Data & Software  There are a variety of treatments of Seborrheic dermatitis. Eradicating the Malasezia yeast appears to be important in the treatment. For this reason, I generally recommend use of various anti-dandruff shampoos including those containing zinc pyrithione, selenium sulphide, ketoconazole, and ciclopirox. These should be left on the scalp for 1-5 minutes depending on the specific patient's scalp. Anti-dandruff shampoos can be drying, and so careful monitoring is needed to determine how best to use these for any given patent.  Notice of Privacy Practices The use of topical steroids should be limited and appropriate for the body site to limit the risk of side effects, including epidermal and dermal atrophy, skin dyspigmentation, telangiectasia, and striae. With time, the scale becomes flaky and easily rubs off. For SD on the scalp triggered by bacteria, antibacterial gels can be prescribed. Antifungal shampoos and creams are also options for this SD symptom. Symptoms of SD may include: Hormonal changes or illness Departments & Centers Diet & Weight Management get our newsletter Coalition United for Better Eczema Care (CUBE-C) Sleep Apnea May Raise Odds for Painful Gout GARY W. CLARK, MD, MPH, Madigan Army Medical Center, Tacoma, Washington Derm Exam Prep Course Scroll to Accept Knowledge center Procedures Strauss and Katz Scholarship What Causes Hives? Submissions March 06, 2018 Borda LJ, Wikramanayake TC. Seborrheic Dermatitis and Dandruff: A Comprehensive Review. J Clin Investig Dermatol. 2015 Dec. 3 (2):[Medline]. Genitals. Slideshow Supplements for Better Digestion 2019 Dermatology Foundation Research Award Program application now available! Seborrheic dermatitis appears in oily skin areas like the side of the nose and causes redness and yellow scale Getting Pregnant Topical calcineurin inhibitors† Underlying neurological disease: Parkinson's disease, stroke, facial nerve injury, seizure disorder Sertaconazole 2% cream (Ertaczo) The site of involvement will not only help determine which anti-inflammatory to use, but also which formulation. Expert Blogs Early treatment of flares is encouraged. Behavior modification techniques in reducing excoriations are especially helpful with scalp involvement. Sertaconazole 2% cream (Ertaczo) Log in Cook BA, Warshaw EM. Role of topical calcineurin inhibitors in the treatment of seborrheic dermatitis: a review of pathophysiology, safety, and efficacy. Am J Clin Dermatol. 2009. 10(2):103-18. [Medline]. All Topics Meetings & events 877-229-8291 Eyelids. 2019 AAD election Dermatology Links SARA M. POPE, MD, MPH, Puget Sound Family Medicine Residency Program, Naval Hospital, Bremerton, Washington PubChem BioAssay Initial therapy may include a medium-potency topical steroid (triamcinolone can be prescribed in a 1 pound jar) ointment applied to affected skin (avoiding facial skin) twice every day. The addition of the soak and smear method (soak in a warm water tub with no soap for 15-20 minutes; while still wet, apply the topical steroid, then dress in cotton pajamas and/or a vinyl sauna suit, preferably worn over damp cotton pajamas) will often speed improvement, as well as reduce pruritus dramatically. Patients must be cautious not to employ this modality for longer than 1-2 weeks to prevent side effects. Weight Loss & Obesity Infants (scalp): Called cradle cap, this tends to completely disappear without treatment. If treatment is necessary, a dermatologist may recommend: Acne Irritation What to Read Next on Medscape Pityriasis amiantacea NEWS CME DRUGS CHARTS CALCULATORS RESOURCES MULTIMEDIA MEETINGS JOBS Regular washing of the scalp with baby shampoo or aqueous cream is followed by gentle brushing to clear the scales. Dermatitis Artefacta Parakeratosis and scale-crust especially adjacent to follicular ostia Microdermabrasion Scarring Alopecia - Frequently Asked Questions Grants from outside organizations Scroll to Accept Hair Loss Melanoma Dandruff, Cradle Cap, and Other Scalp Conditions - MedlinePlus Health Information Dissecting Cellulitis of the Scalp The Authorsshow all author info Prohic A, Kasumagic-Halilovic E. Identification of Malassezia species from immunocompetent and immunocompromised patients with seborrheic dermatitis. Eur Rev Med Pharmacol Science. Dec 2010. 