Facebook Twitter Instagram 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. PubChem Compound Find a directory of doctors and departments at all Mayo Clinic campuses. Visit now.. PubMed Basement Membrane Zone lecture What should you tell the patient about the prognosis? Sign up for a free Medical News Today account to customize your medical and health news experiences. Scaly patches on the skin. Conserved Domain Search Service (CD Search) Drugs & Supplements 2002 1084813-overview Diseases & Conditions Skin Conditions Resources White or yellowish crusty scale on the surface. NCBI Help Manual 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. Molluscum Eating disorder. JAAD Case Reports The skin beneath these patches is reddish. Sarah Lee, BA and Roopal V. Kundu, MD Email Alerts Registration Your privacy is important to us. Knowledge center More from WebMD Hypopigmentation, skin atrophy, stinging, telangiectasia A yeast (fungus) called malassezia that is in the oil secretion on the skin DDx Stay up-to-date on the latest news and happenings related to The Skin of Color Society. If you are experiencing symptoms, make an appointment with your doctor to get the correct diagnosis and treatment. MOST RECENT ISSUE 4310 Old Shell Road Suite D NCBI Help Manual 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. Find a dermatologist Português Healthy Living Program Expert Blogs and Interviews Fragrance-free moisturizer The signs and symptoms may be more severe if you're stressed, and they tend to flare in cold, dry seasons. Diseases & Conditions NCBI on YouTube Rash: Symmetrical erythematous macules, patches and thin papules or plaques with yellow, greasy scale For the scalp: Alternate between using your regular shampoo and a medicated dandruff shampoo. If you are African American, wash with the medicated shampoo once weekly. Taper off as your symptoms improve. Step therapy legislation 6. Bolognia, J. L., Jorizzo, Joseph L., Rapini, Ronald P. (2007). Dermatology, Mosby. Our Committees Seborrheic dermatitis is not contagious. Scale is often yellow to brownish in color. 8. Schwartz JR, Messenger AG, Tosti A, et al. A comprehensive pathophysiology of dandruff and seborrheic dermatitis - towards a more precise definition of scalp health. Acta Derm Venereol. 2013;93(2):131–137. Dermatology Actinic keratosis Corticosteroids FSMB Interstate Compact Raising Fit Kids 7. Viodé C, Lejeune O, Turlier V, et al. Cathepsin S, a new pruritus biomarker in clinical dandruff/seborrhoeic dermatitis evaluation. Exp Dermatol. 2014;23(4):274–275. Sasseville D. Seborrheic dermatitis in adolescents and adults. https://www.uptodate.com/home. Accessed April 3, 2017. Hair care / hair loss 6. Bolognia, J. L., Jorizzo, Joseph L., Rapini, Ronald P. (2007). Dermatology, Mosby. Blog Skin dictionary Physical Examination Dietary Changes Can Lessen Severity of Psoriatic Disease Low- or mid-potency topical corticosteroids have been successful in reducing symptoms of seborrheic dermatitis and are as effective as antifungal and other anti-inflammatory agents.22,29 Although they are effective and cost significantly less than topical antifungals and calcineurin inhibitors, topical corticosteroids are best used as second-line agents because long-term use has been associated with thinning of the skin and formation of telangiectasia.2,18,19,22,26,28,29,32 Physicians Mentee Application Medical Departments and Centers Post-Inflammatory Hyperpigmentation (PIH) Patient information: Seborrheic dermatitis (including dandruff and cradle cap) (Beyond the Basics) – UpToDate (for subscribers) Twice daily for up to four weeks Antifungal products Sexual Conditions actinic dermatitis | perioral dermatitis treatment actinic dermatitis | perivascular dermatitis actinic dermatitis | propolis cream
Legal | Sitemap