Seborrheic dermatitis: from causes to treatment approaches

An unpleasant disease of seborrheic dermatitis can occur in any person, because it is caused by a fungus that lives on the skin. Under the influence of adverse factors - malnutrition, bad habits or heredity - it begins to grow, forming flakes, scales and red spots. Its treatment is complex, but effective.

How to treat seborrheic dermatitis

The main areas of treatment, suggesting how to get rid of seborrhea, are considered:

  • the use of special shampoos, ointments, tablets to eliminate scales and red spots,
  • diet, rejection of harmful products, balanced nutrition,
  • the use of natural methods of treatment - ointments, baths, decoctions of herbs,
  • increased immunity, treatment of chronic diseases that caused dermatitis.

Treatment lasts until the symptoms of seborrheic dermatitis completely disappear. After this, it cannot be stopped, because the signs may return. To avoid this, it is necessary to carry out preventive treatment - once a week to use shampoos and ointments, maintain a proper diet, increase immunity and consult a doctor if the functioning of the nervous and endocrine systems deviates from the norm.

How to cure seborrheic dermatitis on the head

If symptoms appear on the scalp in the form of exfoliation of skin flakes, peeling or itching, it is recommended to consult a doctor. He will prescribe a treatment for seborrheic dermatitis of the scalp, which consists in the use of shampoos with active active ingredients (ketoconazole, zinc, selenium sulfide and salicylic acid). Popular shampoos are Sebazol and Nizoral, they have an antifungal effect, narrow pores, remove excess fat, and improve blood supply to the hair roots.

Shampoos are used daily, and are used twice a week to prevent seborrheic dermatitis. In severe cases, doctors recommend rubbing ointments into the scalp, acting with currents (darsonvalization), and performing cryomassage. During treatment, you need to abandon hair coloring, use of styling products. Those who are ill are advised to switch to proper nutrition and strengthen immunity. Duration of treatment - until symptoms disappear.

What is seborrheic dermatitis

A common skin disease that each of us may encounter at a certain point in our life is seborrheic dermatitis. This is an inflammatory disease that occurs in areas of the body where there are many sebaceous glands: on the scalp, behind the ear and nasolabial triangle, as well as in the space between the shoulder blades and on the front surface of the chest.

Seborrheic dermatitis causes a yeast-like fungus of the genus Malasseszia, but it is incorrect to call this disease infectious: the pathogen is a conditionally pathogenic microorganism that lives on the epidermis in almost every healthy person. The life cycle of this fungus is associated with fatty acids in the composition of sebum, which is produced by the sebaceous glands. If for some reason they begin to secrete a secret in an enhanced mode, then the number of microorganisms in this area increases sharply, which leads to an inflammatory reaction, accompanied by itching and peeling of the skin.

Who is at risk

Doctors have identified several causes that can lead to seborrheic dermatitis.It is proved that severe or chronic stress (which, alas, is a frequent companion of many people) leads to disruption of the normal function of the sebaceous glands. Therefore, seborrheic dermatitis often occurs in people who have suffered a nervous shock, patients with mental disorders and those who, due to the characteristics of professional activity, are forced to work under stressful conditions.

Another risk factor: restriction of motor activity, characteristic of people with disabilities and overweight people. In addition, the effect of certain hormones on the production of sebum has been proven, therefore, adolescents in transitional age, breast-fed infants (they receive hormones with mother’s milk, and the manifestations of the disease naturally go away after changing the diet), as well as men and women with a predominant content of androgen hormones.
Finally, the relationship between some pathologies of the immune system and the inflammatory response in response to the multiplication of cutaneous microflora is noted: in people with congenital and acquired immunodeficiencies, seborrheic dermatitis develops much more often than the average in the population.

Treatment of seborrhea on the body

If an adult or a child shows seborrheic dermatitis on the body, then the main task of treatment is to reduce inflammation and peeling, eliminate itching. The skin of the chest and back requires thorough cleansing with antifungal (Lamisil) and hypoallergenic medicines. From ointments, you need to apply funds with corticosteroids (Elok) and a group of retinoids (Retasol, Retinoic ointment). With an exacerbation or introduction into the affected areas of a bacterial infection, the manifestation of eczematide, the Elidel immunomodulator is used.

If seborrheic dermatitis affects the folds of the body, use Castellani liquid, powders with zinc, sprays to regulate the secretion of glands and sweat. To improve the condition of the skin, vitamins A and E are prescribed inside, after stopping the active inflammatory process, it is recommended to undergo a course of cosmetic procedures - cleaning, body wraps, UV radiation. To prevent exacerbation of the patient, they are transferred to proper nutrition.

Types of seborrhea

Seborrhea is differentiated according to the following types:

  1. Oily. It manifests itself in increased release of fat by the sebaceous glands, a change in the composition of the microflora of the skin. This species is expressed by facial dermatitis.
  2. Dry. It appears, on the contrary, in the deficient functionality of the sebaceous glands, as a result of which cracking of the skin occurs, provoked by increased dryness. Dry seborrhea affects mainly the part of the head under the hair.
  3. Mixed. Combined symptoms of the first two types.
Dry and oily seborrhea

Seborrheic dermatitis, photo

Almost always, unpleasant skin signs of the disease are found on the body, in places where there is a large accumulation of sebaceous glands. Therefore, if you have skin manifestations, you should compare them with those signs that cause seborrheic dermatitis, they are all shown in the photo.

Can seborrheic dermatitis on the head be cured?

You need to understand that this type of dermatitis is a common fungal infection, the treatment of which is carried out by classical methods. It is treated quite effectively with complex therapy, and in any pharmacy there are special ointments and medicines, which we will talk about below. So it’s especially not worth worrying about this disease, because seborrheic (dry) dermatitis on the head is treatable.

There are three types of seborrheic eczema:

  1. Oily. This is the most common form, which can also be liquid or thick. Thick eczema is accompanied by the appearance of acne and often affects guys under the age of 21 years. But liquid seborrhea usually affects girls in their teens. It can be localized not only on the scalp, but also on the face.
  2. Dry.May develop with low sebum secretion. The skin in this case dries, and cracks form on it.
  3. Mixed. It combines the symptoms of both types.

Also, the disease can vary in severity:

  1. Exemeatide. This is the easiest form in which patients do not even go to the doctor. With eczematide, slight peeling of the skin on the head, behind the ears and even on the face is possible.
  2. Perinasal erythema. At this stage, scaly spots appear with a yellowish tinge on the nose and nasolabial folds.
  3. Seborrheic spotted dermatitis. It is characterized by a pronounced inflammatory process with exacerbations.
  4. Asbestos lichen. This is the most complex form of this fungal disease, in which the scalp is covered with dense white spots.

With the mildest form, you should already consult a doctor. Otherwise, it is possible to develop the disease to the fourth stage - depriving.

Causes of Seborrheic Dermatitis

The fungus that causes the disease produces special lipolytic enzymes that can break down fatty acids in sebum. When there are too many fungi, these chemicals provoke an inflammatory reaction, which is accompanied by the destruction of skin cells (outwardly it looks like peeling), as well as the release of histamine - a chemical substance that causes an itchy sensation. Combing itchy patches aggravates inflammation and worsens the appearance of the skin with seborrheic dermatitis.

Seborrheic dermatitis - what is it?

According to the international classification (ICD-10), seborrheic dermatitis is listed under the number L21.

With this disease, the functions of the sebaceous glands are disturbed - the skin in the scalp, on the forehead, behind the ears, in other places is occupied by red flaky spots, yellowish crusts, and swelling is observed. The patient experiences burning and itching.

However, if the patient has an exacerbation of the disease, they may be granted a respite so that he spends this time on treatment.

