Seborrheic eczema

What is...

What is seborrheic eczema?

Seborrheic dermatitis is a common rash in children, particularly during infancy and adolescence.

This scaly and crusty rash develops on parts of the body where there are lots of sebaceous (oil) glands. These glands are responsible for producing an oily substance that moisturizes and protects the skin.

In infants, the rash commonly occurs on the scalp and is called "cradle cap".

The cause of seborrheic dermatitis is unknown, but there are theories that it is caused by hormones, or a lack of balance between fatty acid and sweat production in the skin.

Symptoms

Symptoms and signs

Seborrheic dermatitis is most common on the forehead, behind the ears, on the face, scalp, neck, in the armpits, and the diaper area.

The rash looks like red patches with greasy, crusted scales. On the scalp in infants, it looks like fatty, yellowish scales.

In adolescents, seborrheic dermatitis may appear as dandruff or flaking of the eyebrows, area behind the ears, or inside the skin creases where joints bend.

Unlike atopic dermatitis (eczema), seborrheic dermatitis is not itchy.

The rash can range from mild to severe, but it usually disappears in the first year of life. In some children, the rash may return after puberty.

Complications

Complications

The rash rarely leads to complications, but an infection can occur if cracks and scratches occur in the skin, which then becomes infected with bacteria.

Home treatment

Treatment / What you should do

Seborrheic eczema rarely needs treatment or the care of a doctor.

In babies with cradle cap, the scales usually can be removed.

First rub baby oil into the scalp.

Wait 10 to 15 minutes and then loosen the scales with a fine-toothed baby comb or a soft brush.

Finally, wash the baby's hair with a mild baby shampoo.

You may need to do this several times before the cradle cap goes away. If the baby is over six months old, you can use a mild anti-dandruff shampoo to help remove the scales, but be careful not to get this shampoo into the baby's eyes. If the cradle cap does not disappear after 2 weeks of treatment, as recommended above, or if you think the rash has become infected, you should contact a doctor.

In older children and adolescents, a mild steroid cream (for example, hydrocortisone) may help to decrease inflammation and skin irritation. Do not use steroids on the face without first talking with a doctor.

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