Seborrheic Dermatitis

Question 1

Seborrheic Dermatitis.

Clinical Feature. Symp.

Answer 1

greasy, erythematous, yellow, scaling, minimally elevated papules and plaques in areas rich in sebaceous
glands, can look moist and superficially eroded in flexural regions

Question 2

Seborrheic Dermatitis. In infants

Answer 2

infants: “cradle cap”

Question 3

Seborrheic Dermatitis. Children

Answer 3

children: may be generalized with flexural and scalp involvement

Question 4

Seborrheic Dermatitis. adults

Answer 4

• adults: diffuse involvement of scalp margin with yellow to white flakes, pruritus, and underlying
erythema

Question 5

Seborrheic Dermatitis

sites:

Answer 5

scalp, eyebrows, eyelashes, beard, glabella, post-auricular, over sternum, trunk, body folds,
genitalia

Question 6

Seborrheic Dermatitis

Pathophysiology

Answer 6

possible etiologic association with Malassezia spp. (yeast)

Question 7

Seborrheic Dermatitis

Epidemiology. Coomorbidities

Answer 7

common in infants and adolescents
• increased incidence and severity in immunocompromised patients and Parkinson disease
• in adults can cause dandruff(pityriasis sicca)

Question 8

Seborrheic Dermatitis. Management. face:

Answer 8

ketoconazole (Nizoral®) cream daily or bid and/or mild steroid cream daily or bid

Question 9

Seborrheic Dermatitis. scalp

Answer 9

salicylic acid in olive oil or Derma-Smoothe FS® lotion (peanut oil, mineral oil, fluocinolone
acetonide 0.01%) to remove dense scales, 2% ketoconazole shampoo (Nizoral®), ciclopirox (Stieprox®)
shampoo, selenium sulde (e.g. Selsun®) or zinc pyrithione (e.g. Head and Shoulders®) shampoo, steroid
lotion (e.g. betamethasone valerate 0.1% lotion bid)