Sign Up Now Patient Care & Health Information The cause of seborrhoeic dermatitis is not completely understood. It is associated with proliferation of various species of the skin commensal Malassezia, in its yeast (non-pathogenic) form. Its metabolites (such as the fatty acids oleic acid, malssezin, and indole-3-carbaldehyde) may cause an inflammatory reaction. Differences in skin barrier lipid content and function may account for individual presentations. Treatment Options by Disease Location. Methotrexate and Azathioprine for Severe Atopic Dermatitis $13 ($7) for 15-g tube of cream; $25 ($13) for 60-mL bottle of lotion Coal tar shampoo Board of Directors Quality Seborrheic dermatitis causes a red rash with yellowish and somewhat "oily" scales. In addition to the scalp, seborrheic dermatitis can occur on the sides of the nose, in and between the eyebrows, and in other oil-rich areas. The usual onset occurs with puberty. It peaks at age 40 years and is less severe, but present, among older people. In infants, it occurs as cradle cap or, uncommonly, as a flexural eruption or erythroderma. [26] PMID List Moles/Lesions Melanoma Sasseville D. Seborrheic dermatitis in adolescents and adults. https://www.uptodate.com/home. Accessed April 3, 2017. Popular PATIENT EDUCATION You can now embed our Search Bar in your independent practice, hospital website or blog. Nummular Eczema in Children 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. Housing and travel AAD Dermatology Buyer's Guide Explore Research Labs Skin biopsy: often nonspecific and subtle Ambassador Program Reddish, oily-looking patches often appear on the scalp and face. State policy and action Nucleotide Database Mayo Clinic School of Continuous Professional Development †—Off-label use. WebMD Medical Reference Reviewed by Stephanie S. Gardner, MD on April 15, 2018 Fraxel Re:store Dual Fit Kids FIND A FREE SPOTme® SKIN CANCER SCREENING Adult seborrheic dermatitis Methotrexate and Azathioprine for Severe Atopic Dermatitis Chemicals & Bioassays What Is Dyshidrotic Eczema? Drug pricing and availability Position statements There are many natural treatments that can add to medical treatments. For young children, someone should always talk to a doctor before using any of these products. This is because there is very little research on their effects and safety in children. Dietary Changes Can Lessen Severity of Psoriatic Disease Zinc pyrithione shampoo Barhum, Lana. "Natural remedies for seborrheic dermatitis." Medical News Today. MediLexicon, Intl., 26 Aug. 2017. Web. Blood / Hematology Bill Pay Tinea Versicolor What causes them, and what you can do about them. My Bibliography Gibson LE (expert opinion). Mayo Clinic, Rochester, Minn. April 6, 2017. Steroid scalp applications reduce itching, and should be applied daily for a few days every so often. Treatments Living Healthy Our Apps No matter where the seborrheic dermatitis forms, it tends to permanently disappear between 6 months and 1 year of age. Irritation With time, the scale becomes flaky and easily rubs off. PRINT $4 for 28-g tube of cream; $7 for 28-g tube of ointment Lack of scalp involvement exists. What you should know. More common in males Call for nominations Topical antifungals are often prescribed, depending on the extent of the rash. 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. When to see a doctor Borda, L. J., & Wikramanayake, T. C. (2015, December 15). Seborrheic dermatitis and dandruff: A comprehensive review. Journal of Clinical and Investigative Dermatology, 3(2). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852869/ Alopecia areata - Frequently Asked Questions Can you remove a skin tag yourself? A thick layer of scale can cover the entire scalp. The Authorsshow all author info Patient Handouts - By Type of Treatment On the face and body, keep the affected areas clean -- wash with soap and water every day. Sunlight may stop the growth of the yeast organisms that inflame the skin, so being outdoors and outdoor exercise could help make the rash go away. Always be sure to wear sunscreen. Other treatments include: Books 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 Symptoms Beauty & Balance Information from references 2, 3, 5, 8, 9, and 13 through 32. What should you tell the patient about the prognosis? Dissecting Cellulitis of the Scalp A yeast (fungus) called malassezia that is in the oil secretion on the skin Scale on scalp tends to be fine, white. Microbial Sensitivity Tests Back to hair blogs Okokon EO, et al. Topical antifungals for seborrhoeic dermatitis. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008138.pub3/full. Accessed April 3, 2017. 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