of 3 Neurologic and psychiatric conditions, such as Parkinson's disease and depression Public & patients Shin H, Kwon OS, Won CH, et al. Clinical efficacies of topical agents for the treatment of seborrheic dermatitis of the scalp: a comparative study. J Dermatol. 2009 Mar. 36(3):131-7. [Medline]. Explore Research Labs OnHealth Genetic Testing Registry Explore the Academy KHALID A. JABOORI, MD, Madigan Army Medical Center, Tacoma, Washington Newsletters Volunteer to be a Patient-Teacher The differential diagnosis of seborrheic dermatitis includes: Each twice weekly, alternating medications, for up to two weeks Pimecrolimus 1% cream (Elidel) Plewig G Jansen T. “Seborrheic Dermatitis.” In: Wolff K, Goldsmith LA, Katz SI, et al. editors. Fitzpatrick’s Dermatology in General Medicine, 7th ed. United States of America, McGraw Hill Medical; 2008. p.219-25. Topical corticosteroids (discouraged except for short-term use and at risk for tachyphylaxis when used as monotherapy) JAAD Wet your skin thoroughly. Professionalism and ethics Referring Physician Portal Discoid: disk-like lesions on face and scalp; subacute: photo-distribution papulosquamous, annular lesions over trunk; acute: photo-distribution red plaques forming facial butterfly rash; infants: appears in first month of life; papulosquamous, annular lesions Database of Single Nucleotide Polymorphisms (dbSNP) Media Skin can itch, burn, or look red. The scales that flake off could be white or yellowish and look moist or oily. Are you sure your patient has seborrheic dermatitis? What should you expect to find? Surjushe, A., Vasani, R., & Saple, D. G. (2008). Aloe vera: A short review. Indian Journal of Dermatology, 53(4), 163-166. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2763764/ Other Literature Sources Langerhan's cell histiocytosis Regular washing of the scalp with baby shampoo or aqueous cream is followed by gentle brushing to clear the scales. Event calendar All Proteins Resources... Burning, irritation, photosensitivity What causes seborrhoeic dermatitis? Need a Curbside Consult? Share cases and questions with Physicians on Medscape consult. Share a Case Dermatology is often consulted, especially if the patient presents with erythroderma. Gently brushing away the scale, once scale starts to soften. Facebook BLAST Mayo Clinic is a not-for-profit organization. Make a donation. Copyright 2002-2018 NCBI FTP Site Plewig G Jansen T. “Seborrheic Dermatitis.” In: Wolff K, Goldsmith LA, Katz SI, et al. editors. Fitzpatrick’s Dermatology in General Medicine, 7th ed. United States of America, McGraw Hill Medical; 2008. p.219-25. Search term There are satellite pustules at periphery of main plaques. Figure 2. Cookie Policy What are the natural treatments for SD? Health & Balance Do I Have a Skin Infection? Greasy, swollen skin A weakened immune system, such as seen in organ transplant recipients and people with HIV/AIDS, alcoholic pancreatitis and some cancers Signs and symptoms Robin Travers, MD is a member of the following medical societies: American Academy of Dermatology, American Medical Informatics Association, Massachusetts Medical Society, Women's Dermatologic Society, Medical Dermatology Society Image library Residents and Fellows Resource Center Probiotics Suggested order of modules Selenium sulfide shampoo These patients are at risk of increased insensible losses, volume depletion, and high-output cardiac failure if allowed to persist for long periods of time with extensive skin disease. Treatment setting depends on the severity of illness; if the patient is tachycardic and volume depleted, it may be best to admit the patient for IV fluid resuscitation. However, most patients can be treated effectively as outpatients with close clinical follow-up. 2-5% of the normal population Information from references 2, 3, 5, 8, 9, and 13 through 32. The mainstays of treatment for facial seborrheic dermatitis are topical antifungals, corticosteroids, and calcineurin inhibitors. Ketoconazole 2% is as effective as hydrocortisone 1% cream.22 Ketoconazole 2% gel (Xolegel) significantly reduced symptoms of erythema, pruritus, and scaling compared with vehicle alone.23 Ciclopirox appears to be better tolerated and more effective than ketoconazole 2% gel.24,25 Ciclopirox 1% cream (not available in the United States) was shown in a randomized, double-blinded trial to greatly reduce symptoms when used as a maintenance medication.24 Sertaconazole 2% cream (Ertaczo) was