Yoshino Yuta, Hayashi Maho
Internal Medicine, Saitama Citizens Medical Center, Saitama, JPN.
Cureus. 2024 Oct 19;16(10):e71863. doi: 10.7759/cureus.71863. eCollection 2024 Oct.
Telogen effluvium can be triggered by physical exhaustion, drug use, and emotional stress. However, in approximately 33% of cases, the triggers are unknown. Telogen effluvium can develop two to three months after exposure to triggers and improve three to six months after trigger removal. This case report discusses a man with type 2 diabetes mellitus associated with heavy soft drink intake who developed telogen effluvium following treatment for euglycemic diabetic ketoacidosis with luseogliflozin. A 28-year-old man was hospitalized for euglycemic diabetic ketoacidosis. Two months after discharge, he experienced hair loss that persisted for three months. Physical wasting due to hyperglycemia and ketoacidosis was assumed to have triggered hair loss, resulting in rapid weight loss. Investigating the triggers associated with alopecia is crucial for diagnosing and treating telogen effluvium.
休止期脱发可由身体疲劳、药物使用和情绪压力引发。然而，在大约33%的病例中，引发因素不明。休止期脱发可在接触引发因素两到三个月后出现，并在去除引发因素三到六个月后改善。本病例报告讨论了一名2型糖尿病男性患者，该患者大量饮用软饮料，在使用鲁索格列净治疗血糖正常的糖尿病酮症酸中毒后出现了休止期脱发。一名28岁男性因血糖正常的糖尿病酮症酸中毒住院。出院两个月后，他经历了持续三个月的脱发。由于高血糖和酮症酸中毒导致的身体消瘦被认为引发了脱发，导致体重迅速下降。调查与脱发相关的引发因素对于休止期脱发的诊断和治疗至关重要。
