Dermatology Book

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Seborrheic Dermatitis

Aka: Seborrheic Dermatitis, Seborrhea, Dandruff
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  1. See Also
    1. Pediatric Seborrheic Dermatitis (Cradle Cap)
  2. Causes
    1. Idiopathic
    2. Associated with fungal growth of Malassezia species
      1. Malassezia furfur
      2. Malassezia ovalis
    3. Other associated conditions
      1. Immunodeficiency
      2. Nutritional deficiency
      3. Impaired essential Fatty Acid metabolism
  3. Symptoms
    1. Greasy, Scaling rash on the face and scalp
    2. Pruritus
  4. Signs
    1. Characteristics
      1. Erythema
      2. Scaling
      3. Greasy or oily skin
    2. Distribution
      1. Common areas
        1. Scalp
        2. Nasolabial fold
      2. Facial involvement
        1. Central face
        2. Beard area
        3. Eyebrows
      3. Chest involvement
        1. Under the Breast
        2. Petaloid Seborrhea (flower petal-like)
          1. Red-brown Papules with scale
          2. Papules evolve into contiguous patches
        3. Pityriasiform Seborrhea (Pityriasis Rosea-like)
          1. Generalized Macules and patches
    3. Associated skin findings
      1. Blepharitis
      2. Otitis Externa
      3. Acne Vulgaris
      4. Pityriasis versicolor
  5. Labs: Biopsy
    1. Scale crust with Neutrophils (perifollicular)
    2. Parakeratosis seen in Seborrheic Dermatitis due to AIDS
  6. Differential Diagnosis
    1. Acne Rosacea
    2. Atopic Dermatitis
    3. Candidiasis
    4. Dermatophytosis
    5. Langerhans Cell histiocytosis
    6. Psoriasis vulgaris
    7. Systemic Lupus Erythematosus
    8. Tinea Infection
  7. Associated Conditions
    1. Acquired Immunodeficiency Syndrome (AIDS)
    2. Neurologic conditions (Parkinsonism, CVA, Epilepsy)
  8. Management: Anti-inflammatory agents
    1. Topical Corticosteroids
      1. Fluocinolone Shampoo applied twice weekly
      2. Other high potency Topical Corticosteroids
        1. Fluocinolone
        2. Betamethasone valerate lotion
      3. Low potency Topical Corticosteroids
        1. Desonide cream
    2. Topical calcineurin Inhibitors
      1. Tacrolimus Ointment
      2. Pimecrolimus cream
  9. Management: Keratolytics
    1. Indicated for scalp or beard area
    2. Directions
      1. Apply 2-3 times weekly
      2. Leave Shampoos applied to scalp for 5 minutes
    3. Types
      1. Salicylic acid 2-3% to remove scalp crusts
      2. Tar Shampoo
      3. Zinc pyrithione
  10. Management: Antifungals
    1. Ketoconazole 2% (Nizoral) Shampoo, gel or cream
      1. Effective for face
      2. Best tolerated
    2. Selenium sulfide 2.5% (Selsun)
    3. Tea Tree Oil Shampoo (5%)
      1. Antifungal activity
      2. Effective and well tolerated
      3. Satchell (2002) J Am Acad Dermatol 47:852-5
    4. Other anti-fungals
      1. Ciclopirox topically
      2. Fluconazole topically
