Seborrhea - Seborrheic dermatitis

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It is a chronic inflammatory disorder of the skin that causes redness and desquamation.

The exact cause is not known, but its origin is suspected to be multifactorial: hereditary factors, hormonal factors, immune system weakness, nervous system alterations, nutritional habits and allergy to the fungus Malassezia furfur.

It presents with areas of reddened skin with white and/or yellowish crusts or scales that flake off. It predominantly affects oily skin areas such as the scalp, face or inner ear area.  

Diagnosis is clinical, by interrogation and physical examination.

There is no definitive treatment, being considered a chronic disease that appears in outbreaks. The application of creams and shampoos for this purpose can improve the symptoms. In more severe cases, lotions or shampoos with corticosteroids and/or immunomodulators may be used to treat inflammation. Ultraviolet light helps to improve the lesions, disappearing almost completely in times of increased sun exposure.

Bibliographic references
  1. Denis Sasseville. Seborrheic dermatitis in adolescents and adults. UpToDate. Dec 30, 2015.
  2. Sandström Falk MH, Tengvall Linder M, Johansson C, et al. The prevalence of Malassezia yeasts in patients with atopic dermatitis, seborrhoeic dermatitis and healthy controls. Acta Derm Venereol 2005; 85:17.
  3. Faergemann J, Bergbrant IM, Dohsé M, et al. Seborrhoeic dermatitis and Pityrosporum (Malassezia) folliculitis: characterization of inflammatory cells and mediators in the skin by immunohistochemistry. Br J Dermatol 2001; 144:549.
  4. Gupta AK, Kohli Y, Summerbell RC, Faergemann J. Quantitative culture of Malassezia species from different body sites of individuals with or without dermatoses. Med Mycol 2001; 39:243.
  5. N aldi L, Rebora A. Clinical practice. Seborrheic dermatitis. N Engl J Med 2009; 360:387.
  6. McCall CO, LaweyTJ. Dermopatías frecuentes. Harrison. Manual de Medicina. 16º edición. 267-273.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Reddened skin on the scalp


    Yellowish-white flakes


    Scales on the skin


    Dandruff-like microscopic escales


    Skin of the ears is reddened and flaky

Symptoms to watch out for

Persistence of symptoms during the first month of treatment.
Wound with signs of infection (warmth, redness, painful sensation, fever, swelling)

Self-care

Wash your face twice a day with a mild, soap-free facial cleanser and warm water.
Use sunscreen with SPF 30 or higher.
Use over-the-counter anti-dandruff shampoo. Use it every day until the dandruff diminishes.
Avoid oily or greasy cosmetics, use water-based products.
Use over-the-counter hydrocortisone cream once or twice a day.