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Seborrheic dermatitis: all you need to know | treatments, symptoms

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Understand seborrheic dermatitis with our expert guide. Learn about its symptoms, causes, and effective treatments. Discover tips for managing this common skin condition and maintaining healthy skin.

 

 

Seborrheic dermatitis: a complete guide to this skin condition

 

 

Seborrheic dermatitis is a common skin condition, non-contagious and harmless to your health. It can easily be managed with treatment. 

What is seborrheic dermatitis?

 

Seborrheic dermatitis is a chronic skin condition that affects your scalp and can occur in other parts of the body. It is noncontagious and an easy-to-manage skin condition.

It is a chronic type of eczema also called dandruff, seborrheic eczema or seborrheic psoriasis.

 

Seborrheic dermatitis symptoms may include: 

 

  • Red, dry, flocky and itchy skin on the scalp

  • Flacking skin on the hair, eyebrows, beard or mustache

  • Greasy scales

  • White or yellow crusty flakes on the scalp or face, nose, eyebrows, ears, eyelids, upper back, chest, armpits 

  • Scaly redness on the edges of the eyelids

  • Flaky patches on the chest and the hairline

  • Rash 

  • Pruritus 

  • Redness in the folds and creases of the genitals, armpits and beneath the breast

  • Inflamed hair follicles on the cheeks

     

     

Seborrheic dermatitis is a common skin condition which affects about 11% of the population in the US. It can appear in people of all ages but men between the age of 30 to 60 are more likely to develop the condition. It is especially common in adults of 50 years old and older. 

 

Seborrheic dermatitis can also appear in infants younger than three months

 

People with history of psoriasis in the family or prone to oily skin are more likely to have psoriasis dermatitis. 

 

Also, the following causes can have an impact on seborrheic dermatitis apparition: 

 

  • Immunosuppression: organ transplant, HIV for example

  • Psychiatric disorders: depression

  • Neurological diseases: Parkinson, epilepsy, etc.

  • Congenital disorders: Down syndrome 

  • Psychotropic medications: lithium, buspirone

Researchers are not sure of the exact cause of seborrheic dermatitis, but main risk factors include: 

 

  • Stress

  • Cold and dry climate

  • Alcohol-based lotions

  • A type of yeast called Malassezia 

  • Increased level of androgens hormone

  • Increased level of skin lipid

  • Inflammatory reaction due to a problem in the immune system

 

Other causes can worsen seborrheic dermatitis like the frequent use of hot water or food containing yeast and mold like cheese, bread, wine and beer.

How is seborrheic dermatitis diagnosed?

 

Seborrheic dermatitis is an easy disease to diagnose because of its symptoms. By looking at your skin, your dermatologist should be able to diagnose the condition. He may perform a skin biopsy to exclude other skin conditions.

 

Seborrheic dermatitis and psoriasis both include patches of red skin with flakes on the scalp, which is why they can often be mistaken. 

Darier disease is another condition often misdiagnosed as severe seborrheic dermatitis or eczema. The symptoms of Darier disease include wart-like blemishes on the body. These blemishes can appear greasy and yellowish with a strong odor.  

 

 

Is seborrheic dermatitis a fungal disease?

 

Seborrheic dermatitis may be caused by an immune reaction to a microscopic fungus called Malassezia. This yeast is present on all healthy skin, but some people can develop an immune reaction to Malassezia for unclear reasons. This immune response could trigger seborrheic dermatitis in some cases. 

Is seborrheic dermatitis an allergy?

 

Seborrheic dermatitis is not an allergy, it is a chronic condition triggered by different factors. 

How do you get rid of seborrheic dermatitis?

 

Even if certain habits and products can help reduce symptoms, it is necessary to see a doctor or dermatologist to find the right treatment. There is no cure for seborrheic dermatitis, but many treatments can help relieve itchiness and clear rashes

 

Your health care provider might suggest antifungal gels, creams, lotions, foams or shampoos to limit the inflammation. There are two types of treatments including over-the-counter products and prescription products

 

For scalp treatment, you can follow the next advice: 

  • On babies, massage or brush the scalp with a soft brush after each shampoo and several time a day

  • Use a gentle steroid lotion

  • Use dandruff shampoos that contain selenium, zinc or coal tar or antifungal shampoos that contain ciclopirax or ketoconazole 

 

For face and body treatment you can choose between: 

  • Topical antifungals available in creams, foams or gels

  • Corticosteroids available in creams, lotions, foams, gels, ointments, oil or solution

  • Calcineurin inhibitors (alternative to corticosteroids) available in cream or ointment 

  • Oral antifungals (for severe cases only)

  • Phototherapy (for severe cases only)

 

The condition improves quickly with regular treatment adapted to your condition. Always check with your dermatologist about the side effects of any prescribed treatment. Inappropriate treatment will result in flare-ups and worsen your symptoms. Avoid self-treatment as soon as the affected areas become painful and drain fluid. 

 

 

Some simple easy things can help reduce the risk of developing seborrheic dermatitis:

  • Favor frequent cleansing with nonalcoholic products and remove scales from your hair 

  • Avoid styling products on your hair that can contain harsh ingredients 

  • If you have a beard or mustache, shampoo facial hair regularly 

     

     

Seborrheic dermatitis usually does not disappear on its own. It needs to be treated with a specific treatment depending on your symptoms and the area of the body affected. It is possible to have the disease for life with seasonal flare-ups occurring during winter and early spring. Flare-ups can also occur during big stress periods.

 

In babies, seborrheic dermatitis can go away on its own within a few months. 

Hair loss is not common in seborrheic dermatitis. It is usually not a symptom of this skin condition. 

Seborrheic dermatitis causes dry, yellowish, scaly patches on the scalp — and it could be causing it to smell, but only in rare cases. The most common symptoms are red and itchy skin on the scalp. 

Seborrheic dermatitis cannot spread from one person to another. It is not a contagious disease.

The itching feeling is usually mild, but it can turn to be intense, especially on the scalp. Also, the itchy rash can lead to an infection without treatment. Seborrheic dermatitis usually causes no serious harm, but it can be a very discomfortable condition. 

 

Seborrheic dermatitis is a very common condition which can easily be managed with specific treatment. By following your dermatologist’s instructions, you should avoid itchy skin and white flakes.