14(12):1019-23. [Medline]. Featured Services Signup Data Sources: Essential Evidence Plus was searched using the keywords dermatitis and seborrheic. Search date: July 29, 2013. Ovid was searched using the keywords cancer risk and topical calcineurin inhibitors. Search date: February 3, 2014. Ovid was searched using the keywords seborrheic dermatitis and microbiology. Search date: February 8, 2014. Ovid was searched using the keywords seborrheic dermatitis, diagnosis of, and classification of. Search date: February 15, 2014. Ovid was searched using the keywords seborrheic dermatitis, and studies were limited to those published January 1, 2013, through September 2014. Search date: October 14, 2014. William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative Dermatology Diet & Weight Management Seborrheic dermatitis of the scalp. Cold, Flu & Cough Master Dermatologist Award PubMed Central (PMC) Featured Services Signup Health News Ferri FF. Seborrheic dermatitis. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed April 4, 2017. Although the pathophysiology of seborrheic dermatitis is not completely understood, the mechanisms of effective therapies coupled with results of recent biomolecular studies provide clues about the causes. The redness, itching, and scaling associated with seborrheic dermatitis are caused by changes in skin cell functioning.6,7 Malassezia yeast seems to cause a nonspecific immune response that begins the cascade of skin changes that occur in seborrheic dermatitis.6 Malassezia is a normal component of skin flora, but in persons with seborrheic dermatitis, the yeast invade the stratum corneum, releasing lipases that result in free fatty acid formation and cause the inflammatory process to begin.8 Malassezia thrive in high-lipid environments, so the presence of free fatty acids enhances the growth of the yeast. The inflammation causes stratum corneum hyperproliferation (scaling) and incomplete corneocyte differentiation, which alters the stratum corneum barrier and impairs its function, thus increasing access for Malassezia and allowing water to more readily leave the cells.8 What is the treatment for seborrhoeic dermatitis? Popular in: Dermatology Twitter Nutrition / Diet 中文 Hair and scalp problems العربية 4. Selden, S. (2010). “Seborrheic Dermatitis: Follow-up.” eMedicine from WebMD. : http://emedicine.medscape.com/article/1108312-overview MORE The Basics of Dandruff Publication type Eczema Provider Finder UpToDate: "Cradle cap and seborrheic dermatitis in infants." Supplemental Content Contact Us to Give Bookshelf 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. Appointment Fees Awards, grants, and scholarships Doctors don't yet know the exact cause of seborrheic dermatitis. It may be related to: Drug Database Related Conditions It is not an allergy. Scales can flake off and tend to be yellowish to white. Doctors and Medical Staff Eczema / dermatitis What is seborrhoeic dermatitis? External link. Please review our privacy policy. COPYRIGHT © 2010-2018, DR. JEFF DONOVAN Genetic Testing Registry Dermatology Daily Get involved Leadership Institute Career planning DataDerm Skin can itch, burn, or look red. The scales that flake off could be white or yellowish and look moist or oily. Seborrheic dermatitis occurs in persons of all races. PMID List Diseases & Conditions Seborrheic Dermatitis Did you find this page useful? We want to continue to deliver accurate dermatological information to health professionals and their patients — for free. Funding goes towards creating articles for DermNet, supporting researchers, and improving dermatological knowledge around the world. OnHealth Infantile seborrhoeic dermatitis causes cradle cap (diffuse, greasy scaling on scalp). The rash may spread to affect armpit and groin folds (a type of napkin dermatitis). Partnership Volunteer opportunities Eczema Facts Become a member Shampoo once a week using the dandruff shampoo Master Dermatologist Award Shampooing the baby’s scalp daily with a baby shampoo. 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