Chronic diffuse effluvium

Chronic diffuse Effluvium, also known as chronic diffuse hair loss, is a condition in which there is uniform thinning of hair across the entire scalp over a long period of time. Unlike focal hair loss, which is limited to specific areas, diffuse effluvium hair loss is distributed over the entire scalp. This condition affects both men and women and can cause significant psychological distress.


Chronic diffuse effluvium can be caused by a variety of factors, including:

  • Hormonal changes : Fluctuations in the hormonal balance, such as those that can occur after pregnancy, during menopause or due to thyroid disease.
  • Iron deficiency : One of the most common diet-related reasons for hair loss.
  • Medications : Certain medications, including antidepressants , blood pressure medications, and chemotherapy drugs, can cause diffuse hair loss as a side effect.
  • Nutritional Deficiencies : Lack of important nutrients such as vitamins and minerals can cause hair loss.
  • Chronic diseases : Long-term health problems, including autoimmune diseases and infections.
  • Stress : Both physical and emotional stress can lead to diffuse hair loss.


The main feature of chronic diffuse effluvium is gradual, uniform hair loss across the entire scalp. Sufferers may notice that their hair is thinning overall without any bald spots. Increased hair loss when brushing, washing or styling your hair can also be a sign.


Diagnosis of chronic diffuse effluvium is usually based on medical history, a physical examination, and sometimes blood tests to identify possible underlying causes such as hormonal imbalances, iron deficiency, or nutritional deficiencies.


Treatment for chronic diffuse effluvium depends on the underlying cause. Some general approaches include:

  • Treating underlying medical conditions : Adjusting therapy for underlying medical conditions or changing medications that cause hair loss may help.
  • Nutrition optimization : A balanced diet rich in vitamins and minerals, especially iron , zinc and the B vitamins, can improve hair condition.
  • Stress management : Stress reduction techniques such as meditation, regular exercise, and adequate sleep can reduce hair loss.
  • Medical Treatments : In some cases, topical treatments such as minoxidil or hormonal therapies may be recommended.


The prognosis for people with chronic diffuse effluvium varies depending on the cause and response to treatment. Many cases of diffuse hair loss are reversible, especially if detected and treated early. However, it is important to have realistic expectations and understand that restoring hair density takes time.

If hair loss is persistent or unexplained, it is advisable to consult a dermatologist for an accurate diagnosis and an individualized treatment plan.

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