      3. Oral anti-fungals (Terbinafine) have been used
  11. Management: Combination therapies
    1. Triple cream compounded at pharmacy
      1. Salicylic acid 2%
      2. Hydrocortisone 0.05%
      3. Precipitated Sulfur 3%
    2. Moderate scalp involvement combination
      1. Chloroxine 2% Shampoo apply daily
      2. Flucinolone 0.01% solution apply to scalp qd to bid
  12. References
    1. Danby (1993) J Am Acad Dermatol 29:1008-12
    2. Gupta (2004) Dermatology 208:89-93
    3. Scwartz (2006) Am Fam Physician 74:125-30

Seborrheic dermatitis (C0036508)

Definition (CHV) a kind of skin disorder affecting the scalp, face, and trunk causing scaly, flaky, itchy, red skin
Definition (CHV) a kind of skin disorder affecting the scalp, face, and trunk causing scaly, flaky, itchy, red skin
Definition (CHV) a kind of skin disorder affecting the scalp, face, and trunk causing scaly, flaky, itchy, red skin
Definition (CHV) a kind of skin disorder affecting the scalp, face, and trunk causing scaly, flaky, itchy, red skin
Definition (CHV) a kind of skin disorder affecting the scalp, face, and trunk causing scaly, flaky, itchy, red skin
Definition (CHV) a kind of skin disorder affecting the scalp, face, and trunk causing scaly, flaky, itchy, red skin
Definition (MSH) A chronic inflammatory disease of the skin with unknown etiology. It is characterized by moderate ERYTHEMA, dry, moist, or greasy (SEBACEOUS GLAND) scaling and yellow crusted patches on various areas, especially the scalp, that exfoliate as dandruff. Seborrheic dermatitis is common in children and adolescents with HIV INFECTIONS.
Concepts Disease or Syndrome (T047)
MSH D012628
ICD9 706.3, 690.10, 690.1
ICD10 L21, L21.9
SnomedCT 156328004, 156421006, 201241009, 50563003, 86708008, 200764003
English Seborrheic dermatitis, Seborrheic diathesis, Seborrhea, Dermatitis, Seborrheic, DERMATITIS SEBORRHEIC, Dermatitides, Seborrheic, Seborrheic Dermatitides, DERMATITIS SEBORRHOEIC, DERMATITIS, SEBORRHEIC, ECZEMA, SEBORRHEIC, SEBORRHEA, SEBORRHEIC DERMATITIS, SEBORRHOEA, SKIN SEBORRHEIC, SKIN SEBORRHOEIC, Seborrhea, NOS, Seborrhea NOS, Seborrhoea NOS, Seborrheic dermatitis, unspecified, Seborrhoea, NOS, Eczema seborrheic, Dermatitis Seborrheica, Seborrheic Dermatitis, seborrheic dermatitis (diagnosis), seborrheic dermatitis, seborrhea, seborrhea (diagnosis), Seborrhoeic dermatitis (disorder), Seborrhoea (disorder), Dermatitis seborrheic, Dermatitis seborrhoeic, Eczema seborrhoeic, Skin seborrheic, Skin seborrhoeic, Sebrrheic dermatitis NOS, Seborrhea NOS (disorder), Dermatitis, Seborrheic [Disease/Finding], Dermatitis;seborrhoeic, Eczema;seborrhoeic, Seborrheic eczema, Seborrhoea, Seborrhoeic dermatitis, Seborrhoeic eczema, SBD - Seborrheic dermatitis, SBD - Seborrhoeic dermatitis, Seborrhea (disorder), Seborrheic dermatitis (disorder), Seborrhoeic dermatitis, unspecified, dermatitis; seborrhea, eczema; seborrheic, seborrhea; dermatitis, seborrhea; eczema, seborrheic; eczema, dermatitis seborrheica, Seborheic dermatitis, unspecified, Seborrheic dermatitis NOS, Dermatitis;seborrheic, Eczema;seborrheic, seborrhoea, seborrhoeic dermatitis, seborrhoeic eczema, seborrheic eczema
