Seborrheic dermatitis is a chronic skin condition that causes a red, scaly, itchy rash. It can appear as a mild, white scaling or a yellowish greasy or reddish scaly rash. Most commonly affected areas are along the hairline, in and behind the ears, on the eyebrows, around the nose, and on the chest.
Dandruff is a type of seborrheic dermatitis where there is a scaling of the skin on the scalp. The area can be dry or oily and is sometimes itchy.
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The exact cause of seborrheic dermatitis is unknown. Common skin yeast organisms may play a role in some people.
Risk factors include having: Oily skin or hairFamily members who have seborrheic dermatitis
Chronic conditions, including disorders of the immune system such as
Neurological conditions, such as
or, less commonly,
The symptoms can vary from mild to severe. They include: Dry or greasy scaling of the scalpItchy scalpItchy, scaly rash with small pimples—may also be present on nasal folds, eyebrows, anterior chest, upper back, arm pits, or genitalsThickened, flaking skinReddened skin over the forehead and on either side of the nose
In babies less than 1 month old, seborrheic dermatitis may cause a thick, yellow, crusted scalp rash known as cradle cap.
You will be asked about your symptoms and medical history. A physical exam will be done. The diagnosis is made by the appearance of the rash.You may be referred to a doctor who specializes in skin disorders (a dermatologist).
Treatments for seborrheic dermatitis are usually applied directly to the skin in the form of shampoo or lotion. Treatment depends on the severity of your symptoms. Seborrheic dermatitis in infants will usually resolve on its own.
Baby shampoo, mineral oil, and topical anti-fungal shampoos may be used for seborrheic dermatitis in infants
A variety of treatments are used for seborrheic dermatitis in children and adults, such as:
Prescription or over-the-counter shampoos containing 1 or more of the following ingredients:
or other cortisone (steroid) preparations
Prescription or over-the-counter creams or lotions containing:
Hydrocortisone or other cortisone (steroid) preparationsAntifungal medicationsAntibiotic medication
Nonsteroidal creams that are anti-inflammatory and antifungalCalcineurin inhibitorLithium salt
Treatment can take several weeks or months and may need to be repeated if the condition returns.
There are no guidelines for preventing seborrheic dermatitis because the cause is unknown.
Cunha PR. Pimecrolimus cream 1% is effective in seborrhoeic dermatitis refractory to treatment with topical corticosteroids.
Acta Derm Venereol. 2006;86:69-70.
Schwartz RA, Janusz CA, Janniger CK. Seborrheic dermatitis: an overview.
Am Fam Physician. 2006;74:125-130.
Seborrheic dermatitis. American Academy of Dermatology website. Available at: https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/q---t/seborrheic-dermatitis. Accessed February 22, 2016.
6/17/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Kastarinen H, Oksanen T, et al. Topicxal anti-inflammatory agents for seborrhoeic dermatitis of the face or scalp. Cochrane Database Syst Rev. 2014 May 19;5.
Last reviewed February 2016 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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