{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T10:05:00Z","timestamp":1784714700675,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T00:00:00Z","timestamp":1666224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>Telogen effluvium (TE) is a diffuse, rapidly occurring non\u2010scarring alopecia that can be a significant source of distress for patients and caregivers. To date, the disorder has not been extensively studied in a US pediatric patient population. This study aims to characterize the epidemiology, management, and disease course of pediatric TE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective single\u2010center analysis was conducted at the University of Miami including pediatric medical records from 2009 to 2021 with at least one clinic visit coded with the diagnosis of TE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>76 patients presented with a wide range of age at onset and hair loss duration. 67% of patients (<jats:italic>n<\/jats:italic>\u00a0=\u00a051) had an identified trigger, the most common being emotional stress and acute febrile illness, followed by nutritional deficiencies (specifically iron, ferritin, and vitamin D). Observation was the most common therapeutic approach. Of patients who had a follow\u2010up evaluation (39%), different treatments resulted in similar rates of improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results of this study demonstrate the variability in potential TE triggers, physical exam findings, and management in children, similar to what is currently observed and practiced in adult patients. Appropriate work\u2010up for common triggers should be included during the initial visit. Greater evidence\u2010based treatment approaches are needed for pediatric TE.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.15154","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T08:19:44Z","timestamp":1666253984000},"page":"120-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Etiology, management, and outcomes of pediatric telogen effluvium: A <scp>single\u2010center<\/scp> study in the United States"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5448-810X","authenticated-orcid":false,"given":"Vivien","family":"Chen","sequence":"first","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Strazzulla","sequence":"additional","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara M.","family":"Asbeck","sequence":"additional","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0382-1301","authenticated-orcid":false,"given":"Fernanda","family":"Bellodi Schmidt","sequence":"additional","affiliation":[{"name":"Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,20]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","first-page":"1","article-title":"Hair disorders: current concepts in pathophysiology, Diagnosis and Management","volume":"31","author":"Shapiro J","year":"2012","journal-title":"Dermatol Clin"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7753.130393"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2002.01080.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.14248"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/12034754221074980"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.116731"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000496708"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.135.9.1123"},{"key":"e_1_2_9_10_1","volume-title":"Hair and Scalp Treatments: A Practical Guide","author":"Burroway B","year":"2019"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1999.00003.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1961.01580080005001"},{"issue":"10","key":"e_1_2_9_13_1","first-page":"1235","article-title":"Vitamin and mineral deficiencies in patients with Telogen effluvium: a retrospective cross\u2010sectional study","volume":"15","author":"Cheung EJ","year":"2016","journal-title":"J Drugs Dermatol"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2013.04.028"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1993.01680240096017"},{"issue":"2","key":"e_1_2_9_16_1","first-page":"65","article-title":"Study of diffuse alopecia in females","volume":"66","author":"Jain VK","year":"2000","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.76a.08080"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0b013e31828132de"},{"issue":"4","key":"e_1_2_9_19_1","first-page":"418","article-title":"Telogen effluvium as the first symptom of Crohn's disease in a child","volume":"27","author":"Rogalidou M","year":"2014","journal-title":"Ann Gastroenterol"},{"issue":"2","key":"e_1_2_9_20_1","first-page":"187","article-title":"Telogen effluvium after allergic contact dermatitis of the scalp","volume":"137","author":"Tosti A","year":"2001","journal-title":"Arch Dermatol"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.141.10.1243"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-018-0278-6"},{"issue":"4","key":"e_1_2_9_23_1","first-page":"279","article-title":"Iron status in diffuse telogen hair loss among women","volume":"17","author":"Moeinvaziri M","year":"2009","journal-title":"Acta Dermatovenerol Croat"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu8060330"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540360041028"},{"issue":"6","key":"e_1_2_9_26_1","first-page":"745","article-title":"VItamin D supplementation in infants, children, and adolescents","volume":"81","author":"Casey CF","year":"2010","journal-title":"Am Fam Physician"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2012.04401.x"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.11.1104"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2002.01076.x"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.15154","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pde.15154","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.15154","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T16:26:28Z","timestamp":1692548788000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.15154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,20]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/pde.15154"],"URL":"https:\/\/doi.org\/10.1111\/pde.15154","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,20]]},"assertion":[{"value":"2022-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}