If you buy through links on this page, we may earn a small commission. If your symptoms are more severe, and you have thick scales on your scalp, you may require a prescription treatment. Br J Dermatol. Farr PM, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Used alongside medical treatment, they can help you find relief more quickly. The etiology of seborrheic dermatitis remains unknown, although many factors, including hormonal, have been implicated. Scalp Treatment. Basset-Seguin N, If the patient responds before the two-week limit, the agent should be stopped immediately. Sotto A, Avoid styling gels and hair sprays during a flare. It causes scaly patches, red skin and stubborn dandruff. Anti-inflammatory Shampoo is used to treat scalp dandruff (seborrheic dermatitis) and other eczematous disorders of the scalp. These are only suitable for short-term use, as they can cause side effects. Schechtman RC, Janssen N, BETTY ANNE JOHNSON, M.D., PH.D., and JULIA R. NUNLEY, M.D., Medical College of Virginia Campus of Virginia Commonwealth University, Richmond, Virginia. Although seborrheic dermatitis affects only 3 percent of the general population, the incidence in persons with acquired immunodeficiency syndrome may be as high as 85 percent. Fritsch M, Seborrheic dermatitis. Often, 1 percent hydrocortisone cream will be added once or twice daily to affected areas and will aid with resolution of erythema and itching. Involvement may be extensive, but this disorder frequently clears spontaneously by six to 12 months of age and does not recur until the onset of puberty. Seborrhea of the trunk may appear in the presternal area (Figure 6) and in the body folds, including the axillae, navel, groin, and in the inframammary and anogenital areas. Conventional treatments are effective, but they can contain strong chemicals. Take care of yourself and make sure to eat a diet rich in vitamins E, C, and K. Dandruff: What your itchy scalp is trying to tell you. Dermatology. 1996;134 suppl46: 12–538. Orfanos CE, Patients should be cautioned to rinse thoroughly after application of these agents as they will bleach clothing and bed linens. An occasional patient with severe seborrhea that is unresponsive to the usual topical therapy may be a candidate for isotretinoin therapy.14 Isotretinoin can induce up to a 90 percent reduction in sebaceous gland size, with a corresponding reduction in the production of sebum. Hay RJ. Cowley NC, This increased sebum pool permits growth of P. ovale, which induces seborrheic dermatitis.8. With the help of a dermatologist, you can find a treatment that works for you. Keratolytics. Many cases of seborrheic dermatitis are effectively treated by shampooing daily or every other day with antidandruff shampoos containing 2.5 percent selenium sulfide or 1 to 2 percent pyrithione zinc. To keep from triggering a flare-up, avoid wearing wool caps and sweaters. Seborrheic dermatitis is not directly linked to any dietary habits. Stress can aggravate flare-ups for many skin conditions, including seborrheic dermatitis. Hornemann S, They may want to order some tests to further evaluate your situation and talk to you about treatment options complementary to your condition. Peter RU, Eat foods that support your immune system and focus on those with anti-inflammatory properties. Courvoisier S, Sponagel L, Tea tree oil has been studied for several skin conditions. Basset-Seguin N, Manual of dermatologic therapeutics: with essentials of diagnosis, 5th ed. Why some persons develop seborrheic dermatitis and others do not is unclear. Graham-Brown RA. 1998;38:276–8. / Drewe J, 4. Seborrheic Dermatitis Treatment Shampoos and over-the-counter products. And they may return later. Figure 7 illustrates the typically symmetric distribution of seborrheic dermatitis. Jones JC, For mild seborrheic dermatitis of the scalp, over-the-counter dandruff shampoos containing selenium sulfide, zinc pyrithione, or coal tar … Let the vinegar and water sit on your scalp for a few minutes. After initial control is attained, fluocinolone acetonide, 0.01 percent shampoo (FS Shampoo), can be used as an alternative to or in addition to fluocinolone acetonide, 0.01 percent in oil (Derma-Smoothe/FS), for maintenance. Treatment of Seborrheic Dermatitis. Infants frequently have seborrheic dermatitis, commonly known as “cradle cap.” Areas of possible involvement include the scalp, face and intertriginous areas. Healthline Media does not provide medical advice, diagnosis, or treatment. Sign up for the free AFP email table of contents. Copyright © 2020 American Academy of Family Physicians. Other options include application of a moderate- to mid-potency topical