Treatment FAQ

what procedures and treatment plan do doctors provide for seborrheic dermatitis

by Koby Hirthe Published 2 years ago Updated 2 years ago

Medication

If treatment is needed, a dermatologist may prescribe a medicine that can be applied to the child’s skin. Adolescents and adults (scalp and rest of body): After infancy, seborrheic dermatitis usually does not go away without treatment. For the best results, a dermatologist will consider many factors before creating a treatment plan.

Self-care

(Many cosmetic procedures are not covered by insurance.) Although seborrheic dermatitis is itchy and uncomfortable, it does not harm your health. The condition can be managed with treatment. Itchy skin and white flakes on your black shirts shouldn’t be a normal part of your day!

Nutrition

If you have seborrheic dermatitis of the scalp, you can try some of the over-the-counter dandruff shampoos. If one shampoo doesn’t work, look at the active ingredient and try another product with a different active ingredient (see treatment section). Shampoos should remain on your scalp for at least five minutes before rinsing off.

Can a dermatologist treat seborrheic dermatitis?

Seborrheic dermatitis is a common, noncontagious, easy-to-manage skin condition. This type of dermatitis causes itchy red patches and greasy scales on your skin along with white or yellow crusty or powdery flakes on your scalp. “Seborrheic” refers to the “sebaceous” glands while “derm” means “skin.”

Is seborrheic dermatitis covered by insurance?

How do you treat seborrheic dermatitis of the scalp?

What is seborrheic dermatitis?

What will the doctor give you for seborrheic dermatitis?

Antifungal gels, creams or shampoos alternated with another medication. Depending on the affected area and the severity of your symptoms, your doctor might prescribe a product with 2 percent ketoconazole (Nizoral) or 1 percent ciclopirox. Or you doctor may prescribe both products to be used alternately.

What is the most effective treatment for seborrheic dermatitis?

Treatment with antifungal agents such as topical ketoconazole is the mainstay of therapy for seborrheic dermatitis of the face and body. Because of possible adverse effects, anti-inflammatory agents such as topical corticosteroids and calcineurin inhibitors should be used only for short durations.

How do doctors treat dermatitis?

Applying to the affected skin corticosteroid creams, gels or ointments. Applying to the affected skin certain creams or ointments that affect your immune system (calcineurin inhibitors) Exposing the affected area to controlled amounts of natural or artificial light (phototherapy)

Can a dermatologist treat seborrheic dermatitis?

Seborrheic dermatitis is a condition that dermatologists frequently diagnose and treat. If you think you might have seborrheic dermatitis, you should see a dermatologist for a diagnosis.

What kills seborrheic dermatitis on scalp?

The mainstay of treatment for seborrheic dermatitis is frequent cleansing. Medicated soaps or shampoos containing zinc pyrithione, selenium sulfide, ketoconazole, sulfur, salicylic acid or tar give additional benefit. These should be applied to the affected area and left on for 5-10 minutes before being rinsed off.

What autoimmune disease causes seborrheic dermatitis?

Researchers tend to agree that there are two likely causes behind seborrheic dermatitis. One is a yeast called Malassezia (more on that below as well), and the other is your own immune system.

How do you treat seborrheic dermatitis on the face?

The mainstays of treatment for facial seborrheic dermatitis are topical antifungals, corticosteroids, and calcineurin inhibitors. Ketoconazole 2% is as effective as hydrocortisone 1% cream. Ketoconazole 2% gel (Xolegel) significantly reduced symptoms of erythema, pruritus, and scaling compared with vehicle alone.

Is dermatitis an autoimmune disease?

For the first time, a team led by researchers at the Icahn School of Medicine at Mount Sinai has proven that atopic dermatitis, also known as eczema, is an immune-driven (autoimmune) disease at the molecular level.

Is dermatitis caused by stress?

Anxiety and stress are common triggers that cause eczema to flare up, which then creates more anxiety and stress, which then leads to more eczema flare-ups.

Can laser treatment help seborrheic dermatitis?

