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Letters |15 July 1996

Alopecia Associated with Fluconazole Therapy

Lowell A. Goldsmith, MD

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  • University of Rochester School of Medicine and Dentistry Rochester, NY 14642
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TO THE EDITOR:
I read with interest the recent report on reversible alopecia related to fluconazole therapy [1]. Hair shaft and hair sheath structures were not described in the report. After systemic illness, a precipitation of the telogen (resting) phase of the hair cycle often causes hair loss. Alopecia also occurs after fasting, after pregnancy, with hypothyroidism, and with iron deficiency [2]. Telogen hairs can be easily recognized on a hair pull, and the diagnosis can be confirmed by scalp biopsy. Anagen effluvium follows chemotherapy or irradiation, both of which affect the rapidly proliferating cells of the hair...
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Goldsmith LA. Alopecia Associated with Fluconazole Therapy. Ann Intern Med. 1996;125:153. doi: 10.7326/0003-4819-125-2-199607150-00020

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Published: Ann Intern Med. 1996;125(2):153.

DOI: 10.7326/0003-4819-125-2-199607150-00020

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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