SEBOREIC DERMATIT, OILY ECZEMA, HOST
It is a chronic recurrent disease characterized by white oily dandruff on the red-orange area, involving the face, scalp, chest area and body folds.
There is a genetic, familial predisposition, and the fungus Malassezia Furfur may play a role.
It is a picture that can be seen in infancy, after puberty and after 50 years of age. It is observed more frequently in the male gender.
Parkinson’s can also develop in paralyzed patients, people with suppressed immune system, long-term use of cortisone medication, and some nutritional deficiencies (such as zinc, niacin and pyridoxine deficiency).
Generally, regression occurs in summer and exacerbation occurs in winter. In some patients, it may increase with sun exposure. In this case, seasonal variability (regression-exacerbation) is often described by patients.
In infants; In the scalp, the anterior-lateral parts, which we call the frontal and parietal regions, the back of the ear, the middle border of the face, the eyebrows and the gland area can be affected. Scalp lesions are often called ‘host or cradle cap’ in public. Bacterial or fungal infection can be added to it.
In adults; scalp, external auditory canal, back of the ear, eyebrows, beards, sides of the nose and descending grooves, anterior chest, mid-back border and fold areas.
It makes lesions with oily white dandruff on the red orange place. Itching is more common in scalp lesions. Severe scalp lesion can lead to hair loss.
How is the diagnosis made?
Especially age-appropriate distribution, lesion status, presence of accompanying complaints of the patient are valuable. It should be known that seborrheic dermatitis picture may be a signal of another disease if it is accompanied by growth retardation, diarrhea, severe age-incompatible distribution, and treatment-resistant. Therefore, it should definitely be evaluated by a dermatologist.
What Do We Use in Treatment?
The first thing to know in treatment is that if there is no additional disease, the picture in infancy is discontinuous. The picture observed in adulthood is repetitive. Since it is a familial or structural predisposition, it is necessary to accept that it is a structure related to itself and to shape the lifestyle accordingly after applying the treatment proposals and the situation regressed.
For adults; Shampoos containing selenium sulfide, zinc pyrithione, tar, ketoconazole or tea tree oil can be used. In addition, fungal creams or anti-inflammatory creams can be added by your doctor.
For babies; For the host, applications similar to the treatments applied to adults can be used, apart from the application of olive oil.