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Dermatitis, Seborrheic

Juan Qiu, MD, PhD Reviewed 06/2018
 


BASICS

DESCRIPTION

Chronic, superficial, recurrent inflammatory rash affecting sebum-rich, hairy regions of the body, especially the scalp, eyebrows, and face 

EPIDEMIOLOGY

Incidence

  • Predominant age: infa...

DIAGNOSIS

Diagnosis of seborrheic dermatitis usually can be made by history and physical exam. 

HISTORY

  • Intermittent active phases manifest with burning, scaling, and itching, alternating with inactive ...

TREATMENT

GENERAL MEASURES

  • Increase frequency of shampooing.

  • Sunlight in moderate doses may be helpful.

  • Cradle cap

    • Frequent shampooing with a mild, nonmedicated shampoo

    • Remove thick scale by applying war...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Every 2 to 12 weeks, as necessary, depending on disease severity and degree of patient sophistication 

PATIENT EDUCATION

REFERENCES

1
1 Borda LJ, Wikramanayake TC. Seborrheic dermatitis and dandruff: a comprehensive review. J Clin Investig Dermatol.  2015;3(2). doi:10.13188/2373-1044.1000019.
2
2 Clark GW, Pope SM, Ja...

ADDITIONAL READING

  • Dessinioti C, Katsambas A. Seborrheic dermatitis: etiology, risk factors, and treatments: facts and controversies. Clin Dermatol.  2013;31(4):343–351.

  • Hay RJ. Malassezia, dandru...

SEE ALSO

Algorithm: Rash 

CODES

ICD10

  • L21.9 Seborrheic dermatitis, unspecified

  • L21.1 Seborrheic infantile dermatitis

  • L21.0 Seborrhea capitis

  • L21.8 Other seborrheic dermatitis

ICD9

  • 690.10 Seborrheic dermatitis, unspecified

  • 690.12 Sebo...

CLINICAL PEARLS

  • Search for an underlying systemic disease in a patient who is unresponsive to usual therapy.

  • In adults, seborrheic dermatitis is usually chronic and unpredictable, with exacerbations an...

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