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:
  1.  Scaly, greasy patches on the scalp, face, or chest.
  2. Persistent dandruff, often yellowish and flaky.
  3. Red, irritated, or inflamed skin, especially around the eyebrows, nose, and ears.
  4. Itching and burning sensation, which can be uncomfortable.
  5. 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

 

 

 

 

 

 

 

 

 

 

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?
  1.  If over-the-counter treatments don’t improve symptoms after a few weeks.
  2. If seborrheic dermatitis spreads beyond the scalp or becomes severe.
  3. If you experience persistent redness, itching, or discomfort that affects daily life.

 Healthy Skin Starts with the Right Care!