Diet for seborrheic dermatitis

Particular attention in case of seborrheic dermatitis is paid to treatment with a diet that normalizes metabolic processes in the body, eliminating the increased activity of the fungus. The main principles of proper nutrition for seborrheic dermatitis are:

  • rejection of fatty meat, sausages, replacing them with fish - salmon, herring, mackerel,
  • the inclusion in the diet of turkey meat, cheese, goat milk instead of cow,
  • rejection of white bread and pasta, the inclusion of rice, buckwheat, corn, potatoes, legumes,
  • restriction of sugar, sweets, confectionery, baking,
  • exclusion of soda, replacing it with herbal tea, natural juices and water,
  • ban on citrus fruits, alcohol, chicken, eggs, coffee and cocoa, nuts, honey,
  • rejection of tomatoes, raspberries, strawberries, melons, grapes, pineapples, mustard, celery, mushrooms,
  • it is recommended to eat peas, green peppers, pork, bananas, watermelons, cranberries, apricots, peaches and red currants,
  • without restrictions, you can eat low-fat mutton, pumpkin, squash, cucumbers, apples, plums, turnips, gooseberries.

Why does seborrheic dermatitis occur?

Seborrheic eczema is provoked by a yeast-like opportunistic saprophytic fungus that affects significant areas of the skin, if the body is unable to cope with this intensive growth. Mushrooms “gather” near the sebaceous glands, feeding on the secreted fatty acids. As soon as favorable conditions arise, the fungus multiplies intensively, "capturing" large "territories" of the skin.

The main causes of seborrheic dermatitis are:

  • enhanced production of sebum,
  • disturbed sleep
  • adverse heredity
  • dysfunctions of the female endocrine system resulting from diseases of the gynecological plan and overweight, as well as cancer pathologies of the male genitalia,
  • weakened state of the barrier properties of the skin,
  • chronic fatigue
  • frequent infectious diseases
  • exposure to bad habits (alcohol, tobacco smoking, drug use),
  • lack of a balanced diet,
  • taking potent or hormone-containing drugs for a long time,
  • stressful situations, emotional and depressive states,
  • vitamin deficiency
  • gastrointestinal pathology,
  • chronic liver disease
  • diabetes (sugar).
The initial stage of seborrheic dermatitis

These factors, by themselves or comprehensively, are provocateurs of the active reproduction of fungi on the skin, producing waste products of their vital activity on it, irritating and causing significant harm.

The normal functioning of the sebaceous glands is achieved by refusing to eat spicy, spicy dishes, sweets. In the puberty period of human development, this rule is especially necessary to observe.

Symptomatic picture of seborrhea

Seborrheic dermatitis has characteristic symptoms consisting in:

  • education on the face of red inflamed spots,
  • the appearance of white-yellow nodules with scales,
  • enhanced skin shine due to fat secreted through enlarged pores,
  • an unhealthy gray complexion
  • blackhead dots,
  • constant itching, burning and peeling of the skin,
  • the formation of blood crusts,
  • thickening of the epidermis, resembling an orange peel.

Signs of oily seborrhea appear when a light pressure on the skin with a finger easily squeezes the fat from the pores. When dry, fat is condensed, which contributes to the drying out of the skin: it wears and cracks. The scalp is abundantly strewn with dandruff, which is a favorable environment for the nutrition and reproduction of various bacteria.

Fatty seborrheic dermatitis on the skin of the face

Signs of seborrheic dermatitis are areas of damage to the scalp. If you look at the areas behind the ears, cheekbones, nasolabial folds, forehead, eyebrows, nasal bridge, nasal wings, you can see obvious lesions by the fungus.

The manifestation of dermatitis behind the ears

The process of development of seborrheic dermatitis is ongoing, the clinical course is similar to:

  • lupus
  • candidiasis of the skin
  • atopic dermatitis,
  • psoriasis
  • pityriasis versicolor
  • dermatomyositis.

Therefore, only a dermatologist can diagnose the disease on the basis of studies.

What is the danger of seborrheic dermatitis

Unpleasant consequences of the disease appear with its neglected form, when treatment is difficult and ineffective. Sebaceous ducts are clogged, skin substances do not participate in the metabolism that occurs between cells. Fat accumulates at the bottom of the skin layers and rots there, contributing to the appearance of purulent and tumor neoplasms. A single inflamed focus occurs due to the merger of rashes, secondary infections can also join.

Seborrheic dermatitis, causes

The appearance of this disease is provoked by internal and external factors, affecting human immunity and disrupting the microflora of his skin.

The main provocateur of skin inflammation in this disease is considered a fungus of the genus Malassezia, which is localized in areas of the body with increased production of sebum and sweat. In the case of progression of seborrheic dermatitis, the number of fungal microorganisms is growing rapidly, therefore, various skin manifestations appear.

Environmental factors can disrupt the natural functioning of the body and stimulate the reproduction of the fungus:

    Use of certain drugs (certain groups of drugs provoke the onset of the disease. For example, those that are designed to eliminate Parkinson's disease: Cimetidine, Fluorouracil)Change of seasons, high humidity (An exacerbation of the disease usually occurs in autumn and winter. In the summer, patients feel better.Humidity promotes the growth of fungi, which leads to the onset or exacerbation of the disease)Emotional upheaval, constant overwork (negative emotions and fatigue, give a negative signal to the brain, provoking a disruption in the normal functioning of the sebaceous glands and the endocrine system. Permanent psychological problems also lead to the onset of the disease and cause various types of allergies)Poor nutrition (daily intake of empty calories, sweets, alcohol, spicy, spicy and fatty foods causes a large production of sebum, which contributes to the appearance and progression of the disease)

If you have found seborrheic dermatitis, and the causes of its appearance are not clear, but you are constantly taking medications for another disease, you should immediately inform your doctor. It will determine if your medication belongs to a group of skin disease provocateurs. If such an effect is detected, then you should immediately choose another drug, otherwise the fight against dermatitis will not give a positive result.

Internal causes of seborrheic dermatitis:

    Heredity (experts have proved that this disease is often caused by hypersensitivity to the metabolic products of the fungus, which is inherited from parents to children)Gastrointestinal Disorders (errors in the functioning of the stomach, in most cases, pass for a long time without symptoms, their prolonged course causes various kinds of skin manifestations)Deviations in the central nervous system (doctors often notice that, for example, Parkinson's disease contributes to excessive production of sebum. Paralysis and polyneuropathy cause malnutrition of the tissues and a decrease in the protective properties of the skin. Such changes are direct prerequisites for the appearance and progression of seborrheic dermatitis)Due to a change in hormonal background (A large number of male sex hormones provokes pathological changes in the endocrine system, which leads to the onset of the disease. Hormonal disorders are often observed with infertility, sudden changes in the menstrual cycle, endocrine gland tumors)Reducing the protective properties of immunity (with a deficiency of vitamins and minerals, skin functions decrease, conditions for the development of pathogenic flora, fungus appear. Most often, weak immunity is observed in patients with diabetes mellitus, underwent organ transplantation, and have oncological diseases)

Some statistics: 80% of people diagnosed with AIDS have all the manifestations of seborrheic dermatitis. People with HIV infection are affected by this disease in 36% of cases.

This disease is often caused by the consequences of a severe pathology of the internal organs. Therefore, you should take seriously the solution to such a problem.

Causes of seborrheic dermatitis

The main cause of seborrheic dermatitis is an infectious agent. These are Pityrosporum ovale fungi, which are present in the form of spores on the skin in 90% of people, but begin their active growth only with increased production of sebum secretion by the skin and a decrease in local or general immunity. For their life and reproduction, fungi actively use sebum and can cause inflammation of the skin.

