Vol 9, No 1 (2023)
Case report
Published online: 2022-09-02

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Telogen effluvium as a manifestation of SARS-CoV-2 infection

Julia Alicja Lewandowska1, Natalia Joanna Machoń1, Aleksandra Znajewska-Pander2, Agnieszka Owczarczyk-Saczonek3, Waldemar Placek3
Forum Dermatologicum 2023;9(1):32-36.

Abstract

We describe the case of a 44-year-old female patient, who presented to a dermatologist with increased hair loss 5 months after COVID-19 and one month after the second immunization with Pfizer and BioNTech Comirnaty vaccine. The purpose of this study is to demonstrate the importance of SARS-CoV-2 virus infection in the pathogenesis and treatment planning of telogenetic alopecia based on a medical case. The transition of the hair cycle from anagen to telogen phase is shortened under the influence of COVID-19 (to an average of about 50 days) and additionally this period is shorter as compared to classical telogenetic alopecia, in which the transition is usually observed after 3–4 months. The cause of excessive hair loss may be cytokine storm activation, vitamin and mineral deficiency, immune response and stress. Treatment targeting the factors involved in etiopathogenesis should therefore be implemented. The topic of complications following SARS-CoV-2 virus infection is particularly timely. There are many scientific studies addressing the aspect of post-infection complications. However, these are mainly preliminary observations. This article points out the need for a study of post-COVID-19 alopecia on a large group of people, as too late diagnosis of excessive hair loss, or lack thereof, can cause irreversible consequences (significant hair thinning and even complete baldness).

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