How does a Dermatologist treat Seborrhoeic dermatitis of the scalp

How does a Dermatologist treat Seborrhoeic dermatitis of the scalp


Seborrhoeic dermatitis of the scalp is inflammation of the scalp which is very common and can affect up to 3 percent of the population. It is most common in young
adults and then again in the elderly age group but can also be seen in immunosuppressed
patients. Seborrhoeic dermatitis can also be referred to as Seborrhoeic eczema and does incorporate dandruff. The cause of Seborrhoeic dermatitis of the scalp is not fully understood but one of the driving factors is the
presence of the yeast malassezia on the scalp. This tends to like an oily
scalp and can cause inflammation in some
individuals which leads to the eczema or
inflammation on the scalp. Patients may notice that their scalp is itchy, red or that there is flaking attached to the
hair or on their clothes. Seborrhoeic dermatitis of the scalp can also extend along the frontal hairline and can also
be seen behind the ears. It can also occur on
the face, between the eyebrows, in the eyebrows and around the nose. Seborrhoeic dermatitis of the scalp can sometimes be triggered by stress, late nights and alcohol. Seborrhoeic dermatitis of the scalp is a condition that we control rather than cure but good control can often be gained
with the use of medicated shampoos. First-line treatment is a medicated
shampoo with an anti-yeast antifungal agent, ketoconazole. This
needs to be used on a repeated basis and applied to the scalp and
left in for 3 to 5 minutes. The medicated shampoo does need to be used on an ongoing basis at a frequency that controls the
eruption. Other forms of medicated shampoos may include tar shampoos or shampoos that have keratolytic agents. Occasionally Seborrhoeic dermatitis of the scalp is very severe, scalp lotions which may include steroids or a steroid shampoo may need to be used.

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