some of the more common types of hair loss are described below, including: male- and female-pattern baldness alopecia areata scarring alopecia anagen effluvium telogen effluvium Male- and female-pattern baldness Male-pattern baldness is [â¦] You can also get a pretty good idea of This hair loss problem significantly reduces the telogen or the res Patients have even refused possibly palliative or life-saving treatments because they could not accept the temporary or prolonged baldness. Patients must be warned of the potential for hair loss when they undergo treatment with any of the medications responsible for anagen effluvium. When excessive amounts of hair simultaneously switch from anagen (growth) into telogen (dormancy) and subsequently shed several months later, the phenomenon is referred to as a telogen effluvium. ANAGEN EFFLUVIUM. General anesthesia - Anesthesia can affect the hair follicles. L65.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Telogen Effluvium Clinical Presentation (). The 2021 edition of ICD-10-CM L65.1 became effective on October 1, 2020. Scarring Alopecia J Cutan Med Surg. Since the hair falls out quickly and strongly after the causative event, the cause can usually be found quickly . Symptoms Of Anagen Effluvium 1 Dystrophic anagen hair (hair with irregular shape or growth) 2 Anagen hair have thin proximal ends 3 Hair breaks easily or is brittle 4 Hair thinning 5 Rapid and abrupt hair loss 6 Abrupt shedding of majority or all of hair from the scalp and entire body 7 It may leave partial or complete baldness on the scalp This condition can include; the arms, legs, genital areas, armpits, and chest. With Telogen Effluvium more hairs than usual move into the telogen (resting) phase and shed, so you may notice more hair falling out than usual. There is typically little inflammation and irritation, but hair loss is significant. Usually occurs after exposure to antineoplastic chemotherapeutic agents that cause immediate interference with hair-shaft formation and shedding of already formed anagen hairs. Telogen Effluvium is often caused by a physical or psychological trigger and often resolves itself ⦠Anagen effluvium is rapid hair loss resulting from medical treatment, such as chemotherapy. A hair loss condition that causes shedding during the anagen (growth) phase of the hair cycle, anagen effluvium can cause rapid thinning of the hair and is common among those receiving chemotherapy treatment. The old hair falls out and gives way for new hair to emerge from the roots. Examination of your scalp. Anagen effluvium is considered long-term hair loss but it is still reversible. Telogen Effluvium. Many of the strong chemicals and medications used to treat conditions like cancer are effective at killing cancer cells, but bleed over into the function of other cells in the body. This condition is curable with the help of a dermatologist. During this phase, the hair is described as a club hair (hair with âbulbâ of keratin at the root- white bulb root) ().Approximately 10% of the hairs are cycling in this phase. Telogen Effluvium is often caused by a physical or psychological trigger and often resolves itself ⦠Telogen effluvium occurs when there is a marked increase in hairs shed each day. What are the symptoms of alopecia/hairloss? The topic Drug-Induced Anagen Effluvium you are seeking is a synonym, or alternative name, or is closely related to the medical condition Drug-Induced Alopecia. Telogen Effluvium Anagen Effluvium. Anagen effluvium presents with abrupt shedding of much of or all of the hair on the scalp, and often from the entire body including eyebrows, eyelashes and body hair. Anagen Effluvium. Symptoms: Bald patches in localized areas. It is generally caused by radiation therapy on the head and any kind of systemic chemotherapy, which uses alkylating agents. Anagen effluvium (see Box 24.2 and Table 24.2) is the abrupt loss of hair from follicles that are in their growing phase. Telogen hair has a bulb or club-shaped tip. Anagen effluvium. Anagen effluvium affects those who are undergoing medical treatments that can weaken the body, like chemotherapies for cancer patients. Anagen effluvium. In addition, healthy diet, and use of vitamins or supplements can also help to regrow hair. Telogen effluvium occurs when there is a marked increase in the number of hairs shed each day. The first is when the hair is actively growing, known as the anagen phase. Telogen effluvium