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Dermatitis, Seborrheic

Reviewed 06/2020
 


BASICS

DESCRIPTION

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

EPIDEMIOLOGY

Incidence

  • Predominant...

DIAGNOSIS

Diagnosis of seborrheic dermatitis is usually made by history and physical exam. If unclear, a punch biopsy of the skin will confirm the diagnosis. 

HISTORY

  • Intermittent active phases manifest...

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 warm ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Every 2 to 12 weeks depending on the disease severity and the patient’s response to therapy 

PATIENT EDUCATION

REFERENCES

1
Borda L, Perper M, Keri JE. Treatment of seborrheic dermatitis: a comprehensive review. J Dermatolog Treat.  2019;30(2):158–169.
2
Okokon EO, Verbeek JH, Ruotsalainen JH, et al. Topical...

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...

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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