Some patients develop seborrheic dermatitis for no clear reason. These individuals likely have an underlying predisposition to the condition. However, it is now clear that there are a number of risk factors for seborrheic dermatitis, including neurological disease (Parkinson's disease, traumatic brain injury), depression, organ transplantation, HIV/AIDS, alcoholic pancreatitis, intense stress. Not getting relief? Immunosuppressants Nucleotide Medscape Consult Video library Eczema Matters E - G Next: Atopic dermatitis Find a Dermatologist Appointments Stay up-to-date on the latest news and happenings related to The Skin of Color Society. Candidal overgrowth (common in infantile "napkin dermatitis") Seborrheic dermatitis is associated with normal levels of Malassezia but an abnormal immune response. Helper T cells, phytohemagglutinin and concanavalin stimulation, and antibody titers are depressed compared with those of control subjects. Zani et al report that even with antifungal treatments, there was no reduction in levels of Malassezia. [23] The contribution of Malassezia species to seborrheic dermatitis may come from its lipase activity—releasing inflammatory free fatty acids—and from its ability to activate the alternative complement pathway. [24] WebMDRx Related Harsh detergents, solvents, chemicals and soaps Your MNT Occurs early in HIV infection What other additional laboratory tests may be ordered? A variety of herbal remedies are commonly used, but their efficacy is uncertain. Camp Discovery Policy $59 ($527) for 120 mL Treatment for seborrheic dermatitis focuses on loosening scale, reducing inflammation and swelling, and curbing itch. Home Skinner RB Jr, Noah PW, Taylor RM, et al. Double-blind treatment of seborrheic dermatitis with 2% ketoconazole cream. J Am Acad Dermatol. 1985 May. 12(5 Pt 1):852-6. [Medline]. INFECTIOUS DISEASES Seborrheic Dermatitis in Children SORT: KEY RECOMMENDATIONS FOR PRACTICE CME transcript Honorary Author: Marc Zachary Handler, MD; Chief Editor: William D James, MD  more... 5 Steps to Controlling High Blood Pressure More Topics AskMayoExpert Contact Us to Give Epilepsy rosacea Diseases & Conditions Book A Consult PubChem Compound Seborrheic dermatitis on the chest that shows round, red areas and slight scaling Aloe vera also has anti-inflammatory properties, and research has shown that it is effective in treating SD. Aloe vera supplements can help suppress flare-ups and lessen their severity. Study notes Our Mission Influenza Virus Free resources Marion B. Sulzberger Award and Lectureship Sleep Apnea May Raise Odds for Painful Gout A patch of seborrheic dermatitis on a man’s scalp. Sign in Quality Sections Seborrheic Dermatitis: What causes it and how do we treat it? Frequently Asked Questions Cancer Join us! Conserved Domain Database (CDD) $7 for 325 mL Irritation, pruritus, xeroderma Public health advisory: Elidel (pimecrolimus) cream and Protopic (tacrolimus) cream. U.S. Food and Drug Administration. Accessed April 3, 2017. Baby shampoo According to Dermatologists Dandruff Symptoms Protect Yourself from a Bone Fracture Full lecture The views expressed are those of the authors and do not reflect the official policy of the Department of the Army, the Department of Defense, or the U.S. government. Cradle cap appears as patchy scaling or thick crusts on the scalp and greasy skin covered with flaky white or yellow scales. Cradle cap usually doesn't bother the infant. Goldberg, G. (2013, February 6). Optimizing treatment approaches in seborrheic dermatitis. The Journal of Clinical and Aesthetic Dermatology, 6(2), 44-49. Retrieved from Email* Sleep Apnea May Raise Odds for Painful Gout Oncology Nurse Advisor KHALID A. JABOORI, MD, is an active duty physician in the U.S. Army and is a second-year faculty development fellow at Madigan Army Medical Center. He is also a clinical faculty member at Madigan Army Medical Center and a clinical instructor of family medicine at the University of Washington School of Medicine. Discontinuance of hair spray or hair pomades See Workup for more detail. Taxonomy Ambassador Program Webinars Login William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative Dermatology PubChem Causes & Triggers Related Conditions and Diseases Neurology Advisor July 25, 2018 Nucleotide Elewski B. An investigator-blind, randomized, 4-week, parallel-group, multicenter pilot study to compare the safety and efficacy of a nonsteroidal cream (Promiseb Topical Cream) and desonide cream 0.05% in the twice-daily treatment of mild to moderate seborrheic dermatitis of the face. Clin Dermatol. 