happens when hair sheds more than usual and leads to hair thinning. All the adverse symptoms were recovered within two weeks after the treatment. Telogen effluvium Symptoms & Diagnosis: Telogen effluvium symptoms include a large number of scalp hair going in the resting phase (telogen) suddenly at the same time, followed by hair shedding. Stress on the body generates a shift in the growth cycle, sending an influx of hair into the telogen (shedding) phase. The clueâs in the name: Chronic - A very long-term condition.. Telogen - The hair growth cycle resting phase.. Effluvium - This means shedding.. Anagen Effluvium and Pemphigus Vulgaris Pemphigus vulgaris is an autoimmune disease that causes the body to produce autoantibodies that attack protein cells on the epidermis (skin). Trichotillomania: Hair loss in children due to pulling out of hair by them. Common Causes: ⢠Ganatic: Androgenetic, hereditary disorders, hair shaft defects. Generally, at any given time, 5-10% of hair is in the telogen or resting phase. Anagen effluvium - is widespread hair loss all over the body due to chemotherapy, immunotherapy, or radiotherapy. The symptoms are: This usually happens suddenly and can occur approximately 3 months after a trigger. The most common cause of diffuse hair loss is telogen effluvium. Anagen effluvium . All the adverse symptoms were recovered within two weeks after the treatment. Consultation about your health in general. Normally only 10% of the scalp hair is in the telogen phase, but in telogen effluvium this increases to 30% or more. The good news is that telogen effluvium is reversible and hair normally grows to healthy state once cause is identified and removed. Telogen effluvium is different from the permanent hair loss disorder called alopecia areata. The hair that is lost is said to be in the anagen stage; thus this condition is known as anagen effluvium. Telogen Effluvium. 5. This often causes sudden but typically reversible balding. Telogen Effluvium. INVESTIGATIONS. In this article, I will explain to you in detail about telogen effluvium â symptoms, treatments, recovery, and more. Anagen hair loss is associated with any damage to the hair follicle that impairs its mitotic activity. Telogen effluvium is excessive shedding of resting or telogen hair after some metabolic stress, hormonal changes, or medication. Anagen Effluvium. Anagen Effluvium Causes. Telogen effluvium Introduction Alopecia is the general medical term for hair loss. There are many types of hair loss with different symptoms and causes. Telogen effluvium is considered chronic if hair loss lasts longer than six months. JAMA Dermatol. At any given point, people should have 80-90% of their hair in the anagen phase, so if someone is suffering from anagen effluvium, they will suffer from a rapid type of hair loss since so many hairs will be affected. Telogen effluvium is a form of temporary hair loss that usually happens several months after a person experiences a traumatic event or stress. anagen effluvium treatment. Anagen Effluvium Normally caused by cancer treatment drugs, anagen effluvium results in patchy hair loss and eventually a total loss of hair (it usually grows back after treatment ceases). Anagen effluvium may be triggered by chemotherapeutic agents (antimetabolites, alkylating agents, and mitotic inhibitors) and usually occurs within 14 days of treatment. Anagen effluvium associated with chemotherapy, for example, will usually grow back for about 3-6 months after you stop the treatment. Treatment Offered. Most patients with AGA will present with a specific patterned hair loss, and may have a strong family history. Talk to our Chatbot to narrow down your search. In a normal individual, ratio of anagen to telogen hair is 9:1. As mentioned above, anagen effluvium can affect up to ninety percent of the hairs on the head, which can make its impact extremely widespread. Among them, AGA is the most common affecting both genders. Anagen effluvium is seen with more severe insults on the system, like the use of cancer drugs (chemotherapy), poisoning or radiation exposure. The alopecia with systemic symptoms suggests endocrine disorders, as well as anagen effluvium and telogen effluvium in some. Anagen Effluvium Aka: Anagen Effluvium, Chemotherapy-Induced Hair Loss, Chemotherapy-Induced Alopecia. Diagnosis Hair pull test helps in the diagnosis of this condition. These potent and fast-acting medications kill cancer cells, but