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Seborrheic Dermatitis, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • A common and chronic papulosquamous inflammatory skin disorder

  • Affects all age groups and varies from mild dandruff to extensive adherent scale

  • Found in areas with high concentrations ...

Diagnosis

Signs and Symptoms

Infants

  • Onset during 1st few weeks of life, is usually self-limited and resolves by 12 mo of age

  • May present concurrently with atopic dermatitis

  • Flexural fold involvement may ...

Treatment

Pre-Hospital

None required 

Initial Stabilization/Therapy

None required 

Ed Treatment/Procedures

  • Seborrheic dermatitis is a chronic condition:

    • Emergent treatment is not required unless secondary i...

Follow-Up

Disposition

Admission Criteria

Admission unlikely to be required unless severe secondary infection or erythroderma is present 

Discharge Criteria

Patients may be discharged with recommended medi...

Pearls and Pitfalls

  • Severe and sudden attacks of seborrheic dermatitis may be the initial presentation of an immunocompromised patient (e.g., HIV/AIDS)

  • Admission may be warranted for further evaluation...

Additional Reading

  • Elewski  BE. Safe and effective treatment of seborrheic dermatitis. Cutis.  2009;83:333–338.

  • Goldsmith  LA, Katz  SI, Gilchrest  BA, et al. Fitzpatrick's Dermatology in General ...

Codes

ICD9

  • 690.10 Seborheic dermatitis, unspecified

  • 690.11 Seborrhea capitis

  • 690.12 Seborrheic infantile dermatitis

  • 690.18 Other seborrheic dermatitis

  • 690.1 Seborrheic dermatitis

ICD10

  • L21.0 Seborrhea capiti...

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