Suborrheic Dermatitis Treatment in Lucknow

On oily parts of the body like the face and scalp, this common skin ailment results in a scaly rash. The rash can take many various forms on the skin and occasionally resembles another skin disorder. Consult a board-certified dermatologist for an accurate diagnosis.

The scalp is where the rash typically appears. On those with darker skin tones, the rash frequently appears pink, barely purple, or lighter than the nearby skin. Lighter skin types are more likely to get a red, raised rash.

Causes:

The precise cause of seborrheic dermatitis is unknown, according to researchers. They believe there could be numerous factors. Some of the elements that are believed to be involved are:p>

Malassezia is a form of yeast that is found on everyone's skin but can overgrow in some people.
An increased level of androgens (a hormone).
An increased level of skin lipids.
An inflammatory reaction.
Family history (dermatitis runs in the family).

CThe following are other causes or aggravating factors for seborrheic dermatitis:p>

Stress.
Cold and dry climate.
Oily skin.
Using alcohol-based lotions.
History of other skin disorders, including rosacea, psoriasis and acne.

Risk of Suborrheic Dermatitis

The actual reason why some persons experience seborrheic dermatitis and others do not is unknown to doctors. However, it does seem that if a close relative has the illness, your risk of getting it also increases.p>

Other elements considered to raise risk include:

obesity
poor skin care
stress
environmental factors, like pollution
the presence of other skin issues, like acne
using specific skin care products, especially ones with alcohol
certain medical conditions, like HIV or Parkinson’s disease
harsh detergents, soaps, and chemicals
cold, dry weather
medications including psoralen, interferon, and lithium
hormonal changes

Symptoms of Suborrheic Dermatitis

Common symptoms

There are common symptoms that many people with seborrheic dermatitis experience, regardless of where the illness is on the body. These signs consist of:

Flaking skin or dandruff;
Patchy of flaky white or yellow scales on top of greasy skin;
a rash that is itchy and appears darker on brown or black skin than it does on white skin;
Ring-shaped rash for those with petaloid seborrheic dermatitis;
Itchiness.

Lesions containing sebum can sometimes occur, and the affected skin will occasionally crust over. Erythema, or skin redness brought on by inflammation, can also occur. People who scratch the affected areas excessively may also lose hair if the flare-ups are in the creases along their hairline.

Petaloid seborrheic dermatitis, a more severe type of the condition when lesions grow around the hairline and skin discoloration occurs, may affect African Americans and those with skin of colour. The darkened skin typically appears as a rash with a ring shape. When considering eczema and skin of colour more broadly, it has been found that Black patients, who are also more likely to have severe disease, are more affected by the itching caused by eczema.

Symptoms of severe cases

More serious conditions might impair the immune system of the affected skin and raise the risk of infection. It is not precancerous to have seborrheic dermatitis. This type of eczema does not enhance your risk of developing skin cancer.

Another widespread fallacy is the idea that seborrheic dermatitis causes hair loss. This is wholly untrue. Hair loss is not a sign of seborrheic dermatitis, and if you have it, there is definitely something else going on below.

The best course of action is to see a qualified healthcare professional, such a dermatologist, whether your severe symptoms are caused by seborrheic dermatitis or anything else. Your extreme symptoms can be managed by this healthcare professional, allowing you to resume your everyday activities without being bothered by them.

Treatment

General measures

Educating the patient about the skin condition and appropriate skincare routine.
Identifying modifiable lifestyle factors e.g. a high fruit intake is associated with less seborrheic dermatitis whereas stress may precipitate flare-ups.

Specific measures

Treatment of seborrhoeic dermatitis often involves several of the following options.

When necessary, keratolytics such as salicylic acid, lactic acid, urea, and propylene glycol are used to eliminate scale.
Topical antifungal treatments, such as ciclopirox shampoo and/or lotion, are used to diminish Malassezia. You should be aware that some Malassezia strains are resistant to azole antifungals. Try selenium sulphide or zinc pyrithione.
Mild topical corticosteroids: for 1–3 weeks to reduce the inflammation of an acute flare.
If topical corticosteroids must be used often, topical calcineurin inhibitors (pimecrolimus cream, tacrolimus ointment) are advised since they have fewer side effects on the skin of the face over time.
Itchiness.

Adults with resistant instances may benefit from oral itraconazole, tetracycline antibiotics, or phototherapy. For severe or moderate illness, low-dose oral isotretinoin has also been demonstrated to be effective.

Scalp treatment

Ketoconazole, ciclopirox, selenium sulphide, zinc pyrithione, coal tar, and salicylic acid-containing medicated shampoos that should be used twice weekly for at least a month and maybe indefinitely.
Applying steroid scalp treatments everyday for a few days at a time can help relieve itching.
Calcineurin inhibitors such as tacrolimus can be used as steroid alternatives.
Ring-shaped rash for those with petaloid seborrheic dermatitis;
Scaling regions can be treated with coal tar ointment, which can then be shampooed off several hours later.
Combination therapy is often advisable.
Alternative treatments, such as tea tree oil shampoo, may be used.

Face, ears, chest, and back

Coal tar ointment can be used to treat scaling areas, and after several hours, the area can be shampooed clean.
Apply ketoconazole or ciclopirox cream once daily for 2 to 4 weeks, repeated as necessary.
You can also use hydrocortisone cream, applying it up to twice daily for one or two weeks. On rare occasions, a stronger topical steroid may be recommended.
Topical steroids may be substituted with calcineurin inhibitors such as tacrolimus ointment or pimecrolimus cream.
Although there is debate over their effectiveness, many herbal medicines are frequently employed.

Management in infants

The scalp should be regularly washed with infant shampoo or an aqueous lotion, then gently brushed to remove any scales.

White petrolatum may be useful.
Depending on the severity of the rash, topical antifungal medications are frequently given.

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