How to treat infant seborrheic dermatitis

Written by Xie Ming Feng
Dermatology
Updated on September 28, 2024
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Seborrheic dermatitis, also known as seborrheic eczema, is a chronic papular squamous superficial inflammatory skin disease that occurs in areas of sebum secretion. It is more commonly found in adults and newborns and can be accompanied by varying degrees of itching. In infants, seborrheic dermatitis generally occurs from the 2nd to the 10th week after birth, with common sites being the scalp, face, nasolabial folds, nasal hair area, around the ears, and in skin folds. The rash typically appears as greasy red patches, or may be covered with greasy gray-yellow or brown-yellow thick crusts. In severe cases, there might be erosion and exudation. The condition generally diminishes or even heals within two months, though in very rare cases, the rash may suddenly spread throughout the body, causing diffuse erythema and significant desquamation. This is known as seborrheic erythroderma, which represents a severe stage of the disease. Treatment mainly involves the use of topical medications, focusing on mild, safe, and low-irritant drugs for application. Commonly used medications include zinc oxide oil, antibiotic ointments, traditional Chinese medicine ointments, tacrolimus ointment, and pimecrolimus cream. Additionally, it is important to advise the parents to ensure the baby has a regular lifestyle with sufficient sleep and to avoid various mechanical irritations. It is also recommended to use less hot water and harsh alkaline soaps for bathing.

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Written by Xie Ming Feng
Dermatology
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Is seborrheic dermatitis itchy?

Seborrheic dermatitis, also known as seborrheic eczema, is a chronic papular scaly superficial inflammatory skin disease that occurs in areas of excessive sebum secretion. It is commonly found in areas rich in sebaceous glands, such as the head, face, and trunk. The characteristic skin lesions primarily consist of follicular papules that gradually merge into dark red or yellow-red patches, covered with greasy scales or crusts. There may be exudation, crusting, erosion, and eczematous changes. In severe cases, it can spread over the entire body, causing diffuse erythema and significant scaling. The condition may be accompanied by varying degrees of itching.

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Written by Xie Ming Feng
Dermatology
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How to Treat Seborrheic Dermatitis

Seborrheic dermatitis, also known as seborrheic eczema, is a chronic papular scaly superficial inflammatory skin disease that occurs in areas with excess sebum secretion. It can be accompanied by varying degrees of itching and typically occurs in areas with abundant sebaceous glands such as the scalp, face, chest, and back. The treatment generally includes three aspects: The first aspect involves advising patients to maintain a regular lifestyle, get sufficient sleep, avoid various mechanical stimuli, use less hot water and soap with high alkalinity for bathing, and pay attention to their diet by limiting and reducing the intake of polysaccharides and fats, alcohol, and spicy and irritating foods, while consuming more fruits and vegetables. The second aspect is the treatment with topical medications. Commonly used medications include mixed preparations containing corticosteroids and antifungal drugs, such as compound miconazole and compound econazole. If the effect is unsatisfactory, topical calcineurin inhibitors such as pimecrolimus or tacrolimus can be used. If there is exudation or erosion, zinc oxide ointment or erythromycin ointment can be chosen. For scalp lesions, shampoos containing ketoconazole or selenium sulfide can be used. The third aspect is the treatment with oral medications, which generally includes supplementation with B vitamins such as vitamin B2, vitamin B6, and compound vitamin B, or zinc-containing preparations. For severe itching, antihistamines can be taken orally. In cases of fungal infection or widespread lesions, oral itraconazole can be administered, and for bacterial infections, tetracycline or erythromycin can be prescribed.

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Written by Xie Ming Feng
Dermatology
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What should pregnant women do about seborrheic dermatitis?

Seborrheic dermatitis is a chronic papular and squamous superficial inflammatory skin disease that occurs in areas where sebum is secreted, and it can be accompanied by varying degrees of itching. Pregnant women diagnosed with seborrheic dermatitis are generally treated primarily with topical medications. It is advisable to choose mild, safe ointments with low irritability for external application. Safe antibiotic ointments, traditional Chinese medicine ointments, or ointments primarily for moisturizing and repairing the skin barrier can be used. Specific medications should be used under the guidance of a doctor. Additionally, pregnant women should be informed to maintain a regular lifestyle, get enough sleep, limit diets high in polysaccharides and fats, avoid spicy and irritating foods, eat more vegetables and fruits, avoid various forms of mechanical irritation, and use less hot water and strongly alkaline soaps for bathing.

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Written by Xie Ming Feng
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Can seborrheic dermatitis be cured?

Seborrheic dermatitis, also known as seborrheic eczema, is a chronic papular squamous superficial inflammatory skin disease that occurs in areas rich in sebaceous glands such as the head and trunk. The exact causes of the disease are still not completely clear, but it is mainly believed to be related to increased sebum secretion or changes in its chemical composition, and associated with colonization and infection by Malassezia species. Additionally, factors such as mental stress, diet, alcohol consumption, and vitamin B group deficiency can also affect the occurrence and development of this disease to varying extents. Thus, the condition is chronic and can recur repeatedly. Although seborrheic dermatitis can be clinically cured, it is prone to recurrence. Hence, it is important to maintain a regular lifestyle, ensure adequate sleep, limit the intake of polysaccharides and fats, consume more vegetables and fruits, abstain from alcohol and spicy irritant foods, and avoid various mechanical irritations. Using less hot water and strong alkaline soaps for bathing can help reduce the recurrence of seborheic dermatitis.

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Written by Xie Ming Feng
Dermatology
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Manifestations of seborrheic dermatitis

Seborrheic dermatitis, also known as seborrheic eczema, is a chronic papular and scaly superficial inflammatory skin disease that occurs in areas of sebaceous secretion. It may be accompanied by varying degrees of itching. It commonly affects areas rich in sebaceous glands such as the head, face, chest, and back. Initially, the skin lesions are follicular papules, which gradually merge into dark red or yellow-red plaques. These are covered with greasy scales or crusts, and might exhibit exudation, crusting, and erosion, showing eczematous changes. In severe cases, the lesions may become widespread throughout the body, with the skin appearing diffusely flushed and significantly flaky. This condition is then referred to as seborrheic erythroderma. The disease is chronic and recurrent.