The Laser Genesis treatment is a high-tech, innovative method for non-invasive and effective treatment of seborrheic dermatitis symptoms such as redness and scaling. The pleasant warming of the upper layer of the skin stimulates the appearance of new collagen.

How often should you wash your hair when you have seborrheic dermatitis?

The most important thing you can do to get rid of and prevent seborrhea is to wash your hair every day. This may be a problem for many people, but daily hair washing is important if seborrhea is to be controlled. There are some people who shampoo once per week or once per month and never get seborrhea.

What causes seborrheic dermatitis to flare up?

Common triggers for seborrheic dermatitis include: stress. hormonal changes or illness. harsh detergents, solvents, chemicals and soaps.

What is the best treatment for seborrheic dermatitis?

If treatment is necessary, a dermatologist may recommend: Shampooing the baby’s scalp daily with a baby shampoo.

How do dermatologists diagnose and treat seborrheic dermatitis?

Seborrheic dermatitis is a condition that dermatolog ists frequently diagnose and treat.

How long does seborrheic dermatitis last?

Adolescent or adult: A few people see seborrheic dermatitis clear without treatment. More often, seborrheic dermatitis lasts for years. It tends to clear and flare without warning. Treatment often is necessary to control it.

Is seborrheic dermatitis a medical condition?

Sometimes seborrheic dermatitis is a sign of an underlying medical condition. If your dermatologist suspects this, medical tests may be necessary.

Can a dermatologist apply a medicine to a child's scalp?

Infants (skin beyond the scalp): This, too, will clear. If treatment is needed, a dermatologist may prescribe a medicine that can be applied to the child’s skin.

Can you use a dermatologist more often than prescribed?

Always follow your dermatologist’s instructions. Using a treatment more often than prescribed or longer than prescribed can cause side effects.

Does seborrheic dermatitis go away?

Adolescents and adults (scalp and rest of body): After infancy, seborrheic dermatitis usually does not go away without treatment. For the best results, a dermatologist will consider many factors before creating a treatment plan. Treatment may include:

How to diagnose seborrheic keratosis?

Your doctor can usually diagnose a seborrheic keratosis just by looking at it. Your doctor may recommend removing it so that it can be examined under a microscope if there is a question about the diagnosis.

What is the best treatment for keratosis?

If you have a raised growth, your doctor may prescribe a solution of 40% hydrogen peroxide (Eskata), which is applied to the skin. The drug has been proved to be effective in removing seborrheic keratoses, but it may irritate the skin. This solution must be handled with care, as it can cause eye damage.

Can freezing with liquid nitrogen remove keratosis?

Freezing with liquid nitrogen (cryosurgery). Cryosurgery can be an effective way to remove a seborrheic keratosis. It doesn't always work on raised, thicker growths, and it may result in discoloration of treated skin.

Can you rub seborrheic keratosis?

Treatment of a seborrheic keratosis isn't usually needed. Be careful not to rub, scratch or pick at it. This can lead to itching, pain and bleeding.

What is the best treatment for seborrheic dermatitis?

The goal of treatment is to reduce the visible signs of seborrheic dermatitis and itching and redness. Treatment includes use of over-the-counter products and prescription products. Prescription products include topical antifungals, calcineurin inhibitors and corticosteroids.

How common is seborrheic dermatitis?

About 11% of the population has seborrheic dermatitis. It occurs most often in infants younger than three months old and in adults ages 30 to 60. It is more common in men than in women, and in Caucasians more than African Americans.

What is the difference between psoriasis and seborrheic dermatitis?

Psoriasis is an inflammatory skin disease that affects 2% to 4% of the population. The scales of psoriasis are often thicker than that of seborrheic dermatitis. The edges of those scales are very well-defined.

What causes red spots on the scalp?

Seborrheic dermatitis is a common, noncontagious, easy-to-manage skin condition. This type of dermatitis causes itchy red patches and greasy scales on your skin along with white or yellow crusty or powdery flakes on your scalp.

When does seborrheic dermatitis appear?

