Seborrheic Dermatitis

Seborrheic Dermatitis is the upper skin’s level inflammation, resulting in scales on the face, scalp and sometimes on other areas. Such type of Seborrheic DermatitisSeborrheic Dermatitis frequently runs in families and may also be caused by cold weather.

Seborrheic Dermatitis generally starts slowly, resulting in greasy or dry scalp scaling (dandruff), ocasionally accompanied with itching, but without loss of hair. In severe Seborrheic Dermatitis, yellowish to redish scaly pimples appear on the chest, along the hairline around the nose, behind the ears, on the nose, bridge in the ear canal, and on the eyebrows.

In newborns, under the age of 1 month, the Seborrheic Dermatitis can create crusted, yellow, and thick scalp rash (called cradle cap), and, sometimes, red pimples on the face and yellow scaling behind the ears. Often, a stubborn diaper rash accompanies the scalp rash. In older children, scaly, tenacious, thick rash with large skin flakes may develop.

The treatment of Seborrheic Dermatitis in adults consists of shampoos, containing tar, sulfur and salicylic acid, selenium sulfide, or pyrithione zinc. An individual usually uses such shampoos every other day unless dandruff is controlled and after that, at a rate of 2 times/week.

Frequently, treatment should be continued for months; if the dermatitis recurs. After such treatment is discontinued, it may be restarted. Corticosteroid lotions may also be used on the person’s head and other affected parts. If the face needs to be treated, only weak corticosteroid lotions, for example, 1% hydrocortisone, may be used.

If corticosteroid treatment does not solve the problem, the cream containing ketoconazole, may be used. In infants, the scalp should be washed with baby shampoos, and cream hydrocortisone should be rubbed into the scalp. In young children, with scaly thick scalp rash, salicylic acid mixed with mineral oils can be gently rubbed into the affected area by using a soft toothbrush at bedtime. The scalp also should be shampooed every day unless the thick scale disappeared.

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