Immunocompetent patients with seborrheic dermatitis present similarly to those without HIV infection; however, an atypical and more extensive presentation is common in those infected with HIV (Figure 1). Sequence Read Archive (SRA) Last reviewed Sat 26 August 2017 Last reviewed Sat 26 Aug 2017 FIND A DERMATOLOGIST Copyright © 2018 Haymarket Media, Inc. All Rights Reserved ARTICLES ON SCARRING ALOPECIA Salicylic acid and sulfur Mayo Clinic School of Graduate Medical Education World Congress of Dermatology Booklet Order Form RefSeqGene Scalp Shampoos - lather, leave in 5 minutes, then rinse; 2-3 times/week·         Ciclopirox 1% (probably most effective; Evidence level A)·         Ketoconazole 2% (Evidence level A)·         Zinc pyrithione 1% (Evidence level B)·         Coal tar 0.5%, 1%·         Selenium sulfide 1%, 2.25% (least effective; Evidence level C) Clobetasol 0.05% shampoo (likely not appropriate for long-term use; Evidence level A) ·         Propylene glycol lotion 15% (applied to wet hair after shampooing, leave on for 5 minutes, then rinse; Evidence level A)For recalcitrant disease: ·         Oral itraconazole 200mg daily for 1 month, then 2 days each of the following 11 months·         Oral terbinafine 250mg daily for 4-6 weeks 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. Figure 1. Drug Interaction Checker WebMD Health Record HealthyChildren.org: "Cradle Cap & Seborrheic Dermatitis." State Advocacy Grant 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/ Can be seen at all stages of disease, however, atypical and more extensive involvement can be associated with worsening immunodeficiency. General information Secondary syphilis Parakeratosis Cn3D Philanthropy at Mayo Clinic Gene Expression Omnibus (GEO) Datasets 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. Boards study tools Doctors and Medical Staff Accessibility When needed, a skin biopsy may help confirm the clinical suspicion of seborrheic dermatitis and rule out some diseases in the differential diagnosis (Langerhans cell histiocytosis). Sun Protection for Skin of Color The diagnosis of seborrheic dermatitis is usually made on clinical grounds, based on a history of waxing and waning severity and by the distribution of involvement upon examination. Skin Discolorations Choosing Wisely SIMILAR ARTICLES Allergic contact dermatitis, irritation American Academy of Dermatology Nucleotide Database Treatment for seborrheic dermatitis focuses on loosening scale, reducing inflammation and swelling, and curbing itch. Allergic contact dermatitis, irritation DW Weekly Our Apps Position statements 2002 1108312-overview Diseases & Conditions Facebook How to get rid of a blind pimple Face, ears (including EAC), intertriginous, and trunk Ketoconazole 2% cream BID (Evidence level A)·         Ciclopiroxolamine 1% cream BID (Evidence level A)·         Clotrimazole 1% cream BID·         Miconazole 2% cream BID·         Econazole 1% cream BID Hydrocortisone 1%, 2.5% cream, ointment BID (Evidence level A)·         Desonide 0.05% cream, ointment BID·         Fluocinolone 0.01% oil BID (for use in EAC)·         Triamcinolone 0.1% cream, ointment BID (for persistent disease on the trunk only) ·         Lithium succinate or gluconate 8% ointment BID (Evidence level A)·         Topical pimecrolimus 1% cream BID (Evidence level B)·         Topical tacrolimus 0.1% ointment BID (Evidence level C)For recalcitrant disease:·         Oral itraconazole 200mg daily for 1 month, then 2 days each of the following 11 months (Evidence level B)·         Oral terbinafine 250mg daily for 4-6 weeks (Evidence level A) Spa & Laser Services Griseofulvin is not effective against Malassezia and should not be used. PATIENT EDUCATION Questions & Answers Mayo Clinic School of Continuous Professional Development SPOT Skin Cancer™ About the CME program Scalp treatment About NCBI Calculators More common in males Cn3D Generalized seborrheic erythroderma (rare) Healthy Teens Share: Seborrheic Dermatitis (Seborrheic Dermatitis, Seborrheic Eczema, Dermatitis Seborrhoides, Seborrheic dermatitis unspecified, Seborrheic Capitis, Pityriasis Capitis, Scalp Dandruff, Pityriasis Sicca, Infantile seborrheic dermatitis, Seborrheic Blepharitis) stinging AIDS Editor's Collections See the DermNet NZ bookstore. Below breasts These medicines can cause skin thinning with overuse, so doctors will only recommend them for short-term use. Supplementing these topical medicines with natural treatments can decrease side effects and may be better in the long term. Ultrasound Gel May Have Caused Contact Dermatitis Case, Report Says Native American Health Services Resident Rotation Slideshow Things That Can Hurt Your Joints Seborrhoeic dermatitis (American spelling is ‘seborrheic’) is a common, chronic or relapsing form of eczema/dermatitis that mainly affects the sebaceous, gland-rich regions of the scalp, face, and trunk .  actinic dermatitis | seborrheic dermatitis nose actinic dermatitis | seborrheic dermatitis on ear actinic dermatitis | seborrheic dermatitis on eyelids
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