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.
Request an Appointment at Mayo Clinic Oral Care Habif TP, Campbell JL, et al. “Seborrheic dermatitis.” In: Dermatology DDxDeck.China, Mosby Elsevier: 2006, p. 40.
Plaques tend to be thicker with more pronounced erythema or redness. Consider Clinical Trials GenBank: BankIt
Seborrheic dermatitis is a chronic disease that tends to wax and wane in severity. Patients may see worsening of their disease with stress, changes in environment, and travel. In general, seborrheic dermatitis is more difficult to treat in those with HIV infection and may be resistant. These patients often have more areas involved and are at increased risk of developing erythroderma, although this is a rare complication of seborrheic dermatitis.
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27. Papp KA, Papp A, Dahmer B, Clark CS. Single-blind, randomized controlled trial evaluating the treatment of facial seborrheic dermatitis with hydrocortisone 1% ointment compared with tacrolimus 0.1% ointment in adults. J Am Acad Dermatol. 2012;67(1):e11–e15.
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Seborrheic dermatitis is associated with normal levels of Malassezia but an abnormal immune response. Helper T cells, phytohemagglutinin and concanavalin stimulation, and antibody titers are depressed compared with those of control subjects. Zani et al report that even with antifungal treatments, there was no reduction in levels of Malassezia.  The contribution of Malassezia species to seborrheic dermatitis may come from its lipase activity—releasing inflammatory free fatty acids—and from its ability to activate the alternative complement pathway. 
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(This thorough review finds no evidence for superiority of any treatment compared to topical steroids, but most of the included studies were small and short.) Tuberculosis
877-229-8291 redness Education 34. Thaçi D, Salgo R. Malignancy concerns of topical calcineurin inhibitors for atopic dermatitis: facts and controversies. Clin Dermatol. 2010;28(1):52–56.
Seborrheic dermatitis: Tips for managing Images used with permission of the American Academy of Dermatology National Library of Dermatologic Teaching Slides.
Our Pre-visit Patient Questionnaire Nucleotide Database Table of contents Some patients develop seborrheic dermatitis for no clear reason. These individuals likely have an underlying predisposition to the condition. However, it is now clear that there are a number of risk factors for seborrheic dermatitis, including neurological disease (Parkinson's disease, traumatic brain injury), depression, organ transplantation, HIV/AIDS, alcoholic pancreatitis, intense stress.
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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.
A weakened immune system, such as seen in organ transplant recipients and people with HIV/AIDS, alcoholic pancreatitis and some cancers
Clark, G., Pope, S., & Jaboori, K. (2015, February 1). Diagnosis and treatment of seborrheic dermatitis. American Academy of Family Physicians, 91(3), 185-190. Retrieved from http://www.aafp.org/afp/2015/0201/p185.html
Sexual Conditions 30. Koc E, Arca E, Kose O, Akar A. An open, randomized, prospective, comparative study of topical pimecrolimus 1% cream and topical ketoconazole 2% cream in the treatment of seborrheic dermatitis. J Dermatolog Treat. 2009;20(1):4–9.
Click here for more information on the Valeant Research Award. The following factors are sometimes associated with severe adult seborrhoeic dermatitis:
Infectious Disease Advisor Facebook If you decide the patient has seborrheic dermatitis, what therapies should you initiate?
Career planning Odom RB. Seborrheic dermatitis in AIDS. J Int Postgrad Med. 1990. 2:18-20. A weakened immune system, such as seen in organ transplant recipients and people with HIV/AIDS, alcoholic pancreatitis and some cancers
Often the best results come from a combination of treatments, both medication and lifestyle.
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On day 2, use your regular shampoo, using it every other day. 6 Sep. 2018.
Cancer MeSH terms Eczema Expo There is no cure for seborrheic dermatitis but there are treatments that can help reduce the frequency and severity of flares. In other words, appropriate treatment, can help make it appear that patients have minor disease or no disease at all. However, periodic use of anti-fungal and anti-inflammatory agents may be needed to keep the condition under control.
Burning, cough, fever, hypopigmentation, pruritus, rhinorrhea, skin atrophy dandruff, or flaking skin, on the scalp, hair, beard, mustache, or eyebrows
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License Academy content, products, and services Neutrophil exocytosis In cases where corticosteroids are not appropriate, or when they have been used for a prolonged period, a non-corticosteroid topical medication such as tacrolimus (Protopic) or pimecrolimus (Elidel) may be prescribed. These medications are called topical calcineurin inhibitors (TCIs) and are approved for use by adults and children two years of age or older. Oral antifungal agents may be used in very severe cases.
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SD symptoms tend to be worse during cold, dry weather seasons, or when someone is stressed.
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potential allergic reaction in people with skin sensitivity Your risk increases if you have any of these medical conditions: Dessinioti C, Katsambas A. Seborrheic dermatitis: etiology, risk factors, and treatments: facts and controversies. Clin Dermatol. 2013 Jul-Aug. 31 (4):343-51. [Medline].
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Wash, using the soap that contains 2% zinc pyrithione. Continued Please use one of the following formats to cite this article in your essay, paper or report:
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