Consider Clinical Trials Cold Sores Rash: Symmetrical erythematous macules, patches and thin papules or plaques with yellow, greasy scale ADD/ADHD Sertaconazole 2% cream (Ertaczo) Get Support Previous meetings archive S - Z Race AAD CME Award Impacted states State advocacy grants When to see a doctor DDx Mentee Application Often the best results come from combining two or more treatments. Your dermatologist can create a treatment plan to meet your needs. Most plans include medication and skin care. 2019 Annual Symposium 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.” 2002 1084813-overview Diseases & Conditions Feedback Citation AAD store Infants: Diaper area and elsewhere Although some doctors warn their patients that any treatment for scalp seborrheic dermatitis may lose its effectiveness after three months of use, a study evaluating a zinc scalp treatment at six and 11 months showed no loss of effect.20 A study of the long-term use of ketoconazole shampoo for maintenance therapy also showed no degradation in effectiveness over time.21 What may appear to be a worsening of symptoms despite continued use of a treatment may actually represent the natural, varying course of the disease. Often, reassurance and maintenance of therapy are all that is needed, reserving changes in treatment for persistent worsening of symptoms. Patients with symptoms that do not respond to any of the therapies outlined above may benefit from systemic anti-inflammatories and should be referred to a dermatologist. Mayo Clinic is a not-for-profit organization. Make a donation. Zisova LG. Fluconazole and its place in the treatment of seborrheic dermatitis--new therapeutic possibilities. Folia Med (Plovdiv). 2006. 48(1):39-45. [Medline]. Loading... Click here for more information on the Valeant Research Award. Explore the Academy All Genetics & Medicine Resources... Suggested order of modules If your seborrheic dermatitis doesn't get better, or if the area becomes painful, red, swollen, or starts to drain pus, see your doctor. Mayo Medical Laboratories Results that confirm the diagnosis Seborrheic dermatitis is a common, chronic condition that occurs in the scalp, eyebrows, ears, nose, and chest. This rash is commonly known as dandruff. It is not contagious and runs a chronic course. Symptoms may flare and improve over a period of time. Topical prescription medications can improve symptoms of seborrheic dermatitis. depression What would you like to print? Webinars Please use one of the following formats to cite this article in your essay, paper or report: Alcoholism. The Association With Cardiovascular Disease and Type 2 Diabetes in Adults With Atopic Dermatitis Comments Fish oil Groisser D, Bottone EJ, Lebwohl M. Association of Pityrosporum orbiculare (Malassezia furfur) with seborrheic dermatitis in patients with acquired immunodeficiency syndrome (AIDS). J Am Acad Dermatol. 1989 May. 20(5 Pt 1):770-3. [Medline]. Copyright © 2015 by the American Academy of Family Physicians. 2019 Annual Symposium Adult seborrhoeic dermatitis tends to begin in late adolescence. Prevalence is greatest in young adults and in the elderly. It is more common in males than in females. Key principles of therapy Find & Review SD is a lifelong condition that comes and goes. It is best controlled and managed with treatment. Taxonomy Common Tree Treatment of dandruff may involve the following: 31. Ang-Tiu CU, Meghrajani CF, Maano CC. Pimecrolimus 1% cream for the treatment of seborrheic dermatitis: a systematic review of randomized controlled trials. Expert Rev Clin Pharmacol. 2012;5(1):91–97. Neurological and psychiatric diseases: Parkinson disease, tardive dyskinesia, depression, epilepsy, facial nerve palsy, spinal cord injury and congenital disorders such as Down syndrome Dermatology All DNA & RNA Resources... August 21, 2018 Editorial Policy Supplements Drugs & Supplements Health A-Z PubChem Substance 21 Principles of Practice Cart Residents and Fellows Resource Center Moisturizing Risk Factors for Seborrheic Dermatitis How Ticks Make You Sick 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. Related Content Video Center What would you like to print? diarrhea EMERGING DISEASES WebMD Health Record Do not give aloe vera supplements to children under age 10 years without first discussing the safety and dosage with a doctor. Fish oil, which is high in omega-3 fatty acids, is known for its anti-inflammatory qualities. Studies have shown that taking fish oil supplements causes a reduction in the skin symptoms of various inflammatory skin conditions. Researchers think that genetics and hormones may play a role in the development of SD, but they have yet to identify any specific gene mutations related to the condition. No Results Find Clinical Trials Twice per week MedicineNet Booklet Order Form What other additional laboratory tests may be ordered? Neurology / Neuroscience Gene Schwartz RA, Janusz CA, Janniger CK. Seborrheic dermatitis: an overview. Am Fam Physician. 2006 Jul 1. 74(1):125-30. [Medline]. Register Log In Eczema / dermatitis Managing Diabetes at Work Adolescent or adult: A few people see seborrheic dermatitis clear without treatment. More often, seborrheic dermatitis lasts for years. It tends to clear and flare without warning. Treatment often is necessary to control it. Treating Advanced Prostate Cancer Editorial Policy Video Center Advanced Search BLAST Link (BLink) Apps Procedures Griseofulvin is not effective against Malassezia and should not be used. Dermatitis, Seborrheic/drug therapy* MPR Patient information: Seborrheic dermatitis (The Basics) – UpToDate (for subscribers) Topical use of tea tree oil is safe, but it should be diluted with a carrier oil, such as coconut or olive oil. Mix 3-5 drops of tea tree oil in 1 ounce of carrier oil before applying. 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