Predisposing factors for the active and excessive secretion of sebaceous secretions can be internal and external factors.
Internal factors:

  • endocrine diseases
  • nervous system diseases
  • epilepsy,
  • Parkinson's disease,
  • Immune disorders (HIV, AIDS, congenital immunodeficiency, etc.).

External factors:
  • hereditary predisposition to seborrhea,
  • hyperhidrosis (excessive sweating),
  • cold air,
  • poor nutrition,
  • low zinc in the diet
  • vitamin deficiency PP,
  • stressful situations
  • the use of alkaline detergents in everyday life and for personal hygiene.

In many cases, eliminating the cause of seborrheic dermatitis helps to completely get rid of this skin disease or to reduce its progression and relapse to a minimum.

Seborrheic dermatitis on the face, treatment

To determine, how to treat seborrheic dermatitis, the doctor needs to find out the reasons for its appearance. After all, the prerequisites for the occurrence can be caused by the course of various diseases, recovery without which is impossible. therefore if signs of the disease occur in the facial area, you will have to seek the help of several doctors at once: a dermatologist, neuropathologist, endocrinologist, gastroenterologist, gynecologist or andrologist.

The appearance of this disease in the face is characterized by rashes near the eyebrows and nasolabial folds, on the skin of the eyelids. Education is also noted white scales and yellow crusts with seborrheic dermatitis on the face. Treatment of such signs is prescribed depending on their severity and prevalence on the face. In accordance with this, the doctor also selects the composition of the therapeutic diet.

Due to the fact that there are no cures for treating disorders in the functioning of the sebaceous glands, specialists choose an integrated approach to the problem, which includes methods for eliminating symptoms using various soothing, antihistamines, antifungal agents. Various vitamins and minerals are also used, a diet is prescribed. Widely used ointment for seborrheic dermatitis, cream, lotion.

To eliminate the manifestations of this disease on the face, it is necessary:

    Identify and cure disorders in the functioning of the stomach and digestion (For this, you should contact your gastroenterologist and undergo the necessary examination. If problems are found that are associated with improper gastrointestinal tract function, cholagogue, digestive enzyme medications that restore its work can be prescribed. Sorbents can also be prescribed to help cleanse the intestines, remove toxins, allergens, microorganisms provocateurs, drugs)Prevent the spread of additional diseases that contribute to the development and progression of signs of seborrheic dermatitis (it can be infections, hormonal disruptions)Carry out ultraviolet radiation (its small doses help relieve itching, redness, inflammation, normalization of the sebaceous glands)The use of drugs with anti-inflammatory, detoxification, anti-scratch effect (they help to neutralize toxins and reduce the intensity of skin manifestations)The use of vitamins C, A, E, B1, B2.Corticosteroid treatment (They well remove irritation and remove the redness of the skin of the face. They should be carefully selected and used in short courses, because they can be addictive, vasodilation and the formation of blackheads)To establish the normal functioning of the nervous system (tranquilizers can be used for this)Conduct local treatment (Its main purpose is degreasing the skin on the face, reducing sebum secretion. In the absence of pustules on the face, use mechanical skin cleaning, make various compresses. Facial skin is cleansed with poultices, paraffin masks, mechanical removal of blackheads. In the treatment of the disease are widely used creams, ointments for seborrheic dermatitis, alcohol lotions)Carry out permanent skin care (washing with water should be avoided, it is necessary to replace its use with rubbing with cleansing lotions. Care must be taken to choose face care products, choosing those that will definitely not cause any irritation)Follow a diet (it is developed taking into account the individual intolerance of the patient's body to various components of food, and requires rigorous implementation)

For the treatment of negative manifestations on the face, strict observance of all doctor's prescriptions is important.

Seborrheic dermatitis on the face, photo

This inflammation that affects the skin of the face can lead to the appearance of strong complexes in a person relative to their appearance. Female representatives are especially affected by its presence, for many of which unaesthetic manifestations of seborrheic dermatitis on the face are a moral trauma. Photos of this subsection will help to recognize the symptoms of this disease.

Signs and location of the lesion

Symptoms with seborrheic dermatitis develop gradually. In the initial stages, yellowish-red scaly spots and vesicles appear in the lesion sites, which can combine into large plaques covered with oily scales. As a rule, seborrheic zones are located symmetrically (for example, on the wings of the nose or auricles on the right and left). Dense crusts form on the scalp, cracks appear in the area of ​​natural skin folds. The severity of seborrheic dermatitis is determined by the area of ​​skin lesion and the intensity of the inflammatory process.

The "favorite" localization of seborrheic dermatitis is the skin of the scalp and face, but often the disease also affects the body. In severe cases, patients develop generalized seborrheic dermatitis, in which all parts of the body rich in sebaceous glands are simultaneously affected.

Dry, oily and mixed forms of seborrheic dermatitis are isolated. The first option is typical for adolescents (sebum secretion is reduced), the second is accompanied by the separation of liquid or thick skin secretions. In the latter case, dermatitis is exacerbated by the formation of acne, which is most characteristic of male patients. With a mixed form of the disease, both dry and oily plaques are observed in different parts of the body.

Seborrheic dermatitis of the scalp treatment

It often occurs in adolescence, in children in the first months of development. Initially, it is characterized by the appearance of severe dandruff. It is a piece of dead skin affected. Then the skin under the hair on the head turns red, plaques appear. They do not have clear contours and quickly cover the entire skin under the hairline. Numerous scales also form, severe peeling and itching appear. Hair also starts to fall out, due to constant scratching of the head, they become greasy. Impressive bald spots may also appear. Due to the highly noticeable presence of dandruff on clothes, the patient experiences discomfort, which often leads to nervous breakdowns and a fear of appearing in public.

In order to find out how to cure seborrheic dermatitis on the head, should seek the help of a dermatologist. He will conduct the necessary diagnostics, identify the causes of the disease, evaluate the development and form of manifestations.

Types of disease manifested on the scalp:

    Fatty (determined by the appearance of the hair. They look greasy and unwashed. This is due to excessive production of subcutaneous fat. This type of disease is often diagnosed in girls)Dry (it is characterized by severe drying of the scalp, the appearance of cracks on it, characteristic of adolescence)Mixed (combines the manifestations of the previous two types)

In accordance with the type of disease, the doctor decides how to treat seborrheic dermatitis on the head and applies:

    Effects on the disease of proper nutrition and vitaminsShampoos and gels, for example, Sebazol, NizoralAntiseptics: tar soap, zinc paste, ointment for seborrheic dermatitis on the head: Hydrocortisone butyrate, SilkarenAntihistamines, for example, loratadine, clemastine, which are produced in the form of tablets. They are usually taken by patients within 10 days.Different types of examinations of the whole organismRules of conduct and care for the scalp

Shampoo for seborrheic dermatitis

Its use helps: prevent further development of the fungus, reduce discharge from the sebaceous glands, eliminate the scales on the scalp and block their new appearance. Shampoos for dermatitis are often used: Danex, Nizoral, Tsinovit. They have a moisturizing, antifungal, anti-inflammatory and cytostatic effect.

Such shampoos are recommended to be used no more than one month.. Doctors also note that it is effective to use two drugs at once. One of them should produce an antifungal effect, and the other should contain zinc.

Shampoos that can cure seborrheic dermatitis of the scalp can also lead to skin irritation. Therefore, you should not purchase those that contain various flavors or paraben.

How to treat seborrheic dermatitis

Properly begin treatment of seborrheic dermatitis on the head with pharmaceutical preparations that eliminate the visible signs of the disease. These include shampoos with ketoconazole, tar, zinc, salicylic acid and selenium sulfide in the composition. They are used daily, used according to the instructions for a month, until the acute signs of scalp disease subside. After that, it is allowed to switch to preventive use - wash hair with shampoos twice a week.

