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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hair Fall In An Auto Immune Hemolytic Anemia Patient?

my mother is hemolytic ( auto immune hymolytic anemia) patient, taken steroid drug wysolane 10mg daily, she is also diabetic & BP patient. all under control now. from past 3 months she is having heavy hair loss. can you please suggest what might be the problem? and what i need to do?
posted on Fri, 14 Mar 2014
Twitter Mon, 2 Mar 2015 Answered on
Twitter Mon, 2 Mar 2015 Last reviewed on
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Dermatologist 's  Response
Hello. Thank you for writing to us

I suggest a possibility of Telogen effluvium, increased hair shedding being part of the stressful response to anemia.
Hemolytic anemia causes transition of hair follicles from anagen/ growth phase to Telogen/ resting phase of hair growth cycle. Once hair enters Telogen phase it is subsequently shed.
Telogen usually begins 1-3 months following a stressful event (hemolytic anemia in this case) and may last for 3-6 months following which hair re-enters growth phase/ anagen.
Since she is on recovery path now and is on treatment with oral steroids for hemolytic anemia, therefore with time her hair fall would stop.
Apart from a healthy nutricious diet I suggest that you add an Iron supplement and a Biotin supplement which would aid in faster recovery.
These are prescription drugs therefore I suggest that you should visit a dermatologist in your vicinity for the needful.

Regards
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What Causes Hair Fall In An Auto Immune Hemolytic Anemia Patient?

Hello. Thank you for writing to us I suggest a possibility of Telogen effluvium, increased hair shedding being part of the stressful response to anemia. Hemolytic anemia causes transition of hair follicles from anagen/ growth phase to Telogen/ resting phase of hair growth cycle. Once hair enters Telogen phase it is subsequently shed. Telogen usually begins 1-3 months following a stressful event (hemolytic anemia in this case) and may last for 3-6 months following which hair re-enters growth phase/ anagen. Since she is on recovery path now and is on treatment with oral steroids for hemolytic anemia, therefore with time her hair fall would stop. Apart from a healthy nutricious diet I suggest that you add an Iron supplement and a Biotin supplement which would aid in faster recovery. These are prescription drugs therefore I suggest that you should visit a dermatologist in your vicinity for the needful. Regards