Evidence map›Paper›PMID 41484546›Full record

ReviewDermatology and therapy2026

Exploring the Potential Links between Telogen Effluvium, Alopecia Areata, Pressure-Induced Alopecia, and General Anesthesia: A Narrative Review.

Olga Poniatowska, Łukasz Sein Anand, Anna Jakubczyk-Słabicka, Dominik Płaza, Antonella Marino Gammazza, Wioletta Barańska-Rybak, Radosław Owczuk, Magdalena Górska-Ponikowska

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Dermatology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Olga PoniatowskaDepartment of Medical Chemistry, Medical University of Gdańsk, Gdańsk, Poland.
Łukasz Sein AnandDepartment of Anaesthesiology and Intensive Therapy, Medical University of Gdańsk, Gdańsk, Poland.
Anna Jakubczyk-SłabickaDepartment of Medical Chemistry, Medical University of Gdańsk, Gdańsk, Poland.
Dominik PłazaDepartment of Medical Chemistry, Medical University of Gdańsk, Gdańsk, Poland.
Antonella Marino GammazzaDepartment of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, 90133, Palermo, Italy.
Wioletta Barańska-RybakDepartment of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Radosław OwczukDepartment of Anaesthesiology and Intensive Therapy, Medical University of Gdańsk, Gdańsk, Poland.
Magdalena Górska-PonikowskaDepartment of Medical Chemistry, Medical University of Gdańsk, Gdańsk, Poland. magdalena.gorska-ponikowska@gumed.edu.pl.ORCID http://orcid.org/0009-0002-6842-6123

Funding

Gdański Uniwersytet Medyczny ST46
6 · The paper itself

Abstract

backgroundAlopecia areata (AA), pressure-induced alopecia (PIA), and telogen effluvium (TE) are nonscarring forms of hair loss reported in patients undergoing surgical procedures under general anesthesia (GA). While AA is primarily autoimmune and stress-mediated, PIA arises from prolonged scalp pressure during surgery, and TE is typically triggered by metabolic or physiological stressors that induce a premature transition of anagen hairs into the telogen phase.

objectiveThis review aims to explore the emerging evidence linking GA to the onset or exacerbation of these alopecic types.

methodsAuthors review currently available literature found in MEDLINE and Google Scholar databases and present it in a structured way.

resultsCurrently available literature supports the existence of a link between GA and AA, PIA, and TE, and proposes several potential mechanisms including immune dysregulation, ischemia, hypoxia, and systemic stress responses on the basis of current findings. LIMITATIONS: Despite existing evidence, significant gaps remain in understanding the associations between various forms of alopecia and GA, owing to a lack of high quality, structured research.

conclusionsThere is a possible link between GA and various forms of alopecia, although further research to clarify the relationships, identify at-risk individuals, and inform perioperative hair loss management strategies is needed.

Indexed as

Alopecia areata (AA)Anesthesia-induced stressAutoimmune disordersGeneral anesthesia (GA)Hair follicle healthImmune dysregulationPostoperative hair lossPressure-induced alopecia (PIA)Stress-induced hair lossSurgical stressTelogen effluvium (TE)

Identifiers

PMID41484546
PMCPMC12936300

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.