flashcards_seborrhoeic_dermatitis
How should parents be reassured about seborrhoeic dermatitis?
It is harmless, non-contagious, and self-limiting, usually resolving within a month.
What is the most common presentation of seborrhoeic dermatitis in infants?
Scalp affected (cradle cap).
How should cradle cap be managed in infants?
Massaging topical emollient to loosen scales, brushing gently with a soft brush, and washing off with shampoo.
What should be considered for thicker scales in cradle cap?
Thicker scales can be soaked overnight and then shampooed in the morning.
What topical imidazole creams can be used for cradle cap and for how long?
Clotrimazole 1% cream 2-3 times daily for up to 4 weeks, or Miconazole 2% cream twice daily for up to 4 weeks.
What should be considered if there is significant inflammation or no response to topical imidazole in cradle cap?
Consider a short course of low-potency topical steroid (e.g. 1% hydrocortisone) once/twice daily for 2 weeks.
What treatments are recommended for seborrhoeic dermatitis of the scalp in children?
Shampoo containing keratolytics (e.g. salicylic acid, sulphur), coal tar or pine tar; antifungal shampoos: ketoconazole, miconazole; intermittent use of mild potency topical steroid lotion (short course).
What treatments are recommended for non-scalp areas affected by seborrhoeic dermatitis in infants?
Advise bathing the infant at least once per day using an emollient as a soap substitute; consider topical imidazole for up to 4 weeks; consider a short course (up to 2 weeks) of low-potency corticosteroid for persistent recalcitrant seborrheic dermatitis.
When should a dermatology referral be considered for seborrhoeic dermatitis?
If it lasts > 4 weeks, is widespread, or there is diagnostic uncertainty.
