Telogen Effluvium: Exploring the Intersection of Dermatology, Psychology, and Public Health (Atena Editora)

Abstract

INTRODUCTION Telogen Effluvium (TE) is a common non-scarring hair loss condition characterized by the premature transition of hair follicles from the growth phase to the resting phase, leading to diffuse hair shedding. TE is often triggered by physical and emotional stressors, hormonal changes, and systemic illnesses. This review explores the prevalence of TE, its psychological impact, economic barriers to treatment, and the challenges in diagnosis and management, particularly within the Brazilian public health context. OBJETIVE To explore and review the multifaceted aspects of Telogen Effluvium, focusing on its prevalence, psychological impact, economic barriers, and the challenges in diagnosis and treatment, with particular emphasis on the public health context in Brazil. METHODS This is a narrative review which included studies in the MEDLINE – PubMed (National Library of Medicine, National Institutes of Health), COCHRANE, EMBASE and Google Scholar databases, using as descriptors: “Telogen Effluvium” AND “Hair Loss Disorders” AND “Psychological Impact” OR “Dermatology” OR “Public Health in Brazil” in the last years. RESULTS AND DISCUSSION TE is more prevalent in women, especially those experiencing hormonal changes such as pregnancy and menopause. The psychological impact of TE is significant, leading to anxiety, depression, and reduced quality of life. Economic barriers, particularly in Brazil, limit access to effective treatments, exacerbating the condition. Diagnostic challenges arise from the diffuse nature of hair loss and overlap with other conditions, leading to underdiagnosis. Disparities in treatment access are evident across different regions of Brazil, with urban areas offering better care than rural ones. The public health system (SUS) plays a crucial role but is often strained and under-resourced. CONCLUSION TE profoundly affects individuals, particularly women, due to its psychological and social implications. Economic and healthcare disparities in Brazil further complicate its management. Improving the diagnosis, treatment, and overall care for TE patients requires a multidisciplinary approach, enhanced public health policies, and better access to mental health support. Addressing these issues can lead to improved quality of life for those affected by TE.