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Seborrheic Dermatitis

Seborrheic Dermatitis: Causes, Symptoms & Treatment
Seborrheic dermatitis is a common inflammatory skin condition that primarily affects oil-rich areas of the body, such as the scalp, face, and upper chest. It causes red, scaly, greasy patches and persistent dandruff-like flaking. While it is not contagious or harmful, it can be uncomfortable and affect self-confidence. Understanding its causes, symptoms, and treatment options can help manage the condition effectively.
- What Causes Seborrheic Dermatitis?
The exact cause of seborrheic dermatitis is unknown, but it is believed to be triggered by a combination of factors, including:
- 🔹 Overgrowth of Yeast (Malassezia) – A type of fungus naturally present on the skin, which can become excessive and trigger inflammation.
- Excess Oil Production – Oily skin creates a breeding ground for yeast, leading to irritation.
- Genetics – A family history of skin conditions increases the likelihood of seborrheic dermatitis.
- Weather Changes – Cold, dry air or humid conditions can worsen symptoms.
- Weakened Immune System – People with conditions like HIV/AIDS, Parkinson’s disease, or chronic stress may be more prone to seborrheic dermatitis.
- Hormonal Fluctuations & Stress – Can trigger or worsen flare-ups.
Symptoms of Seborrheic Dermatitis
- Seborrheic dermatitis commonly affects the scalp, face, ears, and chest. Symptoms may vary from mild to severe and can include:
- Scaly, greasy patches on the scalp, face, or chest.
- Persistent dandruff, often yellowish and flaky.
- Red, irritated, or inflamed skin, especially around the eyebrows, nose, and ears.
- Itching and burning sensation, which can be uncomfortable.
- Crusting or oozing in severe cases.
In Infants: Known as cradle cap, seborrheic dermatitis appears as yellow, greasy scales on a baby’s scalp but usually resolves on its own within a few months.
Seborrheic Dermatitis vs. Other Skin Conditions
Seborrheic dermatitis is often confused with conditions like dandruff, psoriasis, and eczema. Here's how it differs:
Condition |
Seborrheic Dermatitis |
Dandruff |
Psoriasis |
Eczema (Atopic Dermatitis) |
Cause |
Overgrowth of yeast & oil production |
Dry scalp & yeast |
Autoimmune disorder |
Allergies & skin barrier dysfunction |
Symptoms |
Greasy, scaly patches & redness |
Flaky white or yellow dandruff |
Thick, silvery scales & inflammation |
Red, itchy, inflamed skin |
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|
|
|
|
|
|
|
|
|
Location |
Scalp, face, ears, chest |
Scalp only |
Scalp, elbows, knees, back |
Folds of skin, hands, face |
Itching |
Mild to moderate |
Mild |
Severe |
Severe & persistent |
If you're unsure whether you have seborrheic dermatitis or another condition, a dermatologist can help with diagnosis and treatment.
Treatment Options for Seborrheic Dermatitis
- There is no permanent cure, but treatment can help control symptoms and prevent flare-ups.
1. Medicated Shampoos & Topical Treatments
Antifungal Shampoos (Ketoconazole, Selenium Sulfide, Zinc Pyrithione) – Reduce yeast growth and inflammation.
Salicylic Acid & Coal Tar Shampoos – Help remove scales and flakes.
Topical Corticosteroids – Reduce redness and itching (for short-term use).
Topical Antifungal Creams – Clotrimazole or Miconazole for affected facial areas.
2. Lifestyle & Home Remedies
Wash hair regularly with medicated shampoos to prevent buildup.
Use a gentle, fragrance-free moisturizer to soothe the skin.
Avoid harsh soaps & alcohol-based skincare products that can worsen irritation.
Apply coconut oil or tea tree oil (diluted) to soothe inflammation.
Manage stress through meditation, yoga, or exercise to reduce flare-ups.
3. Prescription Medications
Oral Antifungal Medications – In severe cases, dermatologists may prescribe oral antifungals.
Immunosuppressant Creams (Tacrolimus, Pimecrolimus) – Reduce inflammation in sensitive areas.
- When to See a Dermatologist?
- If over-the-counter treatments don’t improve symptoms after a few weeks.
- If seborrheic dermatitis spreads beyond the scalp or becomes severe.
- If you experience persistent redness, itching, or discomfort that affects daily life.
Healthy Skin Starts with the Right Care!