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Evaluation and quantification of nuclear DNA from human telogen hairs.
Whether the keratinized lump is pigmented or unpigmented makes no difference; the hair fibers are still typical telogen hairs.
The shed hairs are typically telogen hairs, which can be recognized by a small bulb of keratin on the root end.
Histology would show telogen hair follicles in the dermis with minimal inflammation in effluvium, and dense peribulbar lymphocytic infiltrate in alopecia totalis.
Effluvium can present with similar appearance to alopecia totalis, with biopsy in the former showing telogen hair follicles in the dermis with minimal inflammation in effluvium.