Continuing Medical Education All Resources NCBI on YouTube alcoholism or excessive alcohol use Seborrheic dermatitis can be stubborn. If these tips fail to bring relief, you should see a dermatologist. Some people need the expertise of a dermatologist to control seborrheic dermatitis. NCBI Information Full lecture Find A Doctor share share PATIENT FORMS Table I. Log in Our Apps Seborrheic dermatitis - American Academy of Dermatology Slideshow Sign In Author disclosure: No relevant financial affiliations. Dermatology is often consulted, especially if the patient presents with erythroderma. Nucleotide Database Topical corticosteroids are effective in treating seborrheic dermatitis and should be used sparingly to avoid adverse effects. Other Literature Sources Related Articles Plaques tend to be thicker with more pronounced erythema or redness. Probiotics can boost the immune system and decrease inflammatory responses throughout the body. While research on the effects of probiotics on the number of SD flare-ups is limited, probiotics still promote healthier immune responses, so they might be worth trying. In resistant cases in adults, oral itraconazole, tetracycline antibiotics or phototherapy may be recommended. Low dose oral isotretinoin has also been shown to be effective for severe or moderate seborrhoeic dermatitis. Melanoma Networking & Educational Series Please use one of the following formats to cite this article in your essay, paper or report: Contributor Information and Disclosures  Enlarge     Print Member resources and programs Acne in Skin of Color Treat Pets for Fleas Family & Pregnancy Which individuals are of greater risk of developing seborrheic dermatitis? Living All Homology Resources... To diagnose SD, a doctor - typically a dermatologist - will examine the affected areas. Hair and scalp problems Newsletters Sign Up to Receive Our Free Newsletters 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. Walking may prevent heart failure in senior women Scalp Shampoos - lather, leave in 5 minutes, then rinse; 2-3 times/week·         Ciclopirox 1% (probably most effective; Evidence level A)·         Ketoconazole 2% (Evidence level A)·         Zinc pyrithione 1% (Evidence level B)·         Coal tar 0.5%, 1%·         Selenium sulfide 1%, 2.25% (least effective; Evidence level C) Clobetasol 0.05% shampoo (likely not appropriate for long-term use; Evidence level A) ·         Propylene glycol lotion 15% (applied to wet hair after shampooing, leave on for 5 minutes, then rinse; Evidence level A)For recalcitrant disease: ·         Oral itraconazole 200mg daily for 1 month, then 2 days each of the following 11 months·         Oral terbinafine 250mg daily for 4-6 weeks Preventing Dermatitis Scalp Shampoos - lather, leave in 5 minutes, then rinse; 2-3 times/week·         Ciclopirox 1% (probably most effective; Evidence level A)·         Ketoconazole 2% (Evidence level A)·         Zinc pyrithione 1% (Evidence level B)·         Coal tar 0.5%, 1%·         Selenium sulfide 1%, 2.25% (least effective; Evidence level C) Clobetasol 0.05% shampoo (likely not appropriate for long-term use; Evidence level A) ·         Propylene glycol lotion 15% (applied to wet hair after shampooing, leave on for 5 minutes, then rinse; Evidence level A)For recalcitrant disease: ·         Oral itraconazole 200mg daily for 1 month, then 2 days each of the following 11 months·         Oral terbinafine 250mg daily for 4-6 weeks Ramos-e-Silva M, et al. Red face revisited: Endogenous dermatitis in the form of atopic dermatitis and seborrheic dermatitis. Clinics in Dermatology. 2014;32:109. Popular in: Dermatology SITE INFORMATION 2002 1084813-overview Diseases & Conditions Residents and Fellows Resource Center Infectious Disease Advisor LinkedIn Infectious Disease Advisor LinkedIn 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. Malassezia/drug effects Table 2. Desonide 0.05% cream, foam (Verdeso), gel (Desonate), lotion (Lokara), or ointment (Desowen) Table 3. SITE INFORMATION Table 3. Although some doctors warn their patients that any treatment for scalp seborrheic dermatitis may lose its effectiveness after three months of use, a study evaluating a zinc scalp treatment at six and 11 months showed no loss of effect.20 A study of the long-term use of ketoconazole shampoo for maintenance therapy also showed no degradation in effectiveness over time.21 What may appear to be a worsening of symptoms despite continued use of a treatment may actually represent the natural, varying course of the disease. Often, reassurance and maintenance of therapy are all that is needed, reserving changes in treatment for persistent worsening of symptoms. Patients with symptoms that do not respond to any of the therapies outlined above may benefit from systemic anti-inflammatories and should be referred to a dermatologist. For SD on the scalp triggered by bacteria, antibacterial gels can be prescribed. Antifungal shampoos and creams are also options for this SD symptom. Our Committees de Souza Leão Kamamoto C, Sanudo A, Hassun KM, Bagatin E. Low-dose oral isotretinoin for moderate to severe seborrhea and seborrheic dermatitis: a randomized comparative trial. Int J Dermatol. 2017 Jan. 56 (1):80-85. [Medline]. All How To Primer-BLAST Mentee Application Proteins What you need Address Drug Dependency Proteins Check out DermNet's new Glossary of Dermatological Terms. Medical Sunscreens Skin, hair, and nail care News Center Pulmonology Advisor Zisova LG. Malassezia species and seborrheic dermatitis. Folia Med (Plovdiv). 2009 Jan-Mar. 51(1):23-33. [Medline]. foams Featured Treatment for psoriasis with psoralen and ultraviolet A (PUVA) therapy  Citation manager Diseases & Conditions Dermatitis Herpetiformis Immunosuppressants Fluocinolone 0.01% shampoo (Capex) View Current Newsletter Clark GW, et al. Diagnosis and treatment of seborrheic dermatitis. American Family Physician. 2015;91:185. About NEA Eyelid Dermatitis (xeroderma of the eyelids, eczema of the eyelids, atopic dermatitis, allergic contact dermatitis, irritant contact dermatitis, seborrheic dermatitis of the eyelids) 2-5% of the normal population Reference Sequence (RefSeq) Online Mendelian Inheritance in Man (OMIM) Coal tar shampoo A number of factors increase your risk of developing seborrheic dermatitis, including: Protection required 10:20 am - 4:30 pm FIND A DERMATOLOGIST Sign Out Author: A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand, 1997. Latest update by Dr Jannet Gomez, October 2017. Loading... Adolescent or adult: A few people see seborrheic dermatitis clear without treatment. More often, seborrheic dermatitis lasts for years. It tends to clear and flare without warning. Treatment often is necessary to control it. Read now November 23, 2017 Everett C. Fox Award and Lectureship Nummular dermatitis Seborrheic dermatitis often appears on the scalp, where symptoms may range from dry flakes (dandruff) to yellow, greasy scales with reddened skin. Patients can also develop seborrheic dermatitis on other oily areas of their body, such as the face, upper chest and back. Skip to navigation State policy and action STD Rates Continue to Climb Sulzberger Institute Grant CME & Education Clinical recommendation Evidence rating References What are the clinical features of seborrhoeic dermatitis? allergic dermatitis | stasis dermatitis allergic dermatitis | stasis dermatitis treatment allergic dermatitis | sunburn relief
Legal | Sitemap