French SEBORRHEE, Peau séborrhéique, Dermatite séborrhéique, Dermite séborrhéique, non précisée, DERMITE SEBORRHEIQUE, Dermatite seborrheique, PEAU SEBORRHEIQUE, Séborrhée, Dermite séborrhéique, Eczéma séborrhéique
Portuguese DERMATITE SEBORREICA, SEBORREIA, Dermatite seborreica, não especificada, Dermatite seborreica, Eczema seborreico, Dermatite seborreica NE, Pele seborreica, PELE SEBORREICA, Dermatite seborréica, Seborreia, Dermatite Seborréica, Seborréia
Spanish DERMATITIS SEBORREICA, SEBORREA, Piel seborreica, Eczema seborreico, Dermatitis seborreica no especificada, Dermatitis seborreica de tipo indeterminado, Seborrhoeic dermatitis, Seborrhoea, Seborrheic dermatitis, Seborrhea, PIEL SEBORREICA, dermatitis seborreica (trastorno), dermatitis seborreica, eccema seborreico, eccemátide seborreica, eczema seborreico, eczemátide seborreica, seborrea (trastorno), seborrea, SAI (trastorno), seborrea, SAI, seborrea, Dermatitis seborreica, Seborrea, Dermatitis Seborreica
Dutch seborroïsch eczeem, seborroïsche huid, seborroïsche dermatitis, niet-gespecificeerd, eczeem seborroïsch, Seborroisch eczeem/roos, Seborroàsch eczeem, dermatitis; seborroe, eczeem; seborroïsch, seborroe; dermatitis, seborroe; eczeem, seborroïsch; eczeem, Seborroïsch eczeem, niet gespecificeerd, seborrhoea, seborroïsche dermatitis, Seborrhoea, Seborroe, Eczeem, seborroïsch, Seborroïsch eczeem
German Dermatitis seborrhoisch, Haut seborrhoisch, Ekzem seborrhoisch, seborrhoische Dermatitis, unspezifisch, seborrhoisches Ekzem, unspezifisch, seborrhoisches Ekzem, Seborrhoische Dermatitis, DERMATITIS SEBORRHOIDES, HAUT SEBORRHOISCH, SEBORRHOE, Seborrhoische Dermatitis/Schuppen, Seborrhoisches Ekzem, nicht naeher bezeichnet, Seborrhoisches Ekzem, seborrhoische Dermatitis, Dermatitis, seborrhoische, Seborrhoe
Italian Eczema seborroico, Cute seborroica, Dermatite seborroica, non specificata, Seborrea, Dermatite seborroica
Japanese 脂漏性皮膚, 脂漏性皮膚炎、詳細不明, ｼﾛｳｾｲｼｯｼﾝ, ｼﾛｳｾｲﾋﾌ, ｼﾛｳｾｲﾋﾌｴﾝｼｮｳｻｲﾌﾒｲ, ｼﾛｳ, ｼﾛｳｾｲﾋﾌｴﾝ, 脂漏症, 脂漏性皮膚炎, 脂漏性湿疹, 脂漏, 皮膚炎-脂漏性
Swedish Dermatit, seborroisk, SEBORROISK DERMATIT
Czech seborea, dermatitida seboroická, Seborea, Seboroická dermatitida, Seboroická dermatitis, Seboroický ekzém, Seboroická dermatitida, blíže neurčená, Seboroická kůže
Finnish Taliköhnäihottuma, SEBORROINEN EKSEEMA/IHOTTUMA
Russian GIPERSTEATOZ, DERMATIT SEBOREINYI, SEBOREIA, ГИПЕРСТЕАТОЗ, ДЕРМАТИТ СЕБОРЕЙНЫЙ, СЕБОРЕЯ
Norwegian SEBOROISK EKSEM/DERMATOSE/FLASS
Danish Seboroisk eksem/an erytem dermat
Hungarian seborrheas dermatitis, szeborheás dermatitisz, Seborrhoeás ekcéma, nem meghatározott seborrhoeás dermatitis, Seborrhoeás dermatitis, Seborrhoeás dermatitis, nem meghatározott, Seborrhoea, Dermatitis seborrhoeás, szeborheás ekcéma, Dermatitis seborrhoica, Seborrhea, seborrhoeás bőr, Bőr seborrhoeás, Seborrhoeás eczema