It appears within the first weeks to months of life and is rarely seen after 12 months of age in most babies. It can be easily managed with simple at-home care. In adolescents and adults, seborrheic dermatitis of the scalp (dandruff) or the face and body is a condition that comes and goes throughout life.

Does seborrheic dermatitis cause hair loss?

No, seborrheic dermatitis does not cause hair loss.

Can seborrheic dermatitis mimic psoriasis?

Psoriasis and seborrheic dermatitis can mimic each other. Both are patches of red skin with flakes. Both can be found on your scalp and back.

What is the best treatment for scalp seborrheic dermatitis?

Tea tree oil is perhaps the most common naturopathic agent used to treat scalp seborrheic dermatitis, and its use is backed up (albeit limitedly) by scientific research.

What causes seborrheic dermatitis?

Researchers are still determining the causes of seborrheic dermatitis. Some factors are thought to include: 4 1 Malassezia, a type of yeast that normally lives on our skin 2 Increased level of androgen hormones 3 Increased amount of oils in the skin 4 Family history of seborrheic dermatitis 5 Inflammatory reactions

How long does it take for a baby to get rid of a rash on their scalp?

Seborrheic dermatitis manifests most commonly on an infant's scalp and is known as "cradle cap." For most infants, the good news is that the rash will disappear over time on its own without any treatment (usually by the time the baby is six months to one year of age). 1 However, if treatment is needed, an over-counter-treatment regimen usually suffices.

What causes red spots on the face?

Leah Ansell, MD, is a board-certified dermatologist and an assistant professor of dermatology at Columbia University. Seborrheic dermatitis causes red patches with overlying yellowish, greasy-appearing scales that form on oily parts of the skin like the scalp, face, upper chest and back, armpits, and genitals. ...

Can seborrheic dermatitis cause redness?

If you think you may have symptoms of seborrheic dermatitis, please make an appointment with your doctor. Properly treating seborrheic dermatitis can not only improve the rash 's visible appearance, but also soothe any associated itching, redness, and swelling.

Can a scalp dermatitis be treated on its own?

Seborrheic dermatitis of the scalp in infants often resolves on its own. In adults, it is often a chronic, relapsing condition that requires long-term treatment with antifungal shampoo or, if on areas other than the scalp, with topical steroids or antifungal creams.

Can you use topical steroids for dermatitis?

For seborrheic dermatitis of the face or body in adults, a topical steroid cream (either over-the-counter or prescription, depending on the location and severity of the rash), a topical antifungal cream (e.g., ketoconazole 2% or ciclopirox 1%), or a combination of the two is usually recommended.

What is the best treatment for seborrheic dermatitis?

Corticosteroid lotions are sometimes prescribed for serious cases of seborrheic dermatitis. Corticosteroids reduce inflammation and very quickly reduce the agitating effects of the condition.

What to use for a dermatologist in New York?

Ask about them during your consultation. The simplest advice, though, is to use mild and fragrance-free soaps, lotions, and shampoos.

Can Manhattan dermatologist diagnose seborrhea?

During your consultation with your Manhattan dermatologist, disclose everything you’re using and all medications you’re taking — even those that aren’t for seborrhea — so your skin doctor can make an accurate diagnosis. Seborrhea can be embarrassing, but there are a number of Seborrheic Dermatitis treatments that may be prescribed to you. The most effective include:

Is light therapy safe for seborrheic dermatitis?

While light Seborrheic Dermatitis treatments are very effective, they’ ve also been found to be carcinogenic. You need to discuss the procedure in-depth with your NYC dermatologist before you agree to undergo light therapy. Usually, this procedure is prescribed only for very serious conditions of seborrhea.

Can a dermatologist diagnose a condition?

Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult dermatologist NYC about your specific condition. Only a trained, experienced board-certified dermatology doctor or pediatric dermatologist can determine an accurate diagnosis and proper treatment.

Can you use ciclopirox on seborrhea?

Ciclopirox stops the growth of fungus and helps clear up irritated skin symptoms. A prescription-only product, use it only under the supervision of your dermatologist. Don’t use it at the same time as any over-the-counter products.

What is the best medication for seborrheic dermatitis?