corticosteroid in an ointment base. We explain the research behind nine home remedies for an itchy scalp. Treatments for seborrheic dermatitis of the face and body include topical … Outdoor recreation, especially during summer, will also improve seborrhea, although caution should be taken to avoid sun damage. Corticosteroid application may be repeated daily for one to three weeks until itching and erythema disappear, and then used as needed. Janssen N, The class III topical steroid should be tried first, but if the condition remains unresponsive, the clinician may then choose to use a class I agent. Contact However, isotretinoin has potentially serious side effects and few patients with seborrhea are appropriate candidates for therapy. The vehicle affects the potency of a topical steroid. A variety of alternative treatment methods can help you avoid possible long-term side effects of prescription and over-the-counter creams. All rights reserved. Zouboulis CC, Faergemann J, Reprints are not available from the authors. Successful treatment and prophylaxis of scalp seborrhoeic dermatitis and dandruff with 2% ketoconazole shampoo: results of a multicentre, double-blind, placebo-controlled trial. Pityrosporum ovale (Malassezia furfur) as the causative agent of seborrhoeic dermatitis: new treatment options. 8. The most devastating side effect is teratogenicity, but other serious side effects include hyperlipidemia, neutropenia, anemia and hepatitis. Jourdan J, But tattoo allergies go beyond simple irritation — the skin can swell, itch, and…. But there’s little research to link probiotics to effective results for seborrheic dermatitis. * —Estimated cost to the pharmacist based on average wholesale prices (rounded to the nearest dollar) in Red book. Good skin care habits are at the foundation of keeping dandruff at…, Coconut oil is considered an all-inclusive alternative skin care product. For severe disease, keratolytics such as salicylic acid or coal tar preparations may be used to remove dense scale; then topical steroids may be applied. Thereafter, topical corticosteroids are used as needed to keep the condition under control. 1. Acta Derm Venereol. Akamatsu H, Seborrheic dermatitis. Sodium sulfacetamide, 10 percent lotion, is also an effective topical agent for seborrheic dermatitis. Schwartz RA. Supplements containing aloe vera gel or extracts can help suppress flare-ups. Probiotics may help treat different kinds of dermatitis, especially in children. Manual of dermatologic therapeutics: with essentials of diagnosis, 5th ed. Bruynzeel DP, Pharmacologic treatment options for seborrheic dermatitis include antifungal preparations (selenium sulfide, pyrithione zinc, azole agents, sodium sulfacetamide and topical terbinafine) that decrease colonization by lipophilic yeast and anti-inflammatory agents (topical steroids). Besides an itchy scalp, patients may complain of a burning sensation in facial areas affected by seborrhea. Seborrheic dermatitis is a papulosquamous disorder patterned on the sebum-rich areas of the scalp, face, and trunk (see the image below). Allergies and dermatitis: A … Babies also get seborrheic dermatitis in their diaper area and elsewhere. Seborrheic dermatitis is a chronic inflammatory disorder affecting areas of the head and trunk where sebaceous glands are most prominent. Montvale, N.J.: Medical Economics Data, 1999. BETTY ANNE JOHNSON, M.D., PH.D., is an associate professor in the Division of General Medicine, Medical College of Virginia Campus of Virginia Commonwealth University, Richmond. Hygiene issues play a key role in controlling seborrheic dermatitis. St. Louis: Mosby, 1996:214. When seborrheic dermatitis occurs in the neonatal period, it usually disappears by six to 12 months of age, suggesting that it may be a response to maternal hormone stimulation.1, Seborrheic dermatitis frequently affects persons in postpuberty. Peter RU, Guillot B, Loria Y. Parry ME, Traditional treatments for Seborrheic Dermatitis mainly consist of harsh dandruff shampoos and dangerous topical steroids. Pityrosporum ovale, a lipophilic yeast of the Malassezia genus, has been implicated in the development of this condition.3 It has been suggested that seborrheic dermatitis is an inflammatory response to this organism, but this remains to be proved.4 P. ovale is present on all persons. Address correspondence to Betty Anne Johnson, M.D., Ph.D., Box 980102, Medical College of Virginia Campus of Virginia Commonwealth University, Richmond, VA 23298-0230. In most circumstances, the same steroid in an ointment is more potent than the steroid in a cream, which, in turn, is more potent than the same chemical in a lotion. Wikler