Korean 상세불명의 지루피부염, 지루 피부염
Croatian DERMATITIS, SEBOROIČNI
Basque BILGORRERI DERMATITIA/ BESTE ZENBAIT DERMATOSI ERITEMATOSO
Hebrew dermatitis seboreit o kol dermatitis eritematotit-SEBORRHOIC
Polish Łojotok, Zapalenie skóry łojotokowe, Wyprysk łojotokowy
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Seborrheic dermatitis of scalp (C0221244)

Concepts Disease or Syndrome (T047)
ICD9 690.11
ICD10 L21.0
SnomedCT 28431005, 200763009, 77592001, 156327009, 400201008, 156329007, 48596006, 201177005, 200764003
English DANDRUFF, Dandruff, SCALP SEBORRHEA, Pityriasis sicca, Seborrhea sicca, Seb dermatitis of scalp, Seborrheic dermatitis of scalp, Seborrhoea sicca, Seborrheic dermatitis capitis, Seborrheic dermatitis (scalp), Seborrhea capitis [dup] (disorder), seborrheic dermatitis of scalp, seborrhea capitis, seborrhea capitis (diagnosis), seborrheic dermatitis of scalp (diagnosis), Seborrhoeic dermatitis of scalp (disorder), Seborrhea sicca (disorder), Seborrhoeic dermatitis capitis, scalp seborrhea, pityriasis capitis, Pityriasis capitis, Seborrhea capitis, Seborrheic eczema of scalp, Seborrhoeic dermatitis of scalp, Seborrhoeic eczema of scalp, Seborrhoea capitis, Pityriasis capitis (disorder), Seborrheic dermatitis of scalp (disorder), dandruff, capitis; seborrhea, seborrhea; capitis, seborrhea; sicca, sicca; seborrhea, Seborrhea capitis (disorder), Seborrhoea capitis (disorder)
Italian Forfora, Seborrea del cuoio capelluto, Dermatite seborroica del cuoio capelluto
Dutch seborrhoea capitis, seborroïsche dermatitis capitis, capitis; seborroe, seborroe; capitis, seborroe; sicca, sicca; seborroe, Seborrhoea capitis, hoofdroos
French Séborrhée de la tête, Dermite séborrhéique de la tête, Pellicules
German seborrhoische Dermatitis des Kopfes, Seborrhea capitis, Seborrhoea capitis, Schuppen
Portuguese Seborreia da cabeça, Dermatite seborreica da cabeça, Caspa
Spanish Seborrea de la cabeza, Dermatitis seborreica capitis, Seborrhea capitis, Seborrhoeic dermatitis capitis, Seborrheic dermatitis of scalp, Seborrhoeic dermatitis of scalp, Seborrhoeic dermatitis, Seborrheic dermatitis capitis, Seborrheic eczema, Seborrheic dermatitis, Seborrhoea capitis, Seborrhoeic eczema, Pityriasis capitis (trastorno), caspa, dermatitis seborreica de cuero cabelludo (trastorno), dermatitis seborreica de cuero cabelludo, pitiriasis de la cabeza, pitiriasis seca, seborrea capitis, seborrea de la cabeza (trastorno), seborrea de la cabeza, seborrea del cuero cabelludo, seborrea seca (concepto no activo), seborrea seca, Caspa, Pityriasis capitis
Japanese 頭部粃糠疹, 頭部脂漏, 頭部脂漏性皮膚炎, ﾄｳﾌﾞｼﾛｳｾｲﾋﾌｴﾝ, ﾄｳﾌﾞﾋｺｳｼﾝ, ﾄｳﾌﾞｼﾛｳ
Czech Seborea hlavy, Lupy, Seboroická dermatitida hlavy
Korean 두부지루
Hungarian Seborrhoeás dermatitis a fejen, Korpásodás, Seborrhoea capitis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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