Burning, influenza-like symptoms, pruritus In this Article Infancy, a self-limited condition (i.e., cradle cap) In mild cases, a topical antifungal cream or medicated shampoo (such as ketoconazole, selenium sulfide, coal tar, and zinc pyrithione) may be enough to control symptoms. LinkOut - more resources About NEA Dermatology is often consulted, especially if the patient presents with erythroderma. Although the exact mechanism by which this disease occurs is unknown, it is apparent that Malassezia species are involved. Malassezia is a commensal fungus on the skin; it can be easily isolated from the skin of those with seborrheic dermatitis and, although there is no specific threshold at which seborrheic dermatitis develops, successful treatment is associated with reductions in the number of Malassezia on the skin. Antifungal Agents Focal spongiosis 5 Steps to Controlling High Blood Pressure Marc Zachary Handler, MD Fellow in Mohs Micrographic Surgery, Skin Laser and Surgery Specialists of NY and NJ SITE INFORMATION Accentuated rete ridges Medicinal treatment Contact Dermatitis Marion B. Sulzberger Award and Lectureship Raising Fit Kids The Non-neuronal and Nonmuscular Effects of Botulinum Toxin Patient Education Seborrheic dermatitis is a superficial fungal disease of the skin, occurring in areas rich in sebaceous glands. It is thought that an association exists between Malassezia yeasts and seborrheic dermatitis. This may, in part, be due to an abnormal or inflammatory immune response to these yeasts. The azoles represent the largest class of antifungals used in the treatment of this disease to date. In addition to their antifungal properties, some azoles, including bifonazole, itraconazole, and ketoconazole, have demonstrated anti-inflammatory activity, which may be beneficial in alleviating symptoms. Other topical antifungal agents, such as the allylamines (terbinafine), benzylamines (butenafine), hydroxypyridones (ciclopirox), and immunomodulators (pimecrolimus and tacrolimus), have also been effective. In addition, recent studies have revealed that tea tree oil (Melaleuca oil), honey, and cinnamic acid have antifungal activity against Malassezia species, which may be of benefit in the treatment of seborrheic dermatitis. In cases where seborrheic dermatitis is widespread, the use of an oral therapy, such as ketoconazole, itraconazole, and terbinafine, may be preferred. Essentially, antifungal therapy reduces the number of yeasts on the skin, leading to an improvement in seborrheic dermatitis. With a wide availability of preparations, including creams, shampoos, and oral formulations, antifungal agents are safe and effective in the treatment of seborrheic dermatitis. OUR QUESTION OF THE WEEK What you need: Medscape Consult Domains & Structures lotions Administration, Cutaneous Protection required 10:20 am - 4:30 pm Seborrheic dermatitis of the nasolabial folds. Skip to navigation OnHealth Corporate Seborrheic dermatitis can be stubborn. If these tips fail to bring relief, you should see a dermatologist. Some people need the expertise of a dermatologist to control seborrheic dermatitis. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Master Dermatologist Award Tea tree oil shampoo Intertriginous fissures occur. Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. Log out Cancel People of any age can develop seborrheic dermatitis including infants (known as “cradle cap”). However, it most commonly affects adults between the ages of 30-60 and infants under 3 months. More in Pubmed Corticosteroids can sometimes be used but are generally not first line agents for most with mild cases of seborrheic dermatitis. However, use of corticosteroid shampoo (such as Clobex) or mild corticosteroid lotions (including periodic use of betamethasone valerate lotion of foam) during times of flares can help many to achieve remission and feel better.  Men's Health Treatment of seborrhoeic dermatitis often involves several of the following options. Stress, too much normal skin yeast, and cold, dry weather are also potential triggers for an SD flare-up. Ketoconazole 2% cream, foam (Extina), or gel (Xolegel) stinging Seborrheic dermatitis signs and symptoms may include: Population Health and Wellness Programs Slideshows Occurs early in HIV infection Keloids Goldsmith LA, et al., eds. Seborrheic dermatitis. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed April 4, 2017. © 2004-2018 All rights reserved. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Scalp treatment Sexually Transmitted Diseases Find an Eczema Expert Seborrheic dermatitis causes: Scale is often yellow to brownish in color. Shade Structure Program Full Text Sources Cradle cap: A type of seborrheic dermatitis Laser Hair Removal Corticosteroid lotions Book A Consult Stasis Dermatitis Seborrheic dermatitis is a clinical diagnosis based on the location and appearance of lesions. In infants, it may present as thick white or yellow greasy scales on the scalp; it is usually benign and resolves spontaneously. In adolescents and adults, seborrheic dermatitis typically presents as flaky, greasy, erythematous patches on the scalp (Figure 1), nasolabial folds (Figure 2), ears, eyebrows (Figures 3 and 4), anterior chest, or upper back.3  The differential diagnosis is lengthy (Table 12,4), but the correct diagnosis can usually be made clinically by the characteristic distribution of lesions and varying course of the disease.5 If the diagnosis is uncertain, a biopsy demonstrating parakeratosis in the epidermis, plugged follicular ostia, and spongiosis can confirm the presence of seborrheic dermatitis. The diagnosis can be challenging in patients with darker skin, but the same principles apply. Babies also get seborrheic dermatitis in their diaper area and elsewhere. In the diaper area, the red rash often is mistaken for diaper rash. A few babies get seborrheic dermatitis that covers much of the body with red, scaly patches. Dermatology Links AskMayoExpert. Seborrheic dermatitis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016. CME Treatment Options by Disease Location. Philanthropy in Action Procedures Sex & Relationships Check for Interactions Reference Information from references 2, 3, 5, 8, 9, and 13 through 32. Continued Avoid Allergy Triggers IgG Response to S aureus Linked to Severe Atopic Dermatitis in Children Landis, E. T., Davis, S. A., Feldman, S. R. & Taylor, S. (2014, May 1). Complementary and alternative medicine use in dermatology in the United States. Journal of Alternative and Complementary Medicine, 20(5), 392-398. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011482/ Although scaly, patches often look greasy or moist. The type of treatment a dermatologist prescribes varies with age and where the seborrheic dermatitis appears on the skin. Neurologic and psychiatric conditions, such as Parkinson's disease and depression Renal & Urology News Video Center OnHealth SIMILAR ARTICLES Video 3 Things to Keep in a Diaper Bag Fight Fleas and Ticks Heart Disease Private payer If the patient presents with erythroderma Skin Conditions Resources You suspect your skin is infected Am J Clin Dermatol. 2004;5(6):417-22. Antifungal products Citations Characteristic distribution patterns from irritant or allergen DW Weekly Parenting Guide AAD CME Award 2019 Annual Symposium Seborrheic dermatitis is also called dandruff, seborrheic eczema and seborrheic psoriasis. For infants, the condition is known as cradle cap and causes crusty, scaly patches on the scalp. What you should know. Immunosuppression: organ transplant recipient, human immunodeficiency virus (HIV) infection and patients with lymphoma Cochrane Scholarship About skin: Your body's largest organ Dr. Donovan Medical Departments and Centers Registration My Tools Editorial articles View All Okokon EO, et al. Topical antifungals for seborrhoeic dermatitis. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008138.pub3/full. Accessed April 3, 2017. BLAST (Stand-alone) MPR Although the exact mechanism by which this disease occurs is unknown, it is apparent that Malassezia species are involved. Malassezia is a commensal fungus on the skin; it can be easily isolated from the skin of those with seborrheic dermatitis and, although there is no specific threshold at which seborrheic dermatitis develops, successful treatment is associated with reductions in the number of Malassezia on the skin. 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