The best medication for seborrheic dermatitis depends on the patient’s medical condition, medical history, and medications they may already be taking that could interact with seborrheic dermatitis medication as well as the patient’s response to treatment.

What is seborrheic dermatitis?

Seborrheic dermatitis, sometimes called seborrheic eczema, is a common skin disease that causes itching, scaly patches, and red skin on areas of the body with overworked sebaceous glands or the scalp. It can also occur in other parts of the body where oil secretion is high, such as the face, upper chest, and back.

What is the name of the fungal disease that occurs on oily skin?

Seborrheic dermatitis is a superficial fungal disease that occurs on oily parts of your skin. Although debated, it is thought that Malassezia yeasts and seborrheic dermatitis are connected due to an abnormal inflammatory response to the yeasts.

How to get rid of itching in hair?

Start with a small amount, and increase if needed. Apply one teaspoon of coconut oil to your scalp twice a week, leave it on for a few hours, and rinse your hair thoroughly. Use tea tree oil.

What is the best treatment for athlete's foot?

Antifungals. Antifungals, also called antimycotics, can kill fungus or slow its growth. They are effective in treating fungal infections like athlete’s foot, ringworm, candidiasis, and preventing fungal cells from growing and reproducing.

Why do doctors prescribe KOH?

Your doctor may prescribe a KOH prep test to rule out a fungal infection.

Can you use topical calcineurin inhibitors for seborrheic dermatitis?

In other cases where topical corticosteroids aren’t appropriate, topical calcineurin inhibitors (TCIs), which are non-corticosteroid topical medications, can be used by adults and children 2 years of age or older.

What is the best treatment for seborrheic dermatitis?

Experimental procedures. Phototherapy, which includes procedures such as blue light or UV light therapy, may be a beneficial treatment option for skin conditions like seborrheic dermatitis.

How to reduce skin irritation?

Modified hygiene techniques. Making certain changes such as shaving the facial hair, wearing loose clothes, and rinsing off the skin thoroughly can help reduce skin irritation and symptoms.

What causes red spots on skin?

Generally, in all skin types, seborrheic dermatitis causes red and inflamed skin, which is often covered with greasy, scaly “patches” or flakes of “ dandruff ”. However, Black people with seborrheic dermatitis may also notice additional symptoms of this condition that typically only present in people of color.

How many people have eczema?

According to the National Eczema Association, eczema affects roughly 31.6 million people in the United States. Eczema is an umbrella term for multiple skin conditions, such as atopic dermatitis or contact dermatitis, that are characterized by itchy, inflamed skin. Seborrheic dermatitis is a type of chronic eczema that has a very distinct presentation — especially in the way that it can appear on the skin in Black people.

What is the term for a thick, crusty patch of skin?

Scalp and hairline: in the form of dandruff or thick, crusty patches of skin

What is hypoallergenic skincare?

Hypoallergenic skincare products, such as soaps and lotions, can help reduce irritation from harsh chemicals that are often found in traditional skincare products.

How to protect skin from harsh weather?

It’s important to keep your skin protected in this type of weather, such as with a high-SPF sunscreen and appropriate clothing for the season.

What is the procedure for seborrheic dermatitis?

If the diagnosis of seborrheic dermatitis is still uncertain, a dermatologist may perform a skin biopsy. With a biopsy, a small area of the affected skin is removed and examined under a microscope. Other tests may be performed if alternative diagnoses are being considered. For example, a KOH prep test may be done to rule out a fungal infection, ...

Where does seborrheic dermatitis grow?

Seborrheic dermatitis grows along areas that contain sebaceous oil glands. These are commonly found on the scalp, the T-zone on your face, eyebrows, the beard area in men, armpits, and other places where hair grows. 3.

What is the rash on the scalp?

The rash of seborrheic dermatitis consists of scaly, greasy-appearing patches that form on oily parts of the skin, such as the scalp, face, and in the ear canals. It also manifests as cradle cap in infants and, in its milder form, as dandruff in adults. The diagnosis of seborrheic dermatitis is almost always made clinically, ...

