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General Medicine

Dermatitis, Seborrheic

Juan Qiu, MD, PhD Reviewed 06/2019
 


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 warm ...

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

http://familydoctor.org/f...

REFERENCES

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. [View Abstract on OvidMed...

ADDITIONAL READING

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

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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Related Images
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Figure 14.33. Seborrheic dermatitis.
Figure 14.33. Seborrheic dermatitis.
Figure 24-11 Seborrheic dermatitis. This severe case is composed of confluent papules and plaques in the oily skin of the chest and axillae. (The face and scalp, not shown, were also involved.)
Figure 24-11 Seborrheic dermatitis. This severe case is composed of confluent papules and plaques in the oily skin of the chest and axillae...
Seborrheic hyperplasias with umbilication and lobulation
Seborrheic hyperplasias with umbilication and lobulation
Seborrheic hyperplasias with umbilication and lobulation
Seborrheic hyperplasias with umbilication and lobulation
Seborrheic dermatitis: scalp, old man
Seborrheic dermatitis: scalp, old man
FIGURE 2.61 Intertrigo (intertriginous seborrheic dermatitis). This patient has an itchy erythematous rash in his inguinal creases. This condition is frequently confused with tinea cruris and cutaneous candidiasis.
FIGURE 2.61 Intertrigo (intertriginous seborrheic dermatitis). This patient has an itchy erythematous rash in his inguinal creases. This co...
Seborrheic dermatitis. Scale and erythema are evident along the frontal hairline. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Seborrheic dermatitis. Scale and erythema are evident along the frontal hairline. From Goodheart HP. Goodheart's Photoguide to Common Skin ...
Seborrheic dermatitis. This patient has involvement of the retroauricular area. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Seborrheic dermatitis. This patient has involvement of the retroauricular area. From Goodheart HP. Goodheart's Photoguide to Common Skin Di...
Seborrheic dermatitis of the face. Scaling "greasy" appearance of brow and malar
Seborrheic dermatitis of the face. Scaling "greasy" appearance of brow and malar
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