Dermatitis: Diagnosis & Treatment

Seborrheic Dermatitis In Children | Does Your Child’s Itchiness Require Professional Help?

Seborrheic dermatitis in children: Find out how it presents, why it happens & how to treat it!

What is it?

Seborrheic dermatitis in children is a chronic inflammatory skin condition that usually appears on areas of the body with a large density of sebaceous glands (glands in the skin that produce an oily material sebum for lubrication), such as the scalp, face, chest, back, axilla, and groin. It is a chronic condition and waxes and wanes.

It is seen from infancy to adulthood. However, it is commonest in infants up to 3 months. It gradually reduces and disappears by age 4 years. It may be seen in adulthood mainly as dandruff.

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How does it present?

Seborrheic dermatitis is a clinical diagnosis based on the location and appearance of the lesions. The characteristic symptoms—scaling, erythema, and itching—occur most often on the scalp, face, chest, back, axilla, and groin.

In infants, there may be thick white or yellow greasy scales on the scalp- called the cradle cap. This is the commonest form of presentation and occurs in 10% baby boys and 9.5% baby girls. It is usually benign and resolves spontaneously.

In adolescents and adults, seborrheic dermatitis typically presents as flaky, greasy, erythematous patches on the scalp, nasolabial folds, ears, eyebrows, anterior chest, or upper back.

Why does it happen?

The skin changes are thought to result from an inflammatory response to a common skin organism, Malassezia yeast. Malassezia is usually found in the skin flora and is a normal finding. Changes in the functioning of the skin cause the redness, itching, and scaling. Nonetheless, in persons with seborrheic dermatitis, the yeast invade the superficial part of the skin and produce fats that result in inflammation. The inflammation causes scaling and impairs the stratum corneum barrier and skin functioning. The severity of symptoms is impacted by stress and sun exposure.

Seborrheic dermatitis in children: Enter your details in the form below and get answers to the top 12 questions prospective patients ask or clicking here

How to treat it?

  • Most often it is benign and resolves spontaneously
  • Applying virgin coconut oil and gently scraping off the scales can help
  • The emollients help loosen scales (e.g., coconut oil, petroleum jelly). Scales can then be removed by rubbing with a cloth or infant hairbrush
  • Rarely, ketoconazole 1% to 2% cream is effective and seems to be safe when used twice daily for two weeks
  • There are no shampoos that have been approved by the U.S. Food and Drug Administration for the treatment of seborrheic dermatitis in children younger than two years

Underlying rationale

  • Keratolytics (sulfur and salicylic acid) help remove the outer layers of the hyperproliferating stratum corneum
  • Coal tar is thought to decrease the rate of stratum corneum production
  • Antifungals decrease the Malassezia population
  • Anti-inflammatories such as corticosteroids and calcineurin inhibitors decrease the inflammatory response

Thus treatment includes antifungal, anti-inflammatory and regulation of stratum corneum productions.

Seborrheic Dermatitis In Children | https://www.singhaniaclinic.com/pediatrician/seborrheic-dermatitis-in-children/ Does Your Child's Itchiness Require Professional Help?

Seborrheic Dermatitis In Children

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Dermatitis: Diagnosis & Treatment was last modified: April 25th, 2017 by Wilma Gervacio