Seborrheic Dermatitis
 

1. What is seborrheic dermatitis?
This condition is an inflammation in areas having the greatest number of sebaceous or oil glands. The scalp, sides of the nose, eyebrows, eyelids, and the skin behind the ears and middle of the chest are the most common sites. The affected skin is red and the scale can be yellowish and greasy. Itching may occur but is usually mild.

2. Are dandruff, seborrhea and seborrheic dermatitis the same?
Dandruff is characterized by excessive scaling on the scalp without redness. There is no skin inflammation. Seborrhea describes excessive oiliness of the skin, especially of the scalp and face. There is no redness or scaling. Patients with seborrhea may later develop seborrheic dermatitis. Seborrheic dermatitis has both redness and scaling.

3. Who gets seborrheic dermatitis?
This condition can occur at any age but is most common in three distinct age groups: infancy when it’s called "cradle cap," middle age, and the elderly. Cradle cap usually clears without treatment by age eight to twelve months. Seborrheic dermatitis is also common in people with oily skin or hair.

4. Is the condition associated with other diseases?
There is an increased occurrence of seborrheic dermatitis in adults with conditions of the nervous system such as Parkinson’s disease and in some patients recovering from stressful medical or surgical conditions. This may resolve on its own without treatment.

5. Can it be prevented?
There is no way to prevent or cure seborrheic dermatitis. If the rash is a cosmetic problem or if symptoms such as itching are significant, it should be treated. If the scalp is involved, frequent shampooing may be helpful.

6. How is this condition treated?
This skin disorder is treatable but may recur, requiring retreatment. One effective treatment is a low strength cortisone cream or lotion applied to the affected areas of skin. Some patients may need to use a stronger cortisone cream or lotion. The frequent use of nonprescription shampoos containing tar, zinc pyrithione, selenium sulfide, sulfur and/or salicylic acid may be recommended by a dermatologist. Or the dermatologist may recommend a prescription shampoo for the patient.


 

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