Seborrheic Dermatitis In Children

Another type is the scaly patches associated with erythema in places such as: eyebrows, behind the ears, cheeks, neck or armpits, groin is easily mistaken for a rash due to heat but is actually diagnosed as a disease seborrheic dermatitis.
Seborrheic dermatitis is what disease?
A common, chronic dermatitis, characterized by an oily scaly erythematosus, with a relatively clear limit, concentrated mainly on sebaceous skin areas such as the scalp, face and torso. , so is called seborrheic dermatitis.
This is probably due to an increased inflammatory response to Malasssezi furfur, which is a lipophilic fungus that normally lives in the sebaceous glands, and genetic and environmental factors also influence the onset and progression of Seborrheic dermatitis.
Manifestations of disease
Diagnosis is mainly based on clinical practice, testing is rarely needed

. Usually divided into 2 age groups with different clinical manifestations:
Infants and young children: most often are greasy, sticky scales, often concentrated at the top of the head, and can form a thick layer, spreading throughout the scalp to create a hat-like image (folk called " shit buffalo ”). The second most common site is diaper dermatitis, which often manifests as reddening skin rather than scabs.
Also can be seen in the face, the folds (the area behind the ears, underarms, groin area) A small number of cases can be infected with more candidiasis or bacteria.




The disease usually begins as early as 2-10 weeks of age and generally resolves by 8-12 months of age before being able to reappear at puberty. All age groups can have this condition, even if they don't produce as many sebaceous glands as adults.
Adolescents and adults: most often manifested in the form of scalp scales, commonly known as "dandruff".
May be in the form of scaly patches with less erythema in places with sebaceous glands such as between the eyebrows, between the forehead between the two eyebrows, the nose and cheek folds, around the eyelids, behind the ears, in front of the breastbone, between the shoulder blades , under the breast fold, posterior groove, outer ear canal ...
Is the disease dangerous and lasting?
The disease is not dangerous, only cause a little discomfort and cosmetic effects
Seborrheic dermatitis in infants has a good prognosis, is self-limited and most responds very well to appropriate topical treatment.




For adolescents and adults, longer treatment is usually needed.
How to treat children?
"Cut the buffalo" or scalp scales
You can apply mineral oil or baby oil like Baby Oil to soften the scalp on the scalp a few hours before shampooing.
You can use a soft-bristled hair brush specifically for your baby to gently brush daily when shampooing to help remove the scalp on the scalp.
If the above methods do not work: you can use shampoos with anti-sebum agents like pyrithione zinc or selenium sulfide.
Antifungal shampoos like ketoconazole are also effective.
Preparations containing salicylic acid should not be used as they may cause salicylic irritation and poisoning.
If the scalp is heavily inflamed: mild topical corticosteroids such as 1% hydrocortisone.
If bacterial superinfection (oozing, yellowing .



..): use anti-staphylococcal antibiotics before topical corticosteroids.
Lesions in the skin
Can use topical corticosteroids mild effects such as hydrocortisone 1% or 2.5%, 0.05% desonide, apply the skin 2 times a day when there is much inflammation.
Ketoconazole is an alternative option for the treatment of seborrheic dermatitis in infants and young children to avoid side effects from long-term topical corticosteroids or over large areas of skin.
How do adolescents and adults treat?
Scales of scalp
To control scalp scaling: use an anti-seborrheic shampoo with active ingredients such as pyrithione zinc, selenium sulfide, ketoconazole, tar or salicylic acid.




To control erythema: apply mild corticosteroids such as fluocinolone, triamcinolone ... at night.
Skin
Hydrocortisone 1% or 2.5%, and / or ketoconazole cream applied topically twice daily if necessary.
Ketoconazole or ciclopirox olamine cream applied 1-2 times a day is effective for treatment, even in difficult cases and widespread lesions.
Oral itraconazole works with cases of moderate - severe seborrheic dermatitis.




Juvenile seborrheic dermatitis in adolescents is usually treated with intermittent hydrocortisone cream and / or with ketoconazole cream.
Some drugs can be used as pimecrolimus fat 1%, metronidazole 0.75% ...
Inflammation around the eyelids
Gently rub the lashes and wash regularly with a dandruff shampoo containing zinc or tar.
Ketoconazole cream applied once a day is valid in resistant cases.
Limiting topical corticosteroids lasts because it can cause cataracts (glaucomes).




All of the above treatments should be performed under the examination and appointment of a physician..

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