Shampoo (without dandruff control) Treat Infestations Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887 Claim CME Log In AskMayoExpert. Seborrheic dermatitis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016. Figure 1. Itch and burning Eczema Products White petrolatum may be useful.   PubChem Compound PubChem Substance 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. 21. Draelos ZD, Feldman SR, Butners V, Alió Saenz AB. Long-term safety of ketoconazole foam, 2% in the treatment of sebhorreic dermatitis: results of a phase IV, open-label study. J Drugs Dermatol. 2013;12(1):e1–e6. Soap (or cleanser) that contains 2% zinc pyrithione Leadership Institute Simple NCBI Directory Chronic Skin Conditions Drug Database Carr MM, Pryce DM, Ive FA. Treatment of seborrhoeic dermatitis with ketoconazole: I. Response of seborrhoeic dermatitis of the scalp to topical ketoconazole. Br J Dermatol. 1987 Feb. 116(2):213-6. [Medline]. Free resources Antifungals See Workup for more detail. Control Allergies MOC S - Z Summary High WA, Pandya AG. Pilot trial of 1% pimecrolimus cream in the treatment of seborrheic dermatitis in African American adults with associated hypopigmentation. J Am Acad Dermatol. 2006 Jun. 54(6):1083-8. [Medline]. AADA Health System Reform Principles Lesion distribution following the oily and hair-bearing areas of the head and the neck; extension to submental skin can occur Diseases and treatments There are two types of SD: WebMD Network Salicylic acid and sulfur Editorial articles Close Dictionary Common Conditions Training & Tutorials Home » Topics A–Z » Seborrhoeic dermatitis Contact dermatitis, tenderness, xeroderma Suggested order of modules RESPIRATORY Sexual Health / STDs Treatment of SD is not always necessary, as symptoms can clear up naturally. But for most people, SD is a lifelong condition that will continue to flare up and clear up. Proper skin care can help keep symptoms at bay. Ichthyosis vulgaris Upper back. print OUR MISSION If you are experiencing symptoms, make an appointment with your doctor to get the correct diagnosis and treatment. Blogs & Articles Considered a chronic form of eczema, seborrheic dermatitis appears on the body where there are a lot of oil-producing (sebaceous) glands like the upper back, nose and scalp. The exact cause of seborrheic dermatitis is unknown, although genes and hormones play a role. Microorganisms that live on the skin naturally can also contribute to seborrheic dermatitis. 22. Katsambas A, Antoniou C, Frangouli E, Avgerinou G, Michailidis D, Stratigos J. A double-blind trial of treatment of seborrhoeic dermatitis with 2% ketoconazole cream compared with 1% hydrocortisone cream. Br J Dermatol. 1989;121(3):353–357. Dermatophyte infection of the scalp or body; leading edge (active border) scaly, red, and slightly elevated with central clearing; vesicles appear at active border when inflammation is intense; classic “ringworm pattern” Petal or ring-shaped flaky patches on hair-line and on anterior chest If your baby may have seborrheic dermatitis in the diaper area or elsewhere, it is best to see a dermatologist for a diagnosis. This common rash can look a lot like eczema, psoriasis, or an allergic reaction. Each of these conditions requires a different treatment plan. Scope of practice GastroIntestinal Not getting relief? Find an Eczema Expert What causes seborrheic dermatitis? Check Your Symptoms Ways to Donate Seborrheic dermatitis may go away without treatment. Or you may need many repeated treatments before the symptoms go away. And they may return later. Daily cleansing with a gentle soap and shampoo can help reduce oiliness and dead skin buildup. If you are experiencing symptoms, make an appointment with your doctor to get the correct diagnosis and treatment. Loading... Notice of Privacy Practices Pink-colored patches, most prominent in people with dark skin Erythrasma Figure 1. Botox JAAD quizzes greasy skin patches on the scalp, face, nose, eyelids, ears, chest, armpits, groin, and under the breasts diarrhea Collections Hair Products Skin Conditions Related to HIV/AIDS Seborrheic dermatitis is a papulosquamous disorder patterned on the sebum-rich areas of the scalp, face, and trunk. When localized to the scalp, it is commonly referred to as dandruff. In addition to sebum, this dermatitis is linked to Malassezia, [1] immunologic abnormalities, and activation of complement. It is commonly aggravated by changes in humidity, changes in seasons, trauma (eg, scratching), or emotional stress. The severity varies from mild dandruff to exfoliative erythroderma. Seborrheic dermatitis may worsen in Parkinson disease and in AIDS. [21, 22]  Increased perspiration in Parkinson disease may be the link to seborrheic dermatitis. actinic dermatitis | how to treat dermatitis actinic dermatitis | how to treat seborrheic dermatitis actinic dermatitis | interface dermatitis
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