Treatment Options of Seborrheic Dermatitis | Dermatology

Seborrheic dermatitis

What is seborrheic dermatitis?

Seborrheic dermatitis is a common skin condition that primarily affects the skin. It causes scaly spots, reddened skin, and stubborn dandruff. Seborrheic dermatitis also affects oily areas of the body such as the face, nose, eyebrows, ears, eyelids, and chest.

Seborrheic dermatitis may not go away without treatment. Or you may need repeat treatments before symptoms go away. And they can come back later. Daily cleansing with mild soap and shampoo can reduce the growth of oily and dead skin.

Causes of seborrheic dermatitis

Doctors do not yet know the exact cause of seborrheic dermatitis. It can be related to:

  • Malassezia yeast (fungus) with oily secretions on the skin
  • Irregular immune system response

Risk factors

Although all patients with seborrheic dermatitis are generally healthy, it seems to be associated with diseases of the central nervous system and AIDS (HIV).

Symptoms of seborrheic dermatitis

Babies 3 months and younger usually have a D-shaped hat: yellowish or brown scales on the scalp. They usually disappear within a year, although they can return when they reach puberty. Parents may confuse seborrheic dermatitis with diaper rash.

Adults can develop seborrheic dermatitis on the face, especially around the nose, eyebrows, eyelids, or behind the ears. Other parts of the body can be infected:

  • In the middle of your chest
  • Around your belly button
  • On your buttocks
  • In the folds of the skin under the arms and on the legs
  • In your groin
  • Under your breasts
  • Your skin may itch or burn. The scales are white or yellow and appear wet or greasy.

Since seborrheic dermatitis is similar to other skin conditions, see your doctor for a diagnosis and a treatment plan.


Seborrheic dermatitis is an easy condition to diagnose because of its appearance on the affected skin and where it appears on your body. No blood, urine, or allergy tests are needed.

A skin biopsy is performed by the dermatologist to find other diseases if the condition does not respond to treatment.

Treatment for seborrheic dermatitis

Treatment depends on your age and the location of your symptoms. Many non-prescription and non-prescription lotion shampoos relieve dryness and flakes. Look for a product that claims to treat seborrheic dermatitis. Salicylic acid, coal tar, zinc, resorcin, ketoconazole, and selenium sulfide are some of the important ingredients used.

  • Adult and adolescent scalp (dandruff): Salicylic acid and zinc present in brands like Scalpicin, X-Ceb, Excel, Season Blue, DHS Zinc, and Head & Shoulders can be used twice a week. . Charcoal Bitumen shampoos include DHS Bitumen, T / Gel Neutrogena, and Polyethylene.

They can be used 3 times a week. If you have dandruff, start by using one of these shampoos daily until your dandruff is controlled. Use two or three times a week. Rub the shampoo into your hair well and leave it on your hair and scalp for at least 5 minutes. Then rinse.

If shampoo alone doesn’t help, your doctor may recommend that you use a prescription steroid ion lotion once or twice a day. Wrinkles on the skin of adults and adolescents: Steroid lotions can be used during adolescence and adulthood.

  • Baby scalp: Baby products are not as strong as those used by adults. Start with mild, non-medicated baby shampoo. Use mineral oil, olive oil, or petroleum jelly to loosen the scales. Brush your baby’s scalp with a soft brush such as a toothbrush to loosen the scales. Be gentle when massaging or brushing your baby’s scalp. A wound on the skin can lead to an infection. If the non-medicated shampoo doesn’t work, talk to your doctor about switching to a shampoo that contains tar. Your doctor may recommend a prescription shampoo such as Nizoral.
  • Baby skin creams: Mild steroid lotions or creams can be used to treat seborrheic dermatitis in the skin folds of babies. Talk to your GP about the proper concentration of steroids.

Other therapies that help include phototherapy. This is a medical procedure that carefully exposes your skin to ultraviolet light. Moderate sunlight helps.


Although the cause of seborrheic dermatitis is unclear, some triggers are common to most people with this condition. Stress can increase inflammation for many skin conditions, and SD is no exception. Try to remember the things that specifically motivate you.

Your outbreaks may be related to an allergic reaction, so try to document if there is anything unusual or new in your environment when the outbreak occurs.

To avoid lighting the flame, avoid wearing wool hats and sweaters. Instead, choose fabrics like cotton and silk. A weakened immune system can also contribute to the severity of your symptoms. Take care of yourself and make sure you eat a diet rich in vitamins E, C, and K.


  • These are some of the problems that caused this situation. Most problems appear to be related to misdiagnosis or abuse.
  • In rare cases, some superficial cataract fungal infections (dermatophytes) on the face and scalp resemble seborrheic dermatitis.
  • If dermatophyte infections are poorly treated with anti-inflammatories (topical steroids), more widespread involvement may be promoted.
  • Overuse of potent topical steroids in an unhealthy troublesome attempt to cure this condition, especially in the face and armpits, can lead to many undesirable skin changes, including thinning of the skin.
  • Acute seborrheic dermatitis causes occasional thinning or loss of hair, often associated with excessive scratching. As the disease is controlled, it is expected to grow back.

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