Table 1. Moisturizing Salmon-pink, thin, scaly, and ill-defined plaques in skin folds on both sides of the face Media Day Skin Discolorations Medication Groisser D, Bottone EJ, Lebwohl M. Association of Pityrosporum orbiculare (Malassezia furfur) with seborrheic dermatitis in patients with acquired immunodeficiency syndrome (AIDS). J Am Acad Dermatol. 1989 May. 20(5 Pt 1):770-3. [Medline]. 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. What you need Comb or brush Celiac sprue FSMB Interstate Compact Anti-inflammatory medications, such as topical corticosteroids or calcineurin inhibitors, may also be used, especially if the disease is resistant to initial antifungal treatment. Dermatitis, Seborrheic/microbiology PubChem Substance SD symptoms tend to be worse during cold, dry weather seasons, or when someone is stressed. Pending state legislation Early treatment of flares is encouraged. Behavior modification techniques in reducing excoriations are especially helpful with scalp involvement. Seite S, Rougier A, Talarico S. Randomized study comparing the efficacy and tolerance of a lipohydroxy acid shampoo to a ciclopiroxolamine shampoo in the treatment of scalp seborrheic dermatitis. J Cosmet Dermatol. 2009 Dec. 8(4):249-53. [Medline]. CON-20305524 Get the most out of Medical News Today. Subscribe to our Newsletter to recieve: Workup View More Neurology Advisor 4370 Lorimer Road, Suite 334B Whistler, BC, Canada (604) 283-1887 Recognized Credit Dermatology Links The condition affects people of all ages. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM. 34. Thaçi D, Salgo R. Malignancy concerns of topical calcineurin inhibitors for atopic dermatitis: facts and controversies. Clin Dermatol. 2010;28(1):52–56. Commonly Abused Drugs Women's Health Table 1. Plaques tend to be thicker with more pronounced erythema or redness. Hyperkeratosis There are infantile and adult forms of seborrhoeic dermatitis. It is sometimes associated with psoriasis (sebopsoriasis). Seborrhoeic dermatitis is also known as seborrhoeic eczema. All Training & Tutorials Resources... Melanoma Data & Software Add the DermNet Search Bar Power of Probiotics Our Products AIDS WebMD does not provide medical advice, diagnosis or treatment. Cart Dermatology is often consulted, especially if the patient presents with erythroderma. WebMDRx See how Mayo Clinic research and clinical trials advance the science of medicine and improve patient care. Explore now.. Dermatology Application Timeline Skin can itch, burn, or look red. The scales that flake off could be white or yellowish and look moist or oily. Quizzes Find a Dermatologist Everett C. Fox Award and Lectureship Bladder Control Issues Allergic contact dermatitis, irritation $4 for 28-g tube of cream; $7 for 28-g tube of ointment Categories Corticosteroids Coding and reimbursement greasy skin patches on the scalp, face, nose, eyelids, ears, chest, armpits, groin, and under the breasts Oral Care CME & Education In the groin MACRA implementation Mentoring INFECTIOUS DISEASE ADVISOR GOOGLE PLUS AAD logo Influenza Virus Drugs Diseases & Conditions Stasis Dermatitis Scale softener, such as a cream that contains coal tar or salicylic acid and sulfur Slideshow Working Out When You're Over 50 By studying seborrheic dermatitis, researchers have learned the following: Career planning Find a directory of doctors and departments at all Mayo Clinic campuses. Visit now.. Experts & Community Pregnancy Parenting Guide Protein Microdermabrasion Discontinuance of hair spray or hair pomades Adults and adolescents Review Meetings Calendar You've tried self-care steps without success All How To Reference Sequences Eczematous eruption caused by habitual scratching of single localized area; more common in adults, but possible in children Give Now Patches of greasy skin covered with flaky white or yellow scales or crust on the scalp, face, sides of the nose, eyebrows, ears, eyelids, chest, armpits, groin area or under the breasts TOPICS Step therapy legislation Share Medical Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. 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