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Chemotherapy. An intense life event — such as a death in the family or even a bout of illness like COVID-19 — may also be behind hair loss. ... by causing inflammation on the scalp and other ...
Alopecia occurs for various reasons, including genetics, autoimmune disorders where the immune system attacks hair follicles, hormonal changes, medical treatments like chemotherapy, or other factors.
At the end of the resting phase, the hair falls out (exogen) and a new hair starts growing in the follicle, beginning the cycle again. Normally, about 40 (0–78 in men) hairs reach the end of their resting phase each day and fall out. [28] When more than 100 hairs fall out per day, clinical hair loss (telogen effluvium) may occur.
Classically, it is caused by radiation therapy to the head and systemic chemotherapy, especially with alkylating agents. [ 1 ] [ 2 ] : 753–4 Anagen effluvium is due to an acute injury to the hair follicles by an endogenous or exogenous cause, resulting in sudden diffuse shedding of structurally damaged hairs.
Other signs may point to specific causes of the condition. Poor diet may lead to tiredness, other side effects of chemotherapy drugs may be seen, infection can cause itching, stress may lead to pulling of hair or falling of hair. Hair loss may be present in the family, highlighting genetic causes.
After a triggering event, your hair may go into a resting state for several months, only to suddenly fall out en masse a few months later as the proportion of anagen follicles goes back to normal.