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Dermatitis: Seborrheic Dermatitis
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Seborrheic Dermatitis is a very common inflammatory condition of the skin. Seborrheic dermatitis is a disease that causes flaking of the skin. It is a skin condition characterized by loose, greasy or dry, white to yellowish scales, with or without associated reddened skin. It usually affects the scalp. In teenagers and adults, it is commonly known as dandruff. Cradle Cap is the term used when seborrheic dermatitis affects the scalp of infants, it is usually self-limiting and subsides by the age of six months.
Causes of seborrheic dermatitis: Seborrheic dermatitis can occur within patients that have neurological disorders such as Parkinson’s disease. Patients recovering from traumatic events such as heart attacks can develop seborrheic dermatitis. People in hospitals or nursing homes and people with immune system disorders can more prone to the disease. Most research will support the theory that a microorganism called "pityrosporum ovale", which is normally present in the skin, but can begin to feed on the dead skin cells and cause a rapid shedding of the skin, which appears as large, oily flakes and causes a red, itchy scalp. Normally, the skin will shed every 28 days, but this microorganism can cause the skin to shed every 7-21 days, like dandruff. Seborrheic dermatitis can ... be called "Cradle Crap" and can occur in small infants.
Topical glucocorticoids— Low potency topical glucocorticoids (steroids) are usually recommended first for the treatment of seborrheic dermatitis. These are most effective when used in combination with an anti-seborrheic shampoo. Lower potency preparations are preferred for sebhorrheic dermatitis because prolonged use causes few, if any, side effects. Topical glucocorticoids are available in a variety of strengths (potencies); the least potent are available without a prescription (eg, hydrocortisone 1 percent cream). More potent formulations require a prescription.
[I]n infants, seborrheic dermatitis has axillary patches, lacks oozing and weeping, and lacks pruritus. The distinction is a clinical one because elevated immunoglobulin E (IgE) levels associated with atopic dermatitis are a nonspecific finding. Rarely, infants are affected by histologic-specific scaling, seborrheic dermatitis-like eruptions on the scalp with fever, and other systemic signs of acute Langerhans cell histiocytosis (Letterer-Siwe disease). Scabetic eczema occasionally resembles widespread seborrheic dermatitis. Riboflavin, biotin, and pyridoxine deficiencies have been associated with seborrheic dermatitis-like eruptions in infants.
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Seborrheic dermatitis occurs most often in infants, usually within the first 3 months of life, and in those aged 30 to 70 years. The disorder is more common among men, often runs in families, and is worse in cold weather. A form of seborrheic dermatitis ... occurs in as many as 85% of people with AIDS.
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Seborrheic dermatitis is a common, inflammatory skin condition that causes¿flaky,¿white to yellowish scales to form on oily areas such as the scalp or inside the ear. It can occur with or without reddened skin. Cradle cap is the term used when seborrheic dermatitis affects the scalp of infants. Reviewer: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.Date: 07/18/2007
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