Hi Dr. Rassman,I have been to two dermatologists about my recent diffuse shedding which I believed to be telogen effluvium and they did very little to help because they said “you look like you have hair”. One dermatologist took some of the shed hairs and said he could not really tell if there was clubs on them because they were somewhat clubbed but had a tail too. When i look at them i can clearly see a white bulb at the end about twice the diameter of the hair but at the end of the bulb there is a very short hair like structure that is much thinner that the hair itself, the hair is very different from the ones i would say “pluck out”. So my question that I and my dermatologist was stumped on is whether they were telogen hairs because they had a tail at the end of the bulb.
The telogen effluvium hair often has a white bulb and a mucus debris at the end so this could be the correct diagnosis. Also, the ‘hair pull test’ will show more than 10% of the hairs that are pulled, and will come out between the fingers that pull it. If you do this test, be gentle when the hair is pulled.