Seborrheic dermatitis is a superficial fungal disease of the skin, occurring in areas rich in sebaceous glands. It is thought that an association exists between Malassezia yeasts and seborrheic dermatitis. This may, in part, be due to an abnormal or inflammatory immune response to these yeasts. The azoles represent the largest class of antifungals used in the treatment of this disease to date. In addition to their antifungal properties, some azoles, including bifonazole, itraconazole, and ketoconazole, have demonstrated anti-inflammatory activity, which may be beneficial in alleviating symptoms. Other topical antifungal agents, such as the allylamines (terbinafine), benzylamines (butenafine), hydroxypyridones (ciclopirox), and immunomodulators (pimecrolimus and tacrolimus), have also been effective. In addition, recent studies have revealed that tea tree oil (Melaleuca oil), honey, and cinnamic acid have antifungal activity against Malassezia species, which may be of benefit in the treatment of seborrheic dermatitis. In cases where seborrheic dermatitis is widespread, the use of an oral therapy, such as ketoconazole, itraconazole, and terbinafine, may be preferred. Essentially, antifungal therapy reduces the number of yeasts on the skin, leading to an improvement in seborrheic dermatitis. With a wide availability of preparations, including creams, shampoos, and oral formulations, antifungal agents are safe and effective in the treatment of seborrheic dermatitis. Fritsch, PO, Reider, N., Bolognia, JL, Jorizzo, JL, Rapini, RP. "Other eczematous eruptions". Dermatology. Mosby-Elsevier. 2008. pp. 197-200. HOME        RESEARCH     BIO - DR. DONOVAN     DAILY BLOG     CONTACT US Schwartz JR, Rocchetta H, Asawanonda P, Luo F, Thomas JH. Does tachyphylaxis occur in long-term management of scalp seborrheic dermatitis with pyrithione zinc-based treatments?. Int J Dermatol. 2009 Jan. 48(1):79-85. [Medline]. Homology 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. Slideshow More in AFP About Seborrheic dermatitis symptoms may be worsened by heat,6 illness, irritation, some medications,4 cold and dry environments,5 and stress. As mentioned previously, certain diseases are associated with higher rates of developing seborrheic dermatitis. Causes Urology / Nephrology Key principles of therapy Overview of PRP Treatments for Hair Loss How Does Chemo Work? © 2004-2018 All rights reserved. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Geriatric Illnesses Taxonomy Common Tree ADD/ADHD Dandruff shampoos. Email Alerts PICMED Grant Dermatitis Atópica en Niños New research finds the mechanisms that may drive inflammation in the brain, leading to the loss of neurons with age. Can brain aging be reversed, however? Ad Choices Resident International Grant Center of the face. Red skin Spa & Laser Services Get Involved Mentee Application Learn benefits & Join us! Research Centers and Programs Is Salicylic Acid Good For Your Skin? Question of the Week How to Quit Smoking HIT stinging Member resources It tends to be less itchy Manage Cookies Splign Diagnosis and Treatment of Seborrheic Dermatitis Emerging Diseases Find Clinical Trials Blog 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. Excellence in Dermatopathology™ Find a dermatologist Log in Clark GW, et al. Diagnosis and treatment of seborrheic dermatitis. American Family Physician. 2015;91:185. Top Picks About Us White or yellowish crusty scale on the surface. Resident International Grant Home Topics A–Z Images Browse Glossary CME Quizzes About Contact Jobs How do I know if I have seborrheic dermatitis? AAD Buyer's Guide Kastarinen, H, Oksanen, T, Okokon, EO, Kiviniemi, VV. "Topical anti-inflammatory agents for seborrhoeic dermatitis of the face or scalp". Cochrane Database Syst Rev.. 2014 May 19. pp. CD009446. Career planning take the tour Aging Well Public Education - Videos and Audio Intertriginous Candida All material on this website is protected by copyright, Copyright © 1994-2018 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Shampoo (without dandruff control) Treatment of dandruff may involve the following: Clinical recommendation Evidence rating References White or yellowish crusty scale on the surface. How Does Chemo Work? Feb 1, 2015 Issue Order OUR QUESTION OF THE WEEK Impacted states Search term For infants with cradle cap, shampoo their scalp daily with warm water and baby shampoo. If that doesn't help, talk to your pediatrician about medicated shampoos before you try one. A dandruff shampoo could irritate your baby's scalp. To soften thick patches first, rub mineral oil onto the area and brush gently with a baby hairbrush to help peel the scales off. Weight Loss & Obesity About NEA HIV (About 85 percent of people infected with HIV develop seborrheic dermatitis). Do I Have a Skin Infection? ARTICLES ON OTHER CONDITIONS Special Report America's Pain: The Opioid Epidemic Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. allergic dermatitis | dermatitis shampoo allergic dermatitis | dermatitis symptoms allergic dermatitis | dermatitis treatment
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