Avoid Getting Seborrheic Dermatitis And Learn Seborrhic Dermatitis Treatment


Seborrheic dermatitis is a chronic inflammatory disorder affecting areas of the trunk and head where sebaceous glands are present prominently. A lipophillic yeast Malessezia genus causes the disorder. Apart from the yeast, genetic, environmental and general health factors, contribute to the disorder.



Hygiene issues play a key role in controlling the disorder. Frequent cleansing of the areas affected with soap removes oil improves seborrhoea. The patients should be properly counselled to maintain a good hygiene always and make it a lifelong commitment. Recreation outdoors especially during summer, will also improve seborrhoea, although the caution to avoid sun damage has to be taken.

The pharmacological treatment options for sebborheic dermatitis treatment include antifungal preparations like the pyrithione zinc, azole agents, selenium sulfide, sodium sulfacetamide and topical terbinafine act by decreasing the colonization by lipophillic yeast and anti-inflammatory agents (topical steroid). In severe conditions like keratolytics such as salicylic acid or coal tar preparations can be used to remove dense scales, with topical steroids applied after that. Other options for removing adherent scale involve applying variety of oils like the peanut oil, mineral oil and olive oil to soften the scale overnight followed by the use of coal tar soap or detergent. Sebosuppressive agents such as isoretinoin may be used to reduce sebaceous gland activity.


Treatment of Scalp and Beard Areas :

Many cases of seborrheic dermatitis are treated effectively by shampooing daily or every other day with antidandruff shampoos. These shampoos contain 2.5 percent selenium sulfide or 1 to 2 percent pyrithione zinc. Alternatively, a ketoconazole shampoo can be used. The shampoo should be applied to the scalp and beard areas and left in place for about 5 to 10 minutes before rinsing. A moisturizing shampoo may be used afterward to prevent desiccation of hair. After the disease is under control, the frequency of shampooing with medicated shampoos should be decreased to almost twice weekly or as needed. Topical terbinafine solution, 1 percent, also is effective in the treatment of scalp seborrhoea.


If the scalp is covered with diffuse, dense scales, the scale is first removed by applying warm mineral oil or olive oil to the scalp and washing several hours later with a detergent such as a dishwashing liquid or a coal tar shampoo. An alternative is an overnight application of coal tar-keratolytic combination or phenol-saline solution may be with or without occlusion with a plastic shower cap followed by shampooing in the morning.


Extensive scale with associated inflammation can be treated by moistening the scalp first and then applying fluocinolone acetonide, 0.01 percent in oil, to the entire scalp, leaving it overnight with a covered shower cap and shampooing in the morning. This treatment may be done at night times until the inflammation clears off and then decreases to one to three times weekly as needed.Topical corticosteroid solutions, lotions or ointments are used once or twice daily for one to three weeks in place of the overnight application of fluocinolone acetonide and is stopped when itching and erythema disappear. Corticosteroid application is repeated daily for one to three weeks until itching and erythema disappear.