2009 Nov-Dec. 27(6 Suppl):S48-53. [Medline]. Are you sure your patient has seborrheic dermatitis? What should you expect to find? Red skin Next article >> Seborrheic dermatitis is a chronic disease that tends to wax and wane in severity. Patients may see worsening of their disease with stress, changes in environment, and travel. In general, seborrheic dermatitis is more difficult to treat in those with HIV infection and may be resistant. These patients often have more areas involved and are at increased risk of developing erythroderma, although this is a rare complication of seborrheic dermatitis. Odom RB. Seborrheic dermatitis in AIDS. J Int Postgrad Med. 1990. 2:18-20. Reddish, oily-looking patches often appear on the scalp and face. Seborrheic dermatitis is a common disorder that affects people of all ages and skin types. It is more common in older adult men and may be more common in African-Americans.1 People with Parkinson’s disease,2 eating disorders,3 stroke, congestive heart failure,4 epilepsy, zinc deficiency, a history of chronic alcoholism, obesity,5 or mood disorders6 are more likely to develop seborrheic dermatitis than the general population. Nearly all AIDS patients (90-95%) develop this condition4 In infants, seborrheic dermatitis of the scalp is called “cradle cap.” Bikowski J. Facial seborrheic dermatitis: a report on current status and therapeutic horizons. J Drugs Dermatol. 2009 Feb. 8(2):125-33. [Medline]. Affinity partner programs RefSeqGene PubMed Central (PMC) Petal or ring-shaped flaky patches on hair-line and on anterior chest Information from references 2 and 4. Copyright 2002-2018 Seborrheic dermatitis: Treatment Employees WebMD App SD is prevalent in 1-3 percent of the population, according to a report from the medical journal American Family Physician. ABOUT Advertising, marketing and sponsorships Popular Editorial articles SD can cause a rash that is reddish in color, swollen, greasy, and has a white or yellowish crust. Connect with us on social media! Share on: FacebookTwitter Daily initially, then twice per week Zinc pyrithione shampoo Mohs AUC News & Perspective Drugs & Diseases CME & Education Academy Video New Clobetasol 0.05% shampoo (Clobex), alternating with ketoconazole 2% shampoo Podcasts Marc Zachary Handler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, European Society for Pediatric Dermatology, International Society of Dermatology, New York Academy of Medicine, Sigma Xi, Society for Pediatric Dermatology Itch and burning Sign Up It's Free! Barak-Shinar D, Del Río R, Green LJ. Treatment of Seborrheic Dermatitis Using a Novel Herbal-based Cream. The Journal of Clinical and Aesthetic Dermatology. 2017;10(4):17-23. PubMed Central. A Puzzling Facial Rash on a 17-Year-Old Boy 7 Psoriasis Triggers to Avoid Early treatment of flares is encouraged. Behavior modification techniques in reducing excoriations are especially helpful with scalp involvement. A skin biopsy may be needed in persons with exfoliative erythroderma, and a fungal culture can be used to rule out tinea capitis, though tinea capitis is rare in adults. Dermatopathologic findings of seborrheic dermatitis are nonspecific and typically include the following: Richard P Vinson, MD Assistant Clinical Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine; Consulting Staff, Mountain View Dermatology, PA Collections It is beefy red. If you decide the patient has seborrheic dermatitis, what therapies should you initiate? BLAST (Basic Local Alignment Search Tool) Dermatology is often consulted, especially if the patient presents with erythroderma. $144 ($644) for 118 mL 2, 18, 19, 22, 26, 28, 29, 32 Request Appointment Print the entire contents of article $15 for 15-g tube of cream; ($295 for 50-g can of Verdeso); ($419 for 60-g tube of Desonate); $73 ($73) for 59-mL bottle of lotion; $13 ($28) for 15-g tube of ointment Histologic Findings Endocrinology Advisor Ill-defined localised scaly patches or diffuse scale in the scalp Rosacea All DNA & RNA Resources... Seborrheic dermatitis: Tips Seborrheic dermatitis (SD) is caused by an autoimmune response or allergy, and it is not contagious. It is also not curable but can be managed with treatment. 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