5-Minute Clinical Consult

Dermatitis, Seborrheic

Dermatitis, Seborrheic was found in 5-Minute Clinical Consult which helps you diagnose, treat, and follow up on over 900 medical conditions seen in everyday practice.

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5-Minute Clinical Consult

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Basics

Description

Chronic, superficial, recurrent inflammatory rash affecting sebum-rich, hairy regions of the body, especially scalp, eyebrows, and face

Epidemiology


Incidence
  • Predominant age: Infancy, adolescence, and adulthood
  • Predominant sex: Male > Female

Prevalence
Seborrheic dermatitis: 3–5%

Risk Factors

  • Parkinson disease
  • AIDS (disease severity correlated with progression of immune deficiency)
  • Emotional stress
  • Medications may flare/induce seborrheic dermatitis: Auranofin, aurothioglucose, buspirone, chlorpromazine, cimetidine, ethionamide, gold, griseofulvin, haloperidol, interferon-α, lithium, methoxsalen, methyldopa, phenothiazine, psoralen, stanozolol, thiothixene, trioxsalen

Genetics
Positive family history; no genetic marker identified to date

General Prevention

Seborrheic skin should be washed more often than usual.

Pathophysiology

Helper T cells, phytohemagglutinin and concanavalin stimulation, and antibody titers are depressed compared with those of control subjects.

Etiology

  • Skin surface yeasts Malassezia (formerly Plasmodium ovale) may be a contributing factor (1,2,3)
  • Malassezia spp. may have a role in T-cell suppression and complement activation.
  • The mite Demodex folliculorum may have a direct/indirect role.
  • Genetic and environmental factors: Flares are common with stress/illness.
  • Parallels increased sebaceous gland activity in infancy and adolescence or as a result of some acnegenic drugs

Commonly Associated Conditions

  • Parkinson disease
  • AIDS

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