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Seborrheic Dermatitis

Diagnosis, clinical presentation, and therapeutic modalities.

General Information on Seborrheic Dermatitis

Seborrheic dermatitis is a chronic, relapsing dermatosis characterized by scaling, erythema, and dandruff manifesting predominantly in areas with a high density of sebaceous glands, such as the scalp, face, nasolabial folds, and the presternal region. The pathogenesis is believed to be triggered by Malassezia species. In our Dermatology clinic, the condition is effectively managed utilizing medicated shampoos, alongside topical antifungal and anti-inflammatory formulations.

Disease Details and Frequently Asked Questions

Detailed clinical information regarding the pathology can be accessed under the following headings.
What is Seborrheic Dermatitis?

It is a chronic inflammatory skin condition occurring in regions with active sebum production, presenting with yellowish, greasy scaling and crusting overlying an erythematous base.

How does it differ from Psoriasis?

In psoriasis, the scales are silvery, characteristically thick, and prone to pinpoint bleeding upon removal (Auspitz sign). In contrast, seborrheic dermatitis scales are more yellowish and greasy, and do not bleed easily when scraped.

Does it cause alopecia (hair loss)?

It does not directly cause permanent alopecia. However, continuous excoriation and mechanical trauma to the scalp due to severe pruritus induced by the crusts can result in transient hair shaft breakage.

What is the etiology? Is it contagious?

It is strictly non-contagious. It results from the over-proliferation of a lipophilic yeast called 'Malassezia', which is part of the normal skin flora, and a hyperactive immune response to it. Psychological stress and sleep deprivation can precipitate acute exacerbations.

Is 'Cradle Cap' in infants the same pathology?

Yes. The thick, yellowish, greasy crusts commonly observed on the scalps of infants during their initial months (cradle cap) represent the infantile variant of seborrheic dermatitis, which generally undergoes spontaneous resolution by the age of one.

How is it clinically managed?

There is no definitive cure for the disease, but exacerbations can be highly controlled. For the scalp, medicinal shampoos containing ketoconazole or zinc pyrithione are prescribed. For facial erythema, topical antifungals combined with low-potency corticosteroids are administered to restore cutaneous integrity.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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