Seborrheic dermatitis facial symptoms

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 and scaly superficial inflammatory skin disease that occurs in areas where sebum is secreted, and it can be accompanied by itching of varying degrees. The causes of the disease are generally believed to be related to increased sebum secretion or changes in the chemical composition of the sebum. It is also associated with colonization and infection by Malassezia yeast. Factors such as stress, diet, deficiency of B vitamins, and alcohol consumption can also affect the onset and progression of the disease to varying degrees. When seborrheic dermatitis occurs on the face, its symptoms primarily manifest as initial follicular papules that gradually merge and expand into dark red or yellowish-red patches. These patches have oily or dry scales and in severe cases may exhibit exudation, crusting, erosion, presenting eczema-like changes.

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Written by Xie Ming Feng
Dermatology
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Is seborrheic dermatitis easy to treat?

Seborrheic dermatitis is a chronic, pustular, scaly superficial inflammatory skin disease that occurs at sites of sebum overflow. It can be accompanied by varying degrees of itching. The exact cause of the disease is not completely clear, but it is generally believed to be related to an increase in sebum secretion or changes in its chemical composition. Additionally, colonization and infection with Malassezia are also somewhat related. Other factors such as mental state, diet, alcohol consumption, deficiency of B vitamins, infections, and fatigue can also influence the occurrence and development of the disease to varying degrees. Clinically, seborrheic dermatitis is a challenging condition, generally managed symptomatically. Although it can be clinically cured, it is a chronic condition that may still recur.

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Written by Huang Ling Juan
Dermatology
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How to deal with seborrheic dermatitis?

For seborrheic dermatitis, topical application of some corticosteroid medications like desonide ointment or hydrocortisone butyrate cream can be utilized. However, it is important to avoid prolonged, excessive use on the more delicate facial skin. In cases of oozing or erosion, treatments such as boric acid solution or saline can be used for wet compresses. Additionally, for seborrheic dermatitis, one may also choose calcineurin inhibitors like tacrolimus ointment or pimecrolimus cream. If severe itching occurs with seborrheic dermatitis, symptomatic itch relief should be provided, primarily through oral antihistamines such as desloratadine dispersible tablets or cetirizine hydrochloride tablets. Treatment can also include traditional Chinese medicine based on differential diagnosis.

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Written by Xie Ming Feng
Dermatology
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How to completely cure seborrheic dermatitis of the scalp?

Seborrheic dermatitis, also known as seborrheic eczema, is a chronic, superficial inflammatory skin disease characterized by papular scaly rashes, predominantly occurring in areas rich in sebaceous glands such as the head, face, and trunk. The exact cause of this disease is still not fully understood. It is mainly believed to be related to an increase in sebum secretion or changes in its chemical composition. Additionally, colonization and infection by Malassezia yeast, along with factors like stress, diet, deficiency in B vitamins, and alcohol consumption can all influence the occurrence and development of this condition to varying degrees. Due to these factors, the disease has a chronic course and may relapse repeatedly. Seborrheic dermatitis occurring on the scalp, although clinically curable, can still experience flare-ups. Its symptoms mainly include oily hair, scalp papules, erythema, dandruff, and itching. Clinical treatment primarily involves the use of shampoos containing ketoconazole, selenium sulfide, or salicylic acid. This can be accompanied by oral antihistamines, supplementation with B vitamins, or zinc-containing preparations. It is crucial to maintain regular life habits, ensure sufficient sleep, restrict diets high in polysaccharides and fats, increase the consumption of vegetables and fruits, avoid alcohol and spicy irritant foods, use less hot water and strongly alkaline soaps for bathing, and avoid various types of mechanical irritation to reduce the recurrence of scalp seborrheic dermatitis.

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Written by Xie Ming Feng
Dermatology
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What fruits to eat for seborrheic dermatitis?

Seborrheic dermatitis is a chronic papular and scaly superficial inflammatory skin disease that occurs in areas of the skin where sebum is secreted, often accompanied by varying degrees of itching. The causes are generally believed to be related to increased sebum secretion or changes in its chemical composition, as well as colonization and infection by Malassezia. Other factors such as stress, diet, alcohol consumption, deficiency of B-complex vitamins, fatigue, emotional stress, infections, etc., can all influence the onset and development of the disease to varying degrees. Clinically, patients are advised to maintain regular life habits, ensure sufficient sleep, adjust their diet, limit polysaccharides and fats, avoid spicy and stimulating foods, avoid alcohol, and consume more vegetables and fruits. As for what types of fruits to eat, it is generally better to choose fruits rich in B-complex vitamins, such as tomatoes, bananas, grapes, kiwis, pears, walnuts, chestnuts, oranges, etc.

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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.