Where is the seborrheic rash located?

With seborrheic dermatitis, the rash will be located only on certain parts of the body —those that contain a large amount of sebaceous or oil-producing glands, such as the scalp, center of the face, ears, eyebrows, upper chest and back, armpits, and genitals. If the diagnosis of seborrheic dermatitis is still uncertain, ...

Which skin disease is easily confused with seborrheic dermatitis?

To provide an example—one skin disease that may be easily confused for seborrheic dermatitis and yet requires a wholly unique treatment plan is psoriasis. Both psoriasis and seborrheic dermatitis cause a scaling skin rash, which may be present on the scalp. However, there are some key differences that a healthcare provider can tease out during a skin exam.

What to do before a rash appointment?

Before your appointment, make notes about your rash symptoms (or that of your child). Your healthcare provider will ask you several questions about your rash, such as the location of your lesions ("spots or patches"), what makes your rash better or worse, if there are any associated symptoms like itching or burning, and if the rash is constant or comes and goes.

Is seborrheic dermatitis yellow or white?

On the other hand, the scales of seborrheic dermatitis are yellow-white in color, appear greasy and moist, and are usually fairly easy to remove. In addition, while both rashes can itch, psoriasis scales tend to feel more tender.

Diagnosis

Lifestyle and Home Remedies

Alternative Medicine

Preparing For Your Appointment

Medically reviewed by
Dr. Aakash Gupta
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes ways to manage symptoms but the skin condition cannot be completely cured.
Medication

Corticosteroid: Creams, shampoos, or ointments which contain corticosteroids are used to control inflammation.

Hydrocortisone . Fluocinolone


Antifungals: Used to reduce itching and fungal infection.

Ketoconazole . Ciclopirox

Self-care

Always talk to your provider before starting anything.

  • Use gentle soap and shampoo to remove oiliness and build-up of dead cells.
  • Do not scratch or pick the affected area.
  • Wear loose, cotton clothes to avoid irritating the skin.
  • Wash the infant’s scalp using non-medicated shampoos in case of cradle cap.

Nutrition

Foods to eat:

  • Foods rich in vitamin A: e.g. carrots, spinach, pumpkin, tomatoes, watermelons, bananas, apples, mangoes, beans
  • Foods rich in vitamin E: e.g. vegetable fats such as olive oil
  • Protein rich foods: e.g. legumes, nuts such as peanuts and walnuts, rabbit meat, turkey, lamb etc

Foods to avoid:

  • Food allergens: Foods which trigger this condition, such as allergens like coffee, wheat products, dairy products, gluten-loaded products, citrus fruits, corn and peanuts.

Specialist to consult

Dermatologist
Specializes in the study of the skin and its disorders.
Allergist
Specializes in the diagnosis and treatment of allergic disorders.

Over-The-Counter (OTC) Therapies

  • Your doctor will likely be able to determine whether you have seborrheic dermatitis by examining your skin. He or she may scrape off skin cells for examination (biopsy) to rule out conditions with symptoms similar to seborrheic dermatitis, including: 1. Psoriasis.This disorder also causes dan…
See more on mayoclinic.org

Prescriptions

  • You may be able to control seborrheic dermatitis with lifestyle changes and home remedies. Many of these are available in over-the-counter (nonprescription) forms. You may need to try different products or a combination of products before your condition improves. The best approach for you depends on your skin type, the severity of your condition, and whether your symptoms affect you…
See more on mayoclinic.org

Complementary Alternative Medicine

  • Many alternative therapies, including those listed below, have helped some people manage their seborrheic dermatitis. But evidence for their effectiveness isn't conclusive. It's always a good idea to check with your doctor before adding any alternative medicines to your self-care routine. 1. Tea tree oil.Tea tree oil, either alone or in a shampoo, may be used on the affected area. Some studie…
See more on mayoclinic.org

A Word from Verywell

  • You'll probably first visit your primary care doctor. He or she may refer you to a doctor who specializes in skin disorders (dermatologist). Here's some information to help you get ready for your appointment.
See more on mayoclinic.org

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