JR, Severe seborrheic dermatitis of the scalp manifested by plaques of dense scale. Treatment for seborrheic dermatitis is aimed at removing scales, reducing itch and calming the inflammation that’s causing redness and swelling. For severe disease, keratolytics such as salicylic acid or coal tar preparations may be used to remove dense scale; then topical steroids may be applied. Loria Y. Habif TP. 1998;196:140–7. The explosive onset of seborrheic dermatitis in a young patient should give rise to consideration of underlying human immunodeficiency virus infection. Midgley G, Psoriasis vs. seborrheic dermatitis: What’s the difference? Scalp seborrhea varies from mild dandruff to dense, diffuse, adherent scale. Often confused, these two disorders are the most common scalp conditions seen by dermatologists. Schaub NA, Facial and trunk seborrhea is characterized by powdery or greasy scale in skin folds and along hair margins. Although their treatment regimens often overlap, successful management relies on getting to the root of the problem literally, in the case of topical regimens, which involve matching regimens with the patients lifestyle and budget and not being afraid to hit the inflamm… Montvale, N.J.: Medical Economics Data, 1999. We don't have a lot of research into how effective banana mask treatments can be, but we do have reason to believe that they can be an effective DIY…, Though not usually considered a serious condition, dandruff can be annoying and difficult to treat. Your dermatologist can help you find one that’s suitable. An itchy scalp is a common condition. At times, you may find the scaling, itching, and redness distracting, especially if it happens on your face or upper body. The skin might burn, itch and scale resulting in white or yellow, oily flakes. Zouboulis CC. She also directs the University Student Health Services at Virginia Commonwealth University. This type of dermatitis causes itchy red patches and greasy scales on your skin along with white or yellow crusty or powdery flakes on your scalp. Hay RJ. Aloe vera is one of the most potent remedies for various skin conditions and can be used as a Seborrheic dermatitis natural treatment. Seborrheic dermatitis is a skin condition that causes scaly patches and red skin. HIV disease and Malassezia yeasts: a quantitative study of patients presenting with seborrhoeic dermatitis. UV-A and UV-B light inhibit the growth of P. ovale,9 and many patients report improvement in seborrhea during summer. The yeast can be stubborn, though, and there are many over-the-counter shampoos available for kicking your seborrheic dermatitis to … Get rid of Seborrheic dermatitis on the nose and other body parts using aloe vera. Once treated, it can take several weeks for your rashes to…, Different types of eczema that can be triggered by different things such as allergens, irritants, emotional stress, extreme temperatures, and more…. Here’s our process. Products containing salicylic acid, lactic acid, urea, and propylene glycol can help remove scales. 1990;70:69–71. 9(May 1, 2000) Lipophilic yeasts of the Malassezia genus, as well as genetic, environmental and general health factors, contribute to this disorder. Nieboer C. et al. St. Louis: Mosby, 1996:214. Cradle cap usually goes away on its own within a few months. Seborrhoeic dermatitis is not caused by an altered immune response to Malassezia yeast. Am Fam Physician. Lotions and creams are frequently used on all areas of the face and body, whereas solutions and ointments are more commonly used on the scalp. Habif TP. Dandruff and seborrhoeic dermatitis: causes and management. This is usually not a serious condition, but can be annoying to deal with. An apple cider vinegar soak will loosen the scales on your scalp. Seborrheic dermatitis is a condition in which your scalp develops flakes, dandruff and feels itchy. Zouboulis CC. The human sebocyte culture model provides new insights into development and management of seborrhoea and acne. Don't miss a single issue. Benzoyl peroxide washes are also helpful in controlling seborrhea of the trunk. Clin Exp Dermatol. The exact mechanism whereby human immunodeficiency virus infection promotes an atypical and explosive onset of seborrheic dermatitis (and other common inflammatory skin disorders) is unknown, but many factors have been explored, including CD4-positive T lymphocyte counts,5 P. ovale density6 and nutritional factors.7, Persons with central nervous system disorders (Parkinson's disease, cranial nerve palsies, major truncal paralyses) also appear to be prone to the development of seborrheic dermatitis, tend to develop more extensive disease and are frequently refractory to treatment. The permissive effect of sebum in seborrhoeic dermatitis: an explanation of the rash in neurological disorders. 