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Seborrheic Dermatitis

Seborrheic Dermatitis is a common, chronic rash that affects the scalp and face.  Dandruff is a form of seborrheic dermatitis . It has been associated with the yeast form of Malassezia which is commonly found in the skin.  There is an adult form and infantile form.  The infantile form which causes “cradle cap ” occurs in babies under the age of 3 and usually resolves before the 1st birthday.  In this form of seborrheic dermatitis the rash can occur in the groin area and folds of the skin.  The salmon pink patches are usually flaky but not itchy.  In adults the rash commonly affects the scalp, face especially around the nose, eyebrows, behind the ears, and upper trunk. Seborrheic dermatitis is worse in the winter.  Some patients also have blepharitis.  It can occur in the armpits, under the breasts, and in the groin folds. Scalp treatment include medicated shampoos and topical steroids to decrease inflammation.  Medicated shampoos containing ketoconazole, ciclopirox, selenium sulfide, zinc pyrithione, salicylic acid, and coal tar can be used. For the Seborrheic dermatitis treatment of the face and rest of the body topical antifungals are also used along with mild topical steroid creams for 1-3 weeks.  Topical calcineurin inhibitors such as pimerolimus cream and tacrolimus ointment are used commonly for facial involvement. For more information about Seborrheic Dermatitis, contact Dr. Marie in New York.

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