Oral agents including retinoids (isotretinoin) and oral anti-fungal agents (itraconazole) are reserved for more challenging cases of seborrheic dermatitis that is unresponsive to conventional treatments.  Dermatology Ed. SNP External auditory canals and post-auricular skin Race 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.” Brodell EE, Smith E, Brodell RT. Exacerbation of seborrheic dermatitis by topical fluorouracil. Arch Dermatol. Feb 2011. 147(2):245-6. [Medline]. Media Inquiries Question of the Week Nummular Dermatitis MNT - Hourly Medical News Since 2003  There are a variety of treatments of Seborrheic dermatitis. Eradicating the Malasezia yeast appears to be important in the treatment. For this reason, I generally recommend use of various anti-dandruff shampoos including those containing zinc pyrithione, selenium sulphide, ketoconazole, and ciclopirox. These should be left on the scalp for 1-5 minutes depending on the specific patient's scalp. Anti-dandruff shampoos can be drying, and so careful monitoring is needed to determine how best to use these for any given patent.  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. Summary Elish D, Silverberg NB. Infantile seborrheic dermatitis. Cutis. 2006 May. 77(5):297-300. [Medline]. Newsletters Sign Up to Receive Our Free Newsletters FREQUENTLY ASKED QUESTIONS ABOUT SUBSEQUENT APPOINTMENTS All Variation Resources... Cochrane Scholarship Mayo Clinic Marketplace ARTICLES ON ALOPECIA AREATA If you think you might have seborrheic dermatitis, you should see a dermatologist for a diagnosis. This common skin condition can look like psoriasis, eczema, or an allergic reaction. Each of these skin diseases requires different treatment. Initial therapy may include a medium-potency topical steroid (triamcinolone can be prescribed in a 1 pound jar) ointment applied to affected skin (avoiding facial skin) twice every day. The addition of the soak and smear method (soak in a warm water tub with no soap for 15-20 minutes; while still wet, apply the topical steroid, then dress in cotton pajamas and/or a vinyl sauna suit, preferably worn over damp cotton pajamas) will often speed improvement, as well as reduce pruritus dramatically. Patients must be cautious not to employ this modality for longer than 1-2 weeks to prevent side effects. Causes and risk factors Bathing The resource you are looking for might have been removed, had its name changed, or is temporarily unavailable. Seborrheic dermatitis is a condition that dermatologists frequently diagnose and treat. Dermatology Education My Profile Not a member yet? Sign Up Now No Results Agenda When an infant gets seborrheic dermatitis, it tends to form on the scalp and is known as cradle cap. Signs and symptoms of cradle cap include: Cochrane Scholarship About skin: Your body's largest organ All material on this website is protected by copyright, Copyright © 1994-2018 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Why see a board-certified dermatologist? ARTICLES ON SCARRING ALOPECIA The diagnosis of seborrheic dermatitis is most commonly made by history and physical examination alone. Meet the Staff - Dena J. Howell, MD Discovery's Edge Magazine Diet & Weight Management Compliance Discontinuance of hair spray or hair pomades Hypopigmentation, skin atrophy, stinging, telangiectasia Physician Directory $32 ($289) for 60 mL (This is a brief review of seborrheic dermatitis in the setting of HIV infection.) Elish D, Silverberg NB. Infantile seborrheic dermatitis. Cutis. 2006 May. 77(5):297-300. [Medline]. Contribute to Dermnet Moisturizers By 2050, more than 50% of the US population will have skin of color. Melanoma Irritation Part 3: Function Advocate of the Year Award > Tatlican S, Eren C, Eskioglu F. Insight into pimecrolimus experience in seborrheic dermatitis: close follow-up with exact mean cure and remission times and side-effect profile. J Dermatolog Treat. 2009. 20(4):198-202. [Medline]. Scale is often yellow to brownish in color. Mentorship More Topics Manuel F, Ranganathan S. A new postulate on two stages of dandruff: a clinical perspective. Int J Trichology. 2011 Jan. 3 (1):3-6. [Medline]. Dermatologists recommend the following to remove scale from your skin: Administration, Oral (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.) Quality About This Site This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests. Email Alerts Popular topics Your MNT Help Not a member yet? Cleansers Histologic Findings Share on: FacebookTwitter People of all colors and ages get seborrheic dermatitis. You have a higher risk if any of the following apply to you. Research Award Tips and Checklist When an infant gets seborrheic dermatitis, it tends to form on the scalp and is known as cradle cap. Signs and symptoms of cradle cap include: Images used with permission of the American Academy of Dermatology National Library of Dermatologic Teaching Slides. Read the Issue Pathophysiology Acanthosis Spa & Laser Services Rejuvapen Great Networking Atmosphere in Dallas! Press Releases Tangles of tau protein are a hallmark of Alzheimer's disease. Now, scientists have uncovered a new mechanism through which tau disrupts brain cells. Skinner RB Jr, Noah PW, Taylor RM, et al. Double-blind treatment of seborrheic dermatitis with 2% ketoconazole cream. J Am Acad Dermatol. 1985 May. 12(5 Pt 1):852-6. [Medline]. Kids' Allergies Warnings Sponsorship Topical corticosteroids Once the scale starts to soften, gently brush it away. Pending state legislation Mayo Clinic Marketplace LinkOut - more resources http://www.nlm.nih.gov/medlineplus/ency/article/000963.htm Sleep Apnea May Raise Odds for Painful Gout MOST RECENT ISSUE More frequent shampooing or longer lathering Ozden MG, Tekin NS, Ilter N, Ankarali H. Topical pimecrolimus 1% cream for resistant seborrheic dermatitis of the face: an open-label study. Am J Clin Dermatol. 2010. 11(1):51-4. [Medline]. Patient education resources Awards, grants, and scholarships More common in males Mayo Clinic Health Letter View More Skip to main content Seborrheic dermatitis is more common in certain populations, some of which have been outlined in the previous section. Additional settings in which seborrheic dermatitis may be seen include: Clinical Advisor For acute flares, class IV or lower corticosteroid creams, lotions, or solutions Treatment for seborrheic dermatitis focuses on loosening scale, reducing inflammation and swelling, and curbing itch. 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