Best way to treat seborrheic dermatitis Seborrheic_natural_dermatitis_treatments(1) | Page 2

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What are the clinical features
of seborrhoeic dermatitis?
Adult seborrhoeic dermatitis
Seborrhoeic dermatitis affects scalp, face (creases around the nose, behind ears,
within eyebrows) and upper trunk.
Typical features include:
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Winter flares, improving in summer following sun exposure
Minimal itch most of the time
Combination oily and dry mid-facial skin
Ill-defined localised scaly patches or diffuse scale in the scalp
Blepharitis : scaly red eyelid margins
Salmon-pink, thin, scaly, and ill-defined plaques in skin folds on both sides of the face
Petal or ring-shaped flaky patches on hair-line and on anterior chest
Rash in armpits, under the breasts, in the groin folds and genital creases
Superficial folliculitis (inflamed hair follicles) on cheeks and upper trunk
What is the treatment of seborrhoeic dermatitis?
Treatment of seborrhoeic dermatitis often involves several of the following options.
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Keratolytics can be used to remove scale when necessary, eg salicylic acid, lactic acid, urea,
propylene glycol
Topical antifungal agents are applied to reduce malassezia eg ketoconazole, or ciclopirox
shampoo or and/or cream. Note, some strains of malassezia are resistant to azole
antifungals. Try zinc pyrithione or selenium sulphide
Mild topical corticosteroids are prescribed for 1–3 weeks to reduce the inflammation of
an acute flare
Topical calcineurin inhibitors (pimecrolimus cream, tacrolimus ointment) are indicated
if topical corticosteroidsare often needed, as they have fewer adverse effects on facial skin.