Effective shampoos to get rid of seborrheic dermatitis on the scalp are pharmacy drugs:

  • Nizoral - inhibits the fungus, relieves peeling, itching.
  • Keto plus - antimycotic, prevents the spread of the pathogen.

Seborrheic plaques on the head due to combing help eliminate antihistamines, moisturizing ointments and gels. Antifungal drugs stop the growth of the pathogen, in severe cases, use antibiotics and hormonal ointments (Elidel). Traditional methods of treatment, cosmetic procedures of darsonvalization and cryomassage will help maintain the normal condition of the scalp, face and body.

Reasons for its occurrence

The main reason for its appearance is the activation of fungi that live on human skin. If the conditions of their living are “good” enough, then they begin to multiply actively, resulting in an inflammatory process. The fungus that causes this disease is called the Pitirosporum Oval. It can be on the human body for a long enough time, and he will not even suspect about it. He does not show any activity, however, he “wakes up” sharply and is actively developing. One of the most favorable reasons for its development is the allocation of sebaceous glands. If these secretions accumulate on the scalp, then they serve as nutrition and growth medium for such microorganisms. Therefore, it is worth washing your hair more often, because the fatter the hair, the greater the risk of developing dermatitis.

Symptoms of seborrheic dermatitis

The severity and characteristic of the symptoms of seborrheic dermatitis depends on the type of the disease, the location of the inflamed areas of the skin.

When localized on the scalp, rashes and redness can be accompanied by dandruff and hair loss. Seborrheic dermatitis in other areas of the skin is characterized by the appearance of clearly defined areas of redness with pink papules and plaques, then covered with skin scales, which are glued together with a greasy secretion.

The lesions are prone to fusion and distribution in the peripheral direction. As a result of this, inflamed zones of a considerable size are formed on the skin, which cause discomfort in the patient, severe itching or soreness.

Scratching or trauma to skin areas affected by seborrheic eczema can be complicated by the addition of a secondary infection and suppuration, and with localization on the wings of the nose, eyebrows, auricles or in the area of ​​the ear canal - inflammatory diseases of the nasopharynx, eyelids and ears.

Many patients note that the symptoms of seborrhea can aggravate with dietary disorders and abuse of alcoholic beverages, spices, spicy and sweet foods. With the correction of the diet, the symptoms subside and the healing process accelerates.

The prognosis of seborrheic dermatitis in most cases is favorable.

Features of the treatment of seborrheic dermatitis

The tactics of helping patients with seborrheic dermatitis includes two main areas. Firstly, the fight against the causes of the disease: normalization of metabolism and suppression of the activity of skin microflora. Secondly, the elimination of symptoms of the disease, which cause both physical and psychological discomfort to patients.


With the help of pharmaceutical products, the treatment of seborrheic dermatitis is more successful and faster. To eliminate edema, irritation, inflammation, doctors turn to the following ointments and creams:

These drugs are the "starting" in the treatment of facial dermatitis. For a long time, ointments and creams are used without any negative consequences.

Local remedies provide effective assistance with:

  • glucocorticosteroids,
  • ketonazole
  • zinc pyrithione,
  • silicic acid
  • tar
  • selenium sulfide,
  • cyclopirox,
  • octopyrox.

According to doctors, the most effective “fighters” with seborrheic facial dermatitis:

  1. “Honey Spas” is a cremogel substance with anti-inflammatory and antimicrobial effects. Its active ingredient is propolis and Siberian cedar resin extract.
  2. Ketoconazole ointment (2%), which is highly effective in some cases.
  3. Hydrocortisone ointment is a hormonal drug that is used for a short time.
  4. Triderm is a creamy substance with three active ingredients. Thanks to gintamycin, clotrimazole, betamethasone, fungi and pathogenic bacteria are eliminated, and inflammation is removed.
  5. "Advantan" - a hormonal agent, an emulsion that eliminates itching, peeling, swelling.
The use of honey for the treatment of seborrhea (before and after)

As a daily care hypoallergenic cosmetics, doctors prescribe the following funds:

If the use of drugs does not give a tangible result, immunostimulating local drugs are used in the treatment of seborrheic dermatitis: Elidel, Protopic creams.

Treatment of seborrheic dermatitis sometimes has to be carried out throughout life. This is a very difficult and exhausting process, so the patient should carefully consider his illness, undergo all the examinations prescribed by the doctor to exclude any pathologies of the internal organs.

Ultraviolet irradiation (UV) can also help in the treatment of seborrheic facial dermatitis by acting in small doses and restoring the epidermis at a faster rate by eliminating inflammation, itching, irritation, leading to the normal functioning of the sebaceous glands.

Of great importance in the process of treating an ailment is given to daily skin care procedures that are carried out according to all the rules prescribed by a doctor. With dermatitis, it is undesirable to use water for washing, it is better to use non-aggressive cleansing lotions.

What does it look like?

This disease looks repulsive. Below are photos of seborrheic dermatitis on the head. It is worth noting that in all patients, he looks different. For some, this is manifested in the presence of a large amount of dandruff, and for some, red spots appear under the hair.Some people have a pretty decent look of hair, and their only complaint is severe itching.

Photo of seborrheic dermatitis of the scalp. Treatment in the cases indicated in the photo was not carried out.

With the advanced form, this disease looks very repulsive, therefore, when the first signs appear, consult a doctor and begin complex treatment.

Seborrheic dermatitis of the scalp, photo

If you find yourself dandruff, the allocation of which every day becomes more abundant, you should consult a doctor. Ignoring the problem, as well as self-medication, leads to more serious skin manifestations in a short time. This section clearly shows seborrheic dermatitis of the scalp in the photo.

Ointment for seborrheic dermatitis

As therapeutic and prophylactic agents, ointments for seborrheic dermatitis are used. One of the most popular is the anti-inflammatory paste Sulsen in a concentration of 1-2%, which is rubbed into clean skin, can withstand half an hour and rinsed off. With advanced seborrheic dermatitis, creams and ointments are used: Hydrocortisone butyrate, Dexamethasone, Afloderm, Silkaren with an antifungal effect that relieves inflammation, itching. If a bacterial infection is introduced into the affected areas, zinc or salicylic ointment, Diprosalik lotion can cope with it.

Factors that trigger development

Not only oily hair provokes the development of seborrheic dermatitis on the face and head. There are other factors:

  1. Stress. The fact is that the emotional state directly affects the general condition of the scalp and hair. Scientists have proven that with constant stress and nervous tension, hair quality deteriorates.
  2. Reduced immunity. On the scalp, no matter how often people wash their hair, there are always fungi and microorganisms. Until the body is strong, bacteria and fungi cannot begin to develop. But with a weakening of immunity, they begin to multiply actively, which causes this disease.
  3. Hereditary disease. If parents, grandparents had seborrheic dermatitis, there is a high probability that you will encounter a similar problem. However, this does not mean at all that the disease is inherited. Just the sebaceous glands can be predisposed to excessive secretion.
  4. Disorders on the hormonal background. If metabolic processes fail, a large number of skin secretions can be provoked. This will cause dermatitis. That is why dry and oily seborrhea is most often observed in adolescents during puberty. Even visually, one can observe the activity of the sebaceous glands: fatty locks, an untidy hairstyle. To prevent this, you need to know exactly how to cure seborrheic dermatitis on the head.

