Best Treatment for Seborrheic Dermatitis

Seborrheic dermatitis is a common skin problem usually affecting the lipid-rich areas of the skin.  It is commonly seen on face (nasolabial folds and eyebrows), external ear canal, scalp, and chest and less commonly seen on axillae, umbilicus areas and groin.

Seborrheic dermatitis affects around 5% to 10 % of total population. The mild or initial form of seborrheic dermatitis is dandruff.  Seborrheic dermatitis most frequently occurs during winter. It is harmless, chronic, superficial, inflammatory disease characterized as flake like red, scaly patches associated with burning or itching. The scales often are yellow or greasy in appearance.

Treatment for Seborrheic Dermatitis

Most of the mild cases can be treated with normal shampoo if applied in sufficient quantity. If normal shampoo doesn’t respond, you can easily get some of those over the counter medicated shampoos which are available in most of the local stores or pharmacy. Shampoos containing Zinc Pyrithione (Head and shoulders), Selenium Sulphide (selsun Blue), Ketoconazole (Nizoral), ciclopirox, Salicylic acid and Sulphur (Sebulex) and Tar derivatives are good and well tolerated. Just make sure your shampoo contain any of these ingredients.  For better outcome, use the shampoo at least 4-5 times a week. Most treatment fails because people don’t give continuity after the symptoms has subsided. Once the symptom subsides, keep using the shampoo for at least 1-2 times a week for few weeks then every week for few months and so.  This way you get complete control on your Seborrheic Dermatitis.

Moderate seborrheic dermatitis involving other areas besides scalp can be treated with topical creams and lotions like those containing corticosteroids and anti-fungal agents like miconazole, ketoconazole, clotrimazole, terbinafine, butenafine and ciclopirox. Long term use of corticosteroids is not suggested.

If this preparation is not working as expected, consult a dermatologist. Seborrheic dermatitis treatment may vary with individuals. Your doctor will confirm the diagnosis (as other conditions might also resemble seborrheic dermatitis) and prescribe you the best medications accordingly. For some unresponsive cases your dermatologist may prescribe some stronger medications with or with out combination with some oral antifungal medications. There is no permanent cure for seborrheic dermatitis. Be sure to take proper hygienic and preventive measures to avoid further recurrence.

Seborrheic Dermatitis Of The Scalp

Seborrheic Dermatitis, also know as seborrheic eczema is a common problem in general population. It almost affect 5% of the total population. It is harmless,chronic, superficial, inflammatory disease characterized as flake like scaly patches associated with burning or itching. The scales often are yellow or greasy appearance. Seborrhoic dermatitis can affect any parts including eyebrows, eyelids, nasolabial creases, ears, lips, sternum, axillae, umbilicus, groin, gluteal crease and most commonly scalp. Here we’ll discuss the treatment options for seborrheic  dermatitis of the scalp.

Seborrheic  Dermatitis of the scalp is most common in winter and early spring and almost goes out during summer.  Dandruff is also a mild form of seborrheic dermatitis. The casautive factor for seborrheic dermatitis is complex but studies shows lipophilic yeast pitryrosporum ovale is the main culprit behind it. Various medications like chlorpromazine, cimetidine, haloperidol, lithium, gold and psoralens may also cause or aggravate seborrheic dermatitis. Seborrheic dermatitis is not contagious or related to diet and can be easily treated with proper scalp care .

Some cases that  resembles like seborrheic dermatitis may actually be scalp psoriasis, so consult your dermatologist or general physician before you start any over the counter treatments. These two disease may sometime overlap, but psoriasis tends to have more heavier silvery scales which bleeds easily when scalp are removed and itching may be severe in seborrheic dermatitis then in scalp psoriasis.

What are the treatment for Seborrheic Dermatitis of scalp ?

