What is Seborrhoeic Dermatitis?
Seborrhoeic dermatitis is a skin disease that usually affects the scalp and oily areas of the body, such as the back, face, forehead, armpits, groin, and upper chest. On the scalp, this disease causes skin red, dandruff, and scaly.
Seborrhoeic dermatitis is not a contagious disease, but it can affect the patient’s confidence. In addition to dandruff, seborrheic dermatitis is also often referred to as seborrhoeic psoriasis and seborrhoeic eczema. While seborrhoeic dermatitis that infects the baby is called a cradle cap.
Seborrhoeic dermatitis can affect people of all ages, where at least 1-3% of young adults have had the disease. However, people with immune system problems (people with HIV / AIDS, Parkinson’s disease) are more prone to experience it. Stress conditions also have the potential to aggravate existing symptoms.
Symptoms of Seborrhoeic Dermatitis
Seborrhoeic dermatitis does not affect the overall health of the body. In general seborrheic dermatitis has the following symptoms:
- The skin feels itchy or burning.
- Scalp is red and dandruff.
- Leather or dandruff exfoliation also occurs in whiskers, beards, or eyebrows.
- The eyelid will be crusty or reddish (blepharitis).
- White or yellow scaly skin occurs in areas of oily skin other than the scalp, such as the face, armpits, ears, and chest.
Causes of Seborrhoeic Dermatitis
The exact cause of seborrheic dermatitis remains unknown, but it may be related to the malassezia fungus present in the release of oil on the skin surface. In addition, the inflammation associated with psoriasis can also be a cause of seborrheic dermatitis.
In addition to the two possibilities mentioned above, there are a number of factors that can increase the risk of this disease, namely:
- Heart failure.
- Certain medications.
- Psychiatric and neurological disorders (eg depression and Parkinson’s disease).
The habit of scratching facial skin.
- Diseases that cause weakening of the immune system, such as HIV / AIDS, cancer, organ transplant recipients, and alcoholic pancreatitis.
Endocrine diseases that can cause obesity, such as diabetes.
- The weather was cold and dry.
- Stress and genetic factors.
People who have oily skin, newborns, and adults aged between 30-60 years (especially women), are more at risk of seborrheic dermatitis.
Diagnosis of Seborrhoeic Dermatitis
After a physical examination, diagnosis of seborrhoeic dermatitis can be established by biopsy or examination of skin cell exfoliation. It aims to ascertain whether the disease suffered is seborrhoeic dermatitis or other similar diseases, such as eczema, rosacea, or psoriasis.
Treatment of Seborrhoeic Dermatitis
Seborrhoeic dermatitis can be treated by using special creams, lotions, or shampoos. Generally these products are sold freely. However, if these steps remain unhelpful and symptoms of seborrhoeic dermatitis do not subsist or heal, consult your doctor for further treatment as below:
- Cream or gel metronidazole that serves to fight bacteria. Apply this cream 1-2 times a day, depending on the type of cream used. Adjust the instructions listed on the packaging.
- Anti-fungus shampoo containing ketoconazole Use this shampoo 2-3 times a week. The rest, use regular shampoo.
- Shampoos, creams, or ointments containing corticosteroids, such as fluocinolone or hydrocortisone, are useful for relieving but side effects such as thinning of the skin can occur if using it for too long.
- Light therapy is combined with the use of psoralen or called photochemotherapy. However, people who have thick hair may not be suitable for this therapy.
- Lotions or creams that contain calcineurin inhibitors, such as pimecrolimus, and tacrolimus for treatment that suppress the immune system. However, this drug has the potential to increase the risk of cancer.
- Antifungal pills terbinafine. However, these drugs can cause serious side effects, such as liver organ disorders and allergic reactions. Consult your doctor for the appropriate dose of consumption.
For infants with seborik dermatitis (cradle cap), wipe the baby’s head every day using baby shampoo, then wipe the remaining skin peel using a soft brush. If this does not work or symptoms get worse, check with your doctor immediately to get further treatment.
Here are some things you can do to help overcome and control seborrheic dermatitis:
- Do not scratch the affected part of seborrheic dermatitis because it can increase the risk of infection and exacerbate irritation.
- Bath and shampoo regularly, and wash with clean soap or shampoo used. Use a moisturizer if necessary.
- Use a baby shampoo to clean your eyelids if they are reddish and skin peels occur. In addition, you can compressing it with warm water to help ease it.
- Apply cream containing corticosteroids or antifungals such as ketoconazole.
Shave off the mustache or beard to help ease the symptoms.
- Avoid products containing alcohol so that the disease does not get worse.
- Use textured, cotton-textured clothing to get air circulation and reduce irritation.
Sometimes seborrheic dermatitis may disappear by itself, but some may persist for years. Good skin care and skin hygiene can help control seborrheic dermatitis.