Diet therapy

Since the pathological process is based on the disruption of the sebaceous glands, it is important to eliminate all factors that can affect the mechanism of their work. It is known that an important role in this is played by the human diet and the condition of the gastrointestinal tract. Therefore, patients with seborrheic dermatitis are recommended to limit the use of sweet, fatty, smoked and spicy foods, and they are also prescribed enzyme preparations that facilitate digestion.

Doctors have long noted the connection between the nature of the course (and even the occurrence) of many skin diseases and the health of the stomach, intestines and liver, so patients are often advised to undergo a preventive examination by a gastroenterologist, and in the presence of chronic diseases in this area, to resume treatment.

Seborrheic dermatitis in infants

The manifestations on the skin characteristic of this disease appear in babies quite often. The reasons for their formation may be:

    Yeast in significant concentrations on the scalpHormonal changes that may occur due to the onset of breast milkFoodDetergentsToo active work of sebaceous glandsInfant overheating caused by off-season dressingLong stay in diaperHygieneGenetic predisposition

Seborrheic dermatitis in infantsaccompanied by the appearance of yellow scaly crusts that spread over the skin of the scalp. Also, manifestations can be behind the ears, on the forehead and cheeks. Usually babies with seborrheic dermatitis do not need medical treatment. To eliminate its manifestations most often just follow the rules:

    Hypoallergenic baby shampoos without fragrances should be used for shampooing.One hour before hygienic water procedures, you need to spread almond or olive oil on the baby’s head (You can also use petroleum jelly. After completing the procedure, you must put a hat or cap on the child)While washing the baby, gently remove the crusts from his head (this can be done using a comb with round teeth or a special children's brush)

When removing the scales from the head of the baby, in no case should you make an effort: to rub, scratch, tear them off. Such actions can easily injure the skin and cause infection.

Hygiene practices contributes to the treatment of the disease in infants without the use of medications. If for a long time, for some reason, the desired effect of complete cleansing of the skin has not been achieved, then, most likely, the disease took on a neglected form.

Usually this condition is diagnosed in babies a little older than a year. With this course of the disease, doctors prescribe the use of special shampoos, gels, foams. The widespread use of new generation of priiotics, for example, Bifidumbacterin. It well restores the intestinal microflora and enhances immunity. Its advantage is that the use is not limited, and such a remedy can be prescribed from the first days of the baby's life.

Antifungal medications for seborrhea

Antimycotics are used to eliminate the pathogen or limit its growth in seborrheic dermatitis. These include:

  • Ketoconazole, Lamisil, Batrafen, Fluconazole,
  • Curiosin, Regecin, Selenium Disulfide,
  • preparations with tar, ichthyol.

If there is no inflammation on the seborrheic skin, ointments, gels and creams are used, otherwise emulsions with glucocorticosteroids (Elokom, Lokoid) are used. When peeling, keratolytic agents are used (help eliminate excessive skin flakes and crusts) containing resorcinol and salicylic acid. After achieving remission of seborrheic dermatitis, they are used a couple of times a week, during the main treatment - daily.

Signs and Symptoms

It is impossible not to notice the spread of fungi on the head. Already at the first symptoms, the patient will experience inconvenience:

  1. Itching on the head.
  2. Uneven spots with scales that can be detected by a detailed examination.
  3. The spread of the husk, parts of which stick to the hair.
  4. Red spots under the hairs, although they are rarely seen.
  5. A large amount of dandruff. If untreated, the husks will become more and more.
  6. With a running process, a bacterial infection joins. Therefore, adult seborrheic dermatitis on the head requires treatment when the first symptom occurs.
  7. Crusts may form on parts of the scalp from which hair will not grow. Therefore, bald spots in some areas can be seen.

It is worth recalling that all these symptoms, although they speak about the likelihood of dermatitis, the correct diagnosis can only be made by a dermatologist or trichologist.

How to distinguish it from psoriasis

Many skin diseases have similar symptoms. So, seborrheic dermatitis and psoriasis are especially often confused.

There is even such a term - “seborrheic psoriasis”, which indicates how close the symptoms of these diseases are. By this term, specialists mean skin damage in the scalp, in the ears, on the nose.

What is the difference between psoriasis and seborrheic dermatitis? Although they have a common favorite place - the scalp, the rest of their preferences are not similar.

In psoriasis, rashes are usually observed on the hands (especially on the elbows), on the legs in the area of ​​the knees, on the back. In seborrhea - on the face (often on the cheeks), on the chest and back.

Exfoliating scales look different: with psoriasis they are silver, with seborrhea they are white or yellowish. The latter, by the way, are easily removed, but psoriatic ones are difficult. If you nevertheless pick them up, a bleeding wound will open.

Seborrheic plaques are different in size, they have a greasy shine, the border between the affected and healthy skin is clearly visible. With psoriasis, the plaques are larger, without oily sheen, the skin is noticeably thickened.

Methods of treatment with folk remedies

Alternative medicine, offering many recipes to alleviate the symptoms of seborrheic dermatitis, focuses on the power of herbs that restore immune defense.

Doctors use complex ointments as natural antiseptics. For example, it is worth making such a composition, taking all the components in a tablespoon, mixing:

  • baby cream
  • olive oil,
  • golden mustache juice.

A small spoonful of valerian (tincture) is added to this mixture. Homemade cream lubricates areas of inflammation on the face, evenly distributing it on the skin with a thin layer.

Combination therapy using alternative medicine

To strengthen the barrier capabilities of the body, healers suggest using decoctions and teas from:

  1. Oak bark.
  2. Blackcurrant.
  3. Burdock, elecampane, St. John's wort (herbal "precast" tea).
  4. Calendula, chamomile, plantain leaf.
  5. Immortelle, stigmas, strings, tansy.
  6. Sage leaf.

A lot of attention in traditional medicine is given to lotions. Medicinal infusions serve as the basis for their use. But we must remember that for oily seborrhea, for example, you can not use tincture in oil, for the dry form of the disease it is better to take olive oil or castor oil.

To soften the skin, remove the process of inflammation, to stop the reproduction of fungi will help the bath, consisting of a mixture of herbs, including:

All herbs are taken in equal parts, then mixed and one tablespoon of the mixture is boiled with boiling water (200 ml). The use of such an infusion inside (1/4 cup) for ten days can strengthen the immune system, restore metabolic processes, and normalize digestion.

The same broth can be prepared as a lotion for washing, if the listed components are additionally enriched with a string, chamomile, immortelle and a tablespoon of alcohol is added to 100 ml of the broth.

Systemic therapy

This type of treatment involves the use of vitamin and mineral complexes and antimicrobial agents. Vitamin therapy is aimed at improving the condition of the skin and accelerating metabolic processes - the emphasis should be on taking vitamins A, C and group B. Antimicrobials are designed to fight both the pathogen and the concomitant infection, which often complicates the course of seborrheic dermatitis. Your doctor may prescribe a course of systemic antimycotics (antifungal agents) - these include fluconazole, terbinafine, intraconazole and others, as well as broad-spectrum antibiotics, such as doxycycline.

In some cases, with a pronounced inflammatory reaction and itching, the patient may additionally be prescribed antihistamines, such as loratadine, cetirizine, chlorpheniramine and others.


If symptoms occur, they can be diagnosed only after an examination.Even if the symptoms are obvious, diagnosis is advisable. Visible signs and complaints of the patient are just a basis for making a diagnosis.

Most often, dermatoscopy easily reveals the presence of keratinization of the skin, dandruff, irritation. It also allows you to determine the degree of inflammation and the volume of secreted sebum. But they also take blood from the patient for analysis, study the hormonal background and conduct a spectral examination of the hairline. All this is done to exclude atopic dermatitis and possible skin pathologies.