For some less severe cases of scalp seborrheic dermatitis or dandruff,  normal regular shampoo might do the trick. Moderate cases can be treated with over the counter medications containing selenium sulfide, tar, ketoconazole, zinc pyrithione, salicylic acid, fluocinolone and resorcin. These shampoos should be used not more then 2-3 times a week with a regular shampoo in between as required.  If you use any hair spray, wax and creams to style your hair, it should be completely stopped.

There are many types of options available on market including shampoos, sprays, creams,ointments, gels, lotions and  oils containing either above mentions medications alone or with combination with mild corticosteroids. Corticosteroids lotions will give the quick results when used for short time, but these agents are not suggested for longterm use and not suggested for use in face as it may give rise to corticosteroids induced rosacea. So avoid using steroids until and unless prescribed by your dermatologist.

In some severe and unresponsive cases of  Seborrheic Dermatitis of scalp oral medications may also be taken with prescription. They may include some antifungal medications like fluconazole and ketoconazole. These medications are usually used in combination with topical medications for better and fast result. Seborrheic dermatitis may come and go, there is no permanent cure. Be sure to take proper hygienic majors to avoid future outbreaks and  using antifungal shampoo once  every 2-3 months might prevent future outbreaks.

If you have any questions regarding seborrheic dermatitis treatment please ask us at our skin care forum.

Seborrheic Dermatitis Treatment

Seborrheic  Dermatitis is a chronic scaly inflammatory eruption usually affecting but not limited to scalp and face. It may include scalp, face, eyebrows, naso-labial  folds, external ear canal and less frequently on axillae, groin and umbilicus area.

Seborrheic  Dermatitis is usually severe during the winter and affects both races and sexes, though male ratio is higher then female. The cause of Seborrheic Dermatitis is unknown. Some study suggest yeast Pityrosporum Ovale probably be the causative factor, But both environmental and genetic factors influence the onset and course of disease.

Treatment of Seborrheic Dermatitis:

For mild cases of Seborrheic Dermatitis, shampooing is the best option. It can be controlled and treated completely even with non- medicated shampoos in sufficient  quantity. For more severe cases, application of anti-dandruff shampoos daily or 3-4 times a week has a good outcome. Shampoos containing Zinc Pyrithione ( Head and shoulders ), 1% Selenium Sulphide ( selsun Blue ), Ketoconazole ( Nizoral ), Salicyclic acid and Shulphur ( Sebulex ) and Tar derivatives ( ) are good and well tolerated. These products can be bought without doctor prescription.

People often complains of treatment failure of shampoo as they don’t use it in the right way. It is very important to remember that we are treating the scalp not the hair. So, for better result,  shampoo should be left for better penetration on the scalp for atleast 5 minutes.

For more severe cases or for those people whom daily shampoo is not possible or is inadequate  for treating, Corticosteriods lotion like 1% hydrocortisone can be used. Twice daily regimen is usually safe and effective for short term course. Long term use of corticosteroids is not suggested. If this preparation is not working you may go on strong steroids under dermatologist prescription. These strong preparation includes 0.025% Triamcinolone , 0.01% Flucinolone or 0.05% betamethasone. Study suggest this will improve your dermatitis within 1-4 weeks but relapse is more common then with the use of antifungal application.

When every treatment fails to give the good outcome, more intensive treatment might be required. These preparation includes 5%, 10%, 20% Liquor carbonin detergens in Nivea oil applied at bedtime with occlusion and shampooing the next morning, then followed by steroids during the day. Another option may be applying a tar shampoo at bedtime with occlusion overnight and rinsing the next morning. Tar preparation are slightly malodorous and messy but are safe and effective and has more lasting relief then steroids.

For those with more diffuse type of Seborrheic dermatitis involving face,ears and chest, ketoconazole cream ( Nizoral ) can be applied to clear the scales and erythema. Frequent washing with zinc soap and selenium lotion will suppress the activity and avoid recurrence.

If you have any questions about Seborrheic Dermatitis treatment or want to share your views with the suffers  you can join us at Skin care Advice Forum