they may also shut down hair follicle production in the scalp and other parts of the body. Telogen Effluvium can be recognised with the first symptoms i.e., thinning of the hairs from the top scalp. Telogen defluxion in dogs is caused by great stress on the body which has occurred in the last 1 to 3 months such as: Pregnancy/Nursing- Dogs can lose their hair after pregnancy or during nursing. Telogen Effluvium Clinical Presentation (). Here is an article on the causes, symptoms & treatments for telogen effluvium. Differntiating Signs/Symptoms. Whereas telogen effluvium is caused by an increased count of hairs in the telogen phase of the hairâs life cycle, anagen effluvium is increased shedding that occurs during the anagen phase, or the growth stage of the life cycle. Some more prominent symptoms of Telogen Effluvium are listed below Noticeable hair loss during washing or combing hair AE can take hold more quickly and result in more drastic hair loss. Loose anagen syndrome may be mistaken for alopecia areata, trichotillomania, telogen effluvium and rarely other causes such as short anagen syndrome and toxic ingestion. Telogen effluvium is an acute form of alopecia where there is dramatic hair loss and the hair becomes abnormally thin over the entire scalp. Large amounts of a personâs hair might fall out, but it is often temporary, and the hair usually grows back. Telogen hair is also known as club hair due to the shape of the root. rized as telogen effluvium, it may present with different pathomech-anisms and clinical patterns. Each hair on the head goes through three phases of development: anagen, when the hair is growing; catagen, a short, transition period; and telogen, when the hair is shed and the follicle rests for around 3 months. Blood tests. in women People undergoing chemotherapy or taking certain medications may experience anagen effluvium, which occurs during a different stage of the hair growth cycle. The effects are generally reversible, with hair regrowth upon discontinuation of the offending agent.1 Chronic Telogen Effluvium: Symptoms, Causes, Treatment. In order to successfully identify and treat anagen effluvium, it is important to know common anagen effluvium symptoms. Signs and Symptoms: The symptoms of Alopecia are either excessive hair loss, or thinning of hair or appearance of a bald patch. The hair usually regrows within 6 to 9 ⦠Eventually, the shaft fractures at the site of narrowing. Anagen Effluvium Anagen effluvium occurs after any insult to the hair follicle that impairs its cellular-level mitotic or metabolic activity. The Anagen phase starts after the Telogen phase and thus the hair cycle continues. Hair loss is both temporary and permanent. How is alopecia/hair loss diagnosed? SIGNS / SYMPTOMS. Just so, what causes anagen effluvium? Anagen hairs have a pointed or tapered tip and feathered roots. Anagen Effluvium Anagen effluvium refers to hair shedding that arises during the anagen or growth stage of the hair cycle. Symptoms begin to show around 2-3 months after the precipitating event. Anagen effluvium. These symptoms are prominent in the childhood and appear to fade after puberty. When excessive amounts of hair simultaneously switch from anagen (growth) into telogen (dormancy) and subsequently shed several months later, the phenomenon is referred to as a telogen effluvium. Causes of Telogen Defluxion in Dogs. Telogen effluvium is the name for temporary hair loss on all parts of your body, but, generally, only loss of scalp hair is symptomatic due to shedding of resting or telogen hair after some shock to your system. The main causes of anagen effluvium are an infection, a drug, a toxin, radiation or an autoimmune disease. The hair growth cycle has three major phases: anagen, catagen and telogenâand then the cycle goes back to anagen ⦠During this phase, the hair is described as a club hair (hair with âbulbâ of keratin at the root- white bulb root) ().Approximately 10% of the hairs are cycling in this phase. An increased proportion of hairs shift from the growing phase (anagen) to the shedding phase (telogen). Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. 2015 Mar 16. . Anagen Effluvium and Telogen Effluvium. 2016 Jun 1. Telogen effluvium Probably itâs not as cool as it sounds (like a Harry Potter spell), but itâs also one of common culprits to blame for losing so much hair in a short period of time. The hair on a human head goes through two stages.