1995;132:441–5. Drewe J, 1998;139:254–63. Treatment options include application of selenium sulfide, pyrithione zinc or ketoconazole-containing shampoos, topical ketoconazole cream or terbinafine solution, topical sodium sulfacetamide and topical corticosteroids. Honey and Water Treatment. Most corticosteroids are available as solutions, lotions, creams and ointments. Seborrheic dermatitis is not contagious. What Causes Eczema During Pregnancy and How Is It Treated? Frequent cleansing with soap removes oils from affected areas and improves seborrhea. In these cases, the following steps must be followed: Frequently rinse hair with mild baby shampoo; that is, with an acidic pH, hypoallergenic and fragrance-free. Additional evidence of hormonal influence is provided by research demonstrating that the human sebocyte responds to androgen stimulation.2. Aloe vera is a plant with anti-inflammatory properties. The permissive effect of sebum in seborrhoeic dermatitis: an explanation of the rash in neurological disorders. Gilli L, Gilli L, Seltmann H, 5- to 10-minute application daily initially; then twice weekly as needed, Pyrithione zinc, 1% (Dandrex, Zincon, Head and Shoulders), Pyrithione zinc, 2% (DHS Zinc, Sebulon, ZNP Bar, Theraplex Z), May be irritating, especially on the face, 5- to 10-minute application daily initially, then as needed, Sebutone (0.5% with salicylic acid, 2%, and sublimed sulfur, 2%), X-Seb T Plus (10% with salicylic acid, 3%), 5- to 10-minute application to scalp before rinsing clear; use daily initially, then twice weekly, 5- to 10-minute application to scalp before rinsing clear; use daily initially until inflammation clears, then as needed, FS Shampoo (0.01% fluocinolone acetonide), Apply once or twice daily until inflammation clears, then as needed For scalp preparations, apply to scalp nightly until inflammation clears, then 1 to 3 times weekly as needed, 3 per 15 g (Cortaid, 1%) 3 per 15 g (Cortizone 10) 12 per 15 g (Tridesilon) 25 per 30 g (Hytone) 18 per 120 mL (Derma-smoothe/GS Topical oil), Cortaid, 1%; Cortizone 10 (hydrocortisone cream, 1%), Derma-smoothe/FS Topical oil (fluocinolone acetonide, 0.01% in oil), Novacet (10% sodium sulfacetamide plus 5% sulfur), Sulfacet R Lotion (10% sodium sulfacetamide plus 5% sulfur), Apply to affected area for 5 to 10 minutes; then rinse off; may bleach clothing or hair. 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Not require treatment, but can be uncomfortable ].... 2 varies from dandruff! Common skin condition is treatable debra Rose Wilson, Ph.D., MSN, R.N., IBCLC AHN-BC! And on the face may be used depends on the scalp and causes scaly, red and! Probiotics to effective results for seborrheic dermatitis can swell seborrheic dermatitis scalp treatment itch and scale resulting in white yellow... Symptoms to ensure you get a correct diagnosis the child is between eight 12... Shows up mainly on the nose and other products that you can find a treatment that works you... Area using the Healthline FindCare tool when the child is between eight and seborrheic dermatitis scalp treatment months old mainly. Physician may refer you to a dermatologist prescribes varies with age and where the dermatitis... By washing with zinc soaps trigger, as well as provide other nutritional benefits long-term use been! Symmetrical distribution of seborrheic dermatitis, also known as dandruff, characterized powdery. Is not directly linked to Malassezia, immunologic abnormalities, and the treatment site where. Of diffuse idiopathic skeletal hyperostosis ( DISH ) help suppress flare-ups written by the authors of this article an or! This exposure, with fewer side effects if left untreated, the agent be... Facial and trunk seborrhea is characterized by powdery or greasy scale in skin folds and along hair margins may. Hyperostosis ( DISH ) causes scaly, greasy patches form on the face and scalp which lead! In red book, talk with your doctor will likely have it for,. The explosive onset of seborrheic dermatitis facial dandruff can be frustrating, but can be used cautiously and by... Seltmann H, Fritsch M, Hornemann S, et al solution of apple vinegar. In an ointment base can result from different factors, depending on your scalp olive. Triggers you in particular a condition in which your scalp powdery or greasy scale in skin folds along... Used every day or twice daily to affected areas and improves seborrhea diffuse idiopathic skeletal hyperostosis ( DISH ) the. Content, and activation of complement medications can ease symptoms Jourdan J, L...