Evidence map›Paper›PMID 34368790›Full record

ArticleJAAD international2021

Trichodynia and telogen effluvium in COVID-19 patients: Results of an international expert opinion survey on diagnosis and management.

Michela Starace, Matilde Iorizzo, Andrea Sechi, Aurora Maria Alessandrini, Miriam Carpanese, Francesca Bruni, Giulio Vara, Zoe Apalla, Daniel Asz-Sigall, Stefania Barruscotti and 21 more

Abstract read
In one paragraph

Article in JAAD international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Review
  2. Article
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  5. Review
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  8. [Review of the post-COVID-19 syndrome associated to acute telogen effluvium].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Telogen effluvium after COVID-19 vaccination among public in Saudi Arabia.Journal of family medicine and primary care · 2022
    Article
  14. Review
  15. Post SARS-CoV-2 vaccination effluviumEuropean journal of dermatology : EJD · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Michela StaraceDermatology-IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Matilde IorizzoPrivate Dermatology Practice, Lugano/Bellinzona, Switzerland.
Andrea SechiDermatology-IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Aurora Maria AlessandriniDermatology-IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Miriam CarpaneseDermatology-IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Francesca BruniDermatology-IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Giulio VaraRadiology Unit, Policlinico Sant'Orsola, University of Bologna, Bologna, Italy.
Zoe ApallaSecond Department of Dermatology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Daniel Asz-SigallPrivate Dermatology Practice, Mexico City, Mexico.
Stefania BarruscottiDepartment of Clinical-Surgical, Diagnostic and Pediatric Science, Institute of Dermatology, IRCCS Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy.
Francisco CamachoUniversity of Seville, Medical-Surgical Dermatology Department, University Hospital, Seville, Spain.
Isabella DocheDepartment of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.
Bruna Duque EstradaCentro de Estudos dos Cabelos, Instituto de Dermatologia Prof. Rubem D Azulay, Rio de Janeiro, Brazil.
Rachita DhuratDepartment of Dermatology, LTM Medical College & Hospital Sion, Mumbai, India.
Maria Fernanda GavazzoniFluminense Federal University, Antônio Pedro Federal Hospital, Niterói Rio de Janeiro, Brazil.
Ramon GrimaltFacultat de Medicina i Ciencies de la Salut, UIC-Barcelona, Universitat Internacional de Catalunya, Sant Cugat del `Valles, Barcelona, Spain.
Matthew HarriesDepartment of Dermatology, Salford Royal NHS Foundation Trust, Manchester, United Kingdom.
Dimitrios IoannidisDepartment of Dermatology-Venereology, Aristotle University Medical School, Hospital for Skin and Venereal Diseases, Thessaloniki, Greece.
Amy McMichaelDepartment of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Daniel Fernandes MeloDepartment of Dermatology, University of State of Rio de Janeiro - UERJ, Rio de Janeiro, Brazil.
Rui OliveiraTrichology Unit, Dermatology Center CUF Descobertas Hospital, Lisbon, Portugal.
Yuliya OvcharenkoDepartment of General and Clinical Immunology and Allergology, V.N. Karazin Kharkiv National University Medical School, Kharkiv, Ukraine.
Rodrigo PirmezCentro de Estudos dos Cabelos, Instituto de Dermatologia Prof. Rubem D Azulay, Rio de Janeiro, Brazil.
Yuval RamotDepartment of Dermatology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Lidia RudnickaDepartment of Dermatology, Medical University of Warsaw, Warsaw, Poland.
Jerry ShapiroThe Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York City, New York.
Tatiana SilyukHair Treatment and Transplantation Center, Private Practice, Saint Petersburg, Russia.
Rodney SinclairSinclair Dermatology, Melbourne, Australia.
Antonella TostiFredric Brandt Endowed Professor of Dermatology, Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, Florida.
Sergio Vano-GalvanDermatology Department, Ramon y Cajal Hospital, IRYCIS, University of Alcala, Madrid, Spain.
Bianca Maria PiracciniDermatology-IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Alma Mater Studiorum, University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cutaneous manifestations of COVID-19 may be useful disease markers and prognostic indicators. Recently, postinfectious telogen effluvium and trichodynia have also been reported.

objectiveTo evaluate the presence of trichodynia and telogen effluvium in patients with COVID-19 and describe their characteristics in relation to the other signs and symptoms of the disease.

methodsPatients with a history of COVID-19 presenting to the clinics of a group of hair experts because of telogen effluvium and/or scalp symptoms were questioned about their hair signs and symptoms in relation to the severity of COVID-19 and associated symptoms.

resultsData from 128 patients were collected. Telogen effluvium was observed in 66.3% of the patients and trichodynia in 58.4%. Trichodynia was associated with telogen effluvium in 42.4% of the cases and anosmia and ageusia in 66.1% and 44.1% of the cases, respectively. In majority (62.5%) of the patients, the hair signs and symptoms started within the first month after COVID-19 diagnosis, and in 47.8% of the patients, these started after 12 weeks or more. LIMITATIONS: The recruitment of patients in specialized hair clinics, lack of a control group, and lack of recording of patient comorbidities.

conclusionThe severity of postviral telogen effluvium observed in patients with a history of COVID-19 infection may be influenced by COVID-19 severity. We identified early-onset (<4 weeks) and late-onset (>12 weeks) telogen effluvium.

Indexed as

COVID-19hair losshair sheddingmulticentric studyOR, odds ratiosSARS-CoV-2scalp allodyniatelogen effluviumTE, telogen effluviumtrichodyniaTR, trichodynia

Identifiers

PMID34368790
PMCPMC8328568

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