more effective than hydrocortisone 1% cream in one study.26 In light of their effectiveness, low adverse effect profile, and reasonable cost, topical antifungals are the preferred agents for acute and long-term treatment of seborrheic dermatitis of the face and body.3,14–16,22–26 Mobile app Glossary of Skin Care Terms One or several coin-shaped plaques on extremities, typically on backs of hands PLANNING YOUR FIRST VISIT Related Content Search How do these pathogens cause seborrheic dermatitis? Find a directory of doctors and departments at all Mayo Clinic campuses. Visit now.. BLAST Anti-inflammatory medications, such as topical corticosteroids or calcineurin inhibitors, may also be used, especially if the disease is resistant to initial antifungal treatment. Eczema and Your Health Care Soap (or cleanser) that contains 2% zinc pyrithione Our Sponsors Chief Editor Shade Structure Program Heart Disease Dictionary Diagnosis & treatment Abstract The prevalence rate of seborrheic dermatitis is 3-5%, with a worldwide distribution. In the United States alone, $300 million is spent annually on dandruff over-the-counter treatments. [25] Dandruff, the mildest form of this dermatitis, is probably far more common and is present in an estimated 15-20% of the population. DermNet NZ does not provide an online consultation service.  If you have any concerns with your skin or its treatment, see a dermatologist for advice.  Healthy Dogs Patient Fact Sheets diarrhea Work with your doctor or pediatrician if you're using a treatment other than shampoo, since there could be side effects, especially if you use it for longer or more often than prescribed. Homology Litt JZ, Powlak WA. Drug Eruption Reference Manual. 5th ed. Cleveland, Ohio: Wal-Zac Enterprises; 1966. 465. What should you tell the patient about the prognosis? Members Making a Difference Award Sign up for a free Medical News Today account to customize your medical and health news experiences. Tinea Capitis $32 ($289) for 60 mL Medication Summary Splign Lectures & Presentations Reddish color. Pending state legislation WebMD Medical Reference Reviewed by Stephanie S. Gardner, MD on April 15, 2018 Native American Health Services Resident Rotation Living Healthy Diet & Weight Management Underlying neurological disease: Parkinson's disease, stroke, facial nerve injury, seizure disorder For example, ointments do not work well in hairy areas, because they are difficult to apply. Guidelines for treating seborrheic dermatitis include: Seborrheic dermatitis occurs in persons of all races. Outlook Derm Exam Prep Course A KOH preparation of scale from the skin may show characteristic "spaghetti and meatballs" appearance of Malassezia spores and hyphae. Lectures & Presentations Skin care Mobile Navigation The azole antifungals are commonly employed in this disease. greasy skin patches on the scalp, face, nose, eyelids, ears, chest, armpits, groin, and under the breasts The condition affects people of all ages. Atopic dermatitis $59 ($527) for 120 mL Hair & Nail Conditions Parakeratosis and scale-crust especially adjacent to follicular ostia Women's Health SOURCES: Depression Pain Management *—Estimated cost based on information obtained at http://www.goodrx.com (accessed September 13, 2014). Burning, influenza-like symptoms, pruritus Coal tar Your privacy is important to us. Residents and Fellows Resource Center Get involved Today's forecast Sclerotherapy 24. Dupuy P, Maurette C, Amoric JC, Chosidow O; Study Investigator Group. Randomized, placebo-controlled, double-blind study on clinical efficacy of ciclopiroxolamine 1% cream in facial seborrhoeic dermatitis. Br J Dermatol. 2001;144(5):1033–1037. Support Center Gupta AK, Versteeg SG. Topical Treatment of Facial Seborrheic Dermatitis: A Systematic Review. Am J Clin Dermatol. 2016 Nov 2. [Medline]. 4-6th decades in adults A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. For information about the SORT evidence rating system, go to https://www.aafp.org/afpsort. 23. Elewski B, Ling MR, Phillips TJ. Efficacy and safety of a new once-daily topical ketoconazole 2% gel in the treatment of seborrheic dermatitis: a phase III trial. J Drugs Dermatol. 2006;5(7):646–650. The Cardiology Advisor Treatment Outcome Our Sponsors acral lick dermatitis | how to treat seborrheic dermatitis acral lick dermatitis | interface dermatitis acral lick dermatitis | irritant contact dermatitis
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