Dermatitis of the face

In the first case, the skin becomes dry, and characteristic crusts form on it, which are difficult to get rid of with the usual care products.

With the fatty type of seborrheic dermatitis in adults, increased oily skin is observed. However, some areas of the skin are very shiny and acquire a grayish tint. The skin relief becomes like an "orange peel", blackheads appear, which can become inflamed when a secondary infection is attached, forming acne and boils.

The main symptom of this disease can be considered the appearance of rashes on a certain area of ​​the skin of the face in the form of noticeable pink papules from 5 to 20 mm in diameter. The rashes have clear contours, and the area of ​​the skin on which they are located begins to peel off over time. Inflammation of the skin is accompanied by a feeling of discomfort and itching.

Progression of rashes and untimely treatment started leads to the growth and fusion of foci of inflammation. A layering of a secondary infection is also possible, which flows into pyoderma. When seborrheic dermatitis of the eyelids is affected, blepharitis or conjunctivitis may develop.

The most characteristic sites of localization of foci of seborrheic dermatitis are:

  • nose,
  • nasolabial folds
  • eyebrows and eyebrows,
  • section above the lip
  • cheekbones.

But any sebaceous glands can be involved in the pathological process, so sometimes foci of seborrheic dermatitis can occur in other parts of the face.

Symptoms of the disease

Affected areas of the skin are characterized by redness, covered with papules (small pimples, rashes) and scales, interconnected by sebum.

In adults, the situation develops on an increasing basis - more and more large areas are in the affected area, a person experiences severe itching and burning, sometimes quite painful.

If, when combing (which is difficult to avoid), the skin is damaged, there is a risk of infection of the wounds, their suppuration.

As a rule, the symptoms of the disease worsen if a person violates the recommended diet by abusing spicy foods, not to mention the use of alcohol, which clearly becomes a powerful impetus for the development of the disease.

In newborns, the initial stage of seborrhea is characterized by the appearance of dandruff, which subsequently changes into yellowish scales, which are easy to get rid of during combing.

In addition, it often goes away on its own, only in exceptional, most problematic cases, the doctor prescribes a crumbs special lotion or shampoo.

However, an unpleasant consequence of the disease can be a violation of the functions of the hair follicles. Sometimes infant seborrheic dermatitis affects the general well-being of the child: diarrhea appears, sleep worsens, appetite disappears.

Preventative measures

The main preventive measure is not to get involved in self-medication. Only a specialist is able to choose treatment tactics, control the process, prescribing or removing certain drugs from the course of treatment.

The patient should adhere to the implementation of simple rules in order to avoid relapse of the disease and observe:

  • thorough hygiene
  • the use of special shampoos,
  • take vitamins A and group B,
  • attend UFO procedures.

Care for the scalp and hair for this disease

With heredity, seborrheic dermatitis on the head of a child or adult cannot be defeated immediately. But something needs to be done. Despite the presence of this disease, you can properly care for your hair. And then the consequences of the disease will not be visible. Is it possible to cure seborrheic dermatitis on the head with cosmetics and care? Unfortunately, no, but you can get rid of the symptoms.

So, for proper care you need:

  1. Use a good healing hair shampoo with zinc content. Shampoos such as Zinc +, Friderm with Zinc, Ketoconazole + Zinc have proven themselves well.
  2. Wash your hair with warm water, not hot. If there is excessive grease on the hair, then hot water will only contribute to a stronger release of sebaceous secretion and dry out the strands.
  3. Rub emulsions prescribed by a dermatologist or trichologist into the scalp.
  4. Use a cream for seborrheic dermatitis on the head (for example, "Lamisil" or "Tsinokap").
  5. Rinse hair with decoctions of herbs.
  6. Do not use hot styling products, such as stylers and hair dryers. Use a hairdryer only as a last resort. The fact is that hot air in contact with the inflamed area will cause even more irritation and exfoliation.
  7. Do not dye your hair, do not perms, do not lighten.
  8. Protect hair from direct sunlight, and in winter you must wear a hat.

Before curing seborrheic dermatitis on the head completely, it is important to adhere to proper care. Otherwise, the treatment process will not be effective.

Dermatitis of the scalp

Seborrheic dermatitis of the scalp initially appears in a dry form, which is accompanied by the appearance of dandruff. At the next stage of the disease, redness occurs on the scalp, which is accompanied by unpleasant sensations and itching.

When combing, bleeding wounds can form on the scalp, which, when a secondary infection is attached, are suppurated. The hair quickly becomes salted, especially the basal part, and the patient begins to notice that he has to wash his hair more often so that his appearance is neat.

Further, on the areas of inflammation, milk or yellow plaques appear, which gradually grow. The scales of the plaques can be subtle and stick together with sebum between each other and the scalp. When scraping such scales on the head, an inflamed area of ​​red skin is found.

With the progression and prolonged course of seborrheic dermatitis of the scalp, hair loss intensifies, and in some cases, areas of baldness of various sizes appear.

When the inflammatory process subsides, hair growth in these areas, as a rule, resumes.

Causes of ailment on the face and body

One of the first questions that the sick person and his loved ones ask himself are: is seborrheic dermatitis contagious and what (if really contagious) are the ways of transmission of the infection. Fortunately, the disease is not transmitted from person to person.

The fungus Pityrosporum Ovale (according to other classifications - Malassezia), which provokes the development of seborrhea, is present, constantly and in an absolutely healthy body, and is just waiting for a reason to start acting.

The reasons for its activity may be:

  • weak immunity,
  • hormonal changes (in adolescents in transition, in women during menopause),
  • stress
  • the use of various drugs (for example, prescribed for the treatment of Parkinson's disease),
  • infectious diseases,
  • malnutrition
  • hereditary factor.

In children, many specialists associate the development of the disease with the maternal hormones remaining in the child's body, which can disrupt the normal functioning of the sebaceous glands.

The nature of the disease is also affected by the environment and weather factors.

In autumn and winter, the disease usually worsens. A humid climate provokes the rapid multiplication of a pathogenic fungus.

How and how to treat seborrheic dermatitis on the head?

When identifying a disease, it is logical first of all to visit a specialist who will accurately determine the causes and give a prescription for treatment. After you need to immediately begin therapy. If you consult a doctor in a timely manner, the treatment process will not drag on for a long time, and the development of the fungus can be prevented quickly. But neglected forms are difficult to treat, and this applies to any disease, and not just dermatitis.

If you have a hereditary seborrheic dermatitis on your head, it is unlikely that you can cure it as usual. Some doctors even say that fighting it is useless. What to do in this case?

It's simple: you need to adhere to the rules of hair care, avoid stress, apply special cosmetic and therapeutic shampoos that inhibit the growth of mushrooms. You also need to monitor the hormonal background. Of course, this will not be a treatment for seborrheic dermatitis of the head. Patient reviews, however, are very positive with proper care and use of special shampoos: although the disease does not go away, its manifestation is minimized.

If dry or oily dermatitis is found that is not caused by heredity, complex therapy will be required, which includes:

  1. Means of traditional medicine.
  2. Drug treatment.
  3. Minimizing stress.
  4. Proper nutrition.
  5. A complex of vitamins to strengthen immunity.
  6. Scalp and hair care.


There are good ways to cure seborrheic dermatitis on the head, reviews of which are positive. In particular, you need to use drugs that have been able to prove their effectiveness:

  1. Medical shampoos, as well as antimycotic ointments for seborrheic dermatitis on the head. Ketoconazole and Bifonazole show a good result.
  2. Vitamin complexes. In particular, preparations with a content of B vitamins are needed. It is this vitamin that has a positive effect on the health of hair and scalp.
  3. Preparations containing salicylic acid. They effectively fight microorganisms. “Diprosalik” proved to be quite good.
  4. Biological active additives with brewer's yeast. And although they are not medications, they are often prescribed by trichologists in the treatment of seborrhea.


The disease goes through a series of stages. The task of the patient and the doctors (this allows diagnosis) is to capture it at the very beginning.

During the first stage, small spots of red color appear on the face and parts of the body.

During the second - the surface of the spots is pulled by scales and scabs, peeling begins. A person feels burning and itching. Sometimes the patient (especially if it is a child) rises in temperature, diarrhea is possible.

The third stage (to which we must try not to bring the situation) is characterized by the spread of the disease to other parts of the body.

In addition, focal infection leads to hair loss. To restore the patient's hair, a trichologist must be connected to the treatment.

The causes, signs and symptoms, as well as a photo of atopic dermatitis in children can be found in our material.

The causes and treatment of neurodermatitis with folk remedies are described in the article by reference.

Treatment of dermatitis of the scalp

Treatment of dermatitis of the scalp is carried out comprehensively:
1. A diet is prescribed (it is recommended to introduce foods rich in zinc, vitamins A, B, C and PP, selenium into the diet).
2. The use of an antifungal drug (Nizorex, Mycozoral, Sebazol, Nizoral, Ketoconazole, Dermazole, etc.) in the form of a cream, gel or shampoo is recommended.
3. Antifungal antiseptic agents are prescribed (tar soap, zinc paste, bitter quassia extract, tea tree oil, etc.).
4. Alternative medicine recipes may be used.

Along with this treatment, therapy is carried out for the underlying disease, which contributes to the development of seborrhea. Whenever possible, predisposing factors are eliminated (stress, hypothermia, malnutrition, etc.).

Shampoos for seborrheic dermatitis
The modern cosmetology and pharmacological industry produces a wide range of shampoos for the treatment of seborrheic dermatitis: Nizoral, Ketoconazole, Skin-cap, Squafan S, Sulsena, Tsinovit, Kelual DS, Friderm Zinc, Danex, etc.

These tools help:

  • reduce the amount of fungi on the surface of the scalp and hair,
  • reduce the amount of sebum produced
  • remove formed flakes,
  • inhibit cell division and the formation of scales.

All of the above properties of good seborrhea shampoos are guaranteed by the presence in their composition of active ingredients that have antifungal, cytostatic, moisturizing and anti-inflammatory properties.

The main active components of antiseborrhoeic shampoos:

  • ketoconazole 1-2% - has an antifungal effect, is used 2 times a week, is contraindicated until 12 years of age,
  • cyclopirox 1-1.5% - has an antifungal effect, is applied 1-2 times a week,
  • selenium sulfide - destructively affects the fungus,
  • zinc pyrithione - eliminates inflammation, affects the fungus,
  • medical tar - inhibits the growth of fungi and the formation of scales, eliminates inflammation and peeling of the scalp.

As a rule, therapeutic shampoos are prescribed for 2-4 weeks. The frequency of their use may vary depending on the severity of the symptoms. In some cases, the use of two therapeutic shampoos is recommended (for example, one containing an antifungal drug, and the other with zinc).

As part of anti-seborrheic shampoos, substances that contribute to skin irritation should not be present. These include: parabens, aromatic fragrances, aggressive surfactants (SLESS, SLS), etc.

Seborrheic dermatitis begins ... with dandruff?

Like seborrheic dermatitis, dandruff occurs due to the excessive reproduction of Malassesia fungi. However, symptoms of seborrheic dermatitis occur when the proportion of the pathogen among the entire microflora on the scalp is more than 83%, and dandruff - when this value reaches 74% (normal Malassesia should be no more than 50% of the microflora). Thus, dandruff can be considered as the initial stage of the disease, therefore, do not take its appearance lightly and neglect the use of drugs.

Dandruff shampoos - even those sold in pharmacies - are often not able to deal with the causes of the disease, they only eliminate its symptoms. It is much more effective to use non-hormonal agents for treatment, in particular, based on zinc pyrithione, such as Otisifarm's Tsinokap preparation. Thanks to zinc pyrithione, “Tsinokap” has anti-inflammatory and antifungal activity, reduces itching, stimulates the natural renewal of skin cells, eliminating dryness and peeling, restores the barrier function of the skin and reduces its sensitivity to the damaging effects of microorganisms. “Tsinokap” also contains D-panthenol (provitamin B5), which restores the structure of the scalp, promotes healing, and also has a beneficial effect on the health and appearance of hair. “Tsinokap” in the form of a cream has a light texture, is quickly absorbed and softens the skin, and the Tsinokap aerosol is equipped with a special nozzle for application to hard-to-reach areas of the body (for example, on the scalp). The drug can be used in both adults and children from the first year of life.

Seborrheic dermatitis is a disease that can lead to a number of others.So, alopecia can begin on the scalp, and a severe form of acne can develop on the face, back, chest (with independent removal of inflammation and plaques). Therefore, do not start the disease, at the first sign of it, without wasting time on self-medication, contact a specialist. It is better to spend several hours on an appointment than to deal with an advanced form of the disease later.

Facial treatment

Treatment is prescribed by a dermatologist, however, the disease factor may be such that you have to go to a gynecologist, nutritionist or endocrinologist. Therapy for facial skin lesions must be comprehensive and include all measures to eliminate the disease.

For face care, you can not choose ordinary gels with an aggressive composition, and for washing you need to use a special milk and cream with salicylic acid in the composition. Means, which include alcohol, must be completely eliminated. Therapeutic cosmetics that are suitable for the treatment of dermatitis on the face: Bioderma, Sensibio, Tsindol, Sebovalis.

Also, the doctor can prescribe the following drugs: antihistamines, antibiotics, immunostimulants, mineral and vitamin complexes, hormone-containing products, antifungal ointments, etc.

In the difficult case when the fungus affects the skin of the eyelids, rinses with antiseptic solutions and drops in the eyes with antibacterial properties are prescribed. An effective addition to the treatment process are physiotherapeutic procedures: ultraviolet radiation or cryotherapy.

All these tools and methods together give a very tangible result.

Facial dermatitis treatment

Treatment of seborrheic dermatitis of the facial skin is also complex. In addition to eliminating the cause of dermatitis, the treatment of this disease includes a number of general recommendations for normalizing nutrition and changing the regimen for facial skin care.

Features of facial skin care:

  • Do not use aggressive foams and soap.
  • To cleanse the skin, use special gels or milk containing components that have antiseptic, antifungal, and anti-inflammatory properties (for example, ketoconazole, tea tree oil, salicylic acid, zinc, selenium, lithium salts, witch hazel extract, bitter quassia, etc.) .
  • Do not use alcohol-containing lotions and tonics.
  • The use of ointments and creams containing hormonal components is possible only under medical supervision.

Medical cosmetics
Therapeutic cosmetics for seborrheic dermatitis should be selected individually and used in courses that can be prescribed for the treatment of the disease and for its prevention.

The most effective remedies for medical cosmetics are: Quasix gels and creams, Sesderma Sebovalis line, Uriage DS Gel Nettoyant, Bioderma cleansing gel, Sensibio, Tsindol and Tsinokap product lines.
Drug therapy
Treatment of seborrheic dermatitis can be carried out according to various schemes, using various pharmacological preparations.


  • antibacterial drugs (doxycycline and others),
  • antihistamines (Citrine, Loratadine, Telfast, etc.),
  • multivitamin and mineral complexes (Alphabet, Multitabs, Perfect, dragee Merz, vitamin A, B2 and C, nicotinic acid).

Medicinal ointments and creams:
  • antifungal ointments (Nizoral, Mikospor, Bifisam, Ketodin, Lamisil, etc.),
  • hormonal ointments (Elokom, etc.),
  • immunostimulants (Tacolimus, Elidel, Protopic, Pimecrolimus).

A doctor may also prescribe medications to normalize the digestive system and treat other related diseases. With seborrheic dermatitis of the eyelid skin and the development of blepharitis or conjunctivitis, washing the eyelids and eyes with antiseptic solutions and the use of antibacterial eye ointments and drops are used.

Physiotherapeutic treatment methods are also included in the complex treatment of seborrheic dermatitis. For this, the following procedures are prescribed to patients:

  • darsonval
  • UV irradiation
  • laser therapy
  • cryotherapy.

Folk remedies for the treatment of dermatitis

Alternative recipes used to treat seborrheic dermatitis are aimed at eliminating itching, inflammation and increasing general and local immunity. There are many recipes for internal and external use, which greatly facilitate the course of the disease and improve the appearance of the skin.

Folk recipes for external treatment of seborrhea of ​​the skin
Hypericum broth
Brew one tablespoon of dry St. John's wort herb in 200 ml of boiling water, let it brew. Wash the face with the resulting broth or rinse the affected area of ​​the skin with a cloth soaked in the broth 2-3 times a day. The tool helps to get rid of inflammation and serves as a good prevention of secondary infection.

Oak bark decoction
20 g of dry bark is poured into 200 ml of water and kept in a water bath for about half an hour, filtered and used to rinse or applications of foci of seborrheic dermatitis. The tool helps get rid of itching and reduce inflammation.

Oily solution with tincture of calendula for the treatment of oily facial seborrhea
Mix 10 teaspoons of alcohol tincture of calendula with 1 teaspoon of castor oil. Rub the mixture into foci of seborrheic dermatitis 1-2 times a day.

The same remedy can also be used to treat dry seborrhea - in such cases it is necessary to mix calendula tincture and castor oil in equal proportions.

A decoction of birch buds
5-6 pieces of birch buds pour 200 ml of hot water and boil over low heat for about 15 minutes, cool and strain. Such a decoction can be used for washing, applications, rinsing the scalp, preparing pieces of ice to wipe the foci of dermatitis and conducting therapeutic baths (to prepare the bath, you need to add 2 cups of decoction to it).

Folk recipes for external treatment of seborrhea of ​​the scalp
Walnut Shell Tincture
Collect the unripe nuts, extract the contents from them, and dry the shell and grind it in a coffee grinder. 100 gr. pour the obtained raw materials with a liter of vodka or 40% alcohol, close the container and insist in a cool dark place for about 2 weeks. Rub the resulting tincture into the foci of seborrhea of ​​the scalp.

Mask of garlic and nettle
Grind the peeled garlic into gruel, add an equal amount of chopped nettle leaves, mix and apply to the seborrhea or baldness caused by it. Hold the mask for 20 minutes, then rinse with warm water or a decoction of birch buds, burdock leaves or chamomile infusion.

Decoction of oak bark and honey to get rid of dandruff
Mix in equal proportions a decoction of oak bark and honey (if there is no allergic reaction to beekeeping products). Rub the resulting mixture into the scalp an hour before washing your hair. After 10 such procedures, the amount of dandruff will be significantly reduced, and itching will decrease.

Golden mustache and olive oil ointment
Mix in a ceramic bowl for a tablespoon of juice from the leaves of a golden mustache, baby cream and olive oil, add 1 teaspoon of alcohol tincture of valerian. The resulting ointment is applied to the scalp affected by dermatitis, an hour or two before washing the hair. This tool helps eliminate itching and inflammation, speeds up the healing process of scratches and nourishes the skin.

Kombucha infusion
To use this tool, you must insist a solution of Kombucha for a month. The resulting solution is rubbed daily into dermatitis-affected areas of the scalp.

Dry mustard
With mustard powder they wash their hair (instead of shampoo) 2 times a month.

Alternative recipes for seborrheic dermatitis for internal use
Infusion of blackcurrant bark
Pour 200 ml of boiling water over one tablespoon of bark and insist in a warm place for about 8 hours. The resulting infusion should be taken 1 tablespoon 5 times a day.

Infusion of soothing herbs and fruits of hawthorn and rose hips
Mix equal proportions of valerian roots, peppermint grass, hawthorn and rose hips. Pour a tablespoon of the collection with 200 ml of boiling water and insist in a thermos overnight. Take infusion 2 times a day, 100 ml.

The duration of use of a prescription is best discussed with your doctor.


In this type of disease, the skin looks unnaturally dry (moisturized with water, ordinary shampoos do not bring positive results), and cracking may occur.

All this is a consequence of the low efficiency of the sebaceous glands. Usually this type of seborrhea affects teenagers who have not entered puberty.

What is dry seborrhea?

Seborrheic eczema and blepharitis

Seborrheic blepharitis (also called scaly) develops its activity on the eyelids of the patient, affects the eyelashes, and sometimes the eyebrows. This creates a huge discomfort for a person, negatively affects eyesight.

Seborrheic eczematide (or seborrheic eczema) is for the most part of its manifestations facial seborrhea, sometimes it affects the upper part of the body. There is an increase (including visual) of the sebaceous glands.

Experts believe this condition is one of the signs of HIV infection, so they warn of the need for early diagnosis.

Methods of treating seborrheic dermatitis in children (infants) and adults

The patient can be cured only by using the entire arsenal of medical devices and techniques developed specifically for this disease.

First of all, you need analysis to make an accurate diagnosis.. Then - the appointment of drugs, nutrition recommendations. It will also require other, medical cosmetics.

Women will temporarily not be allowed to dye their hair or lighten it using hydrogen peroxide - health is more important.

Folk remedies at home

The treatment process for seborrhea is usually long, so alternative methods of using natural, safe components can play a positive role.

Here is what can be useful for masks, rubbing, treating damaged skin:

  • Burr oil,
  • squeeze from sea buckthorn berries in combination with olive oil,
  • burdock root extract
  • a tansy decoction cooked in a water bath,
  • infusion from the roots of meadowsweet.

Many other medicinal herbs are used to prepare infusions, which are used internally as anti-inflammatory, restorative.

How to cure seborrhea (dandruff) at home with clay, soap, soda, vinegar, aspirin, henna will tell the following video:

Medication (drugs)

Not always seborrhea is an independent disease, very often a person needs to treat not only the skin, but also, for example, the nervous system, stomach.

The patient may be prescribed funds to strengthen the immune system, vitamins, antifungal drugs, hormones - tablets and ointments, in some cases - antibiotics.

Due to the complexity of diagnosis and the selection of optimal medications, self-medication for patients with seborrheic dermatitis is categorically contraindicated.

However, in order to get an idea of ​​what means are usually used, we will name some pharmaceutical preparations:

  • Ketoconazole - can effectively fight the fungus, restores the hair structure,
  • Fluconazole - helps against various skin inflammations, including lichen,
  • Curiosin - used for complex therapy, restores damaged skin, treats poorly healing wounds,
  • Aldazole - effective if seborrhea is complicated by parasitic infections.

Recently, the Darsonval apparatus has been used to treat seborrhea. It affects the patient’s skin with high-frequency impulse currents, provides delicate face care (cures eczema, rashes, swelling, dandruff).

Ointments and creams

The choice of ointment and cream can also not be random.Each drug has its own characteristics. Here are a few options:

  • Belosalik ointment - effective for dry seborrhea, relieves itching and swelling,
  • Salicylic ointment - has drying properties,
  • Bepanten - provides restoration of damaged skin, recommended for infants,
  • Momederm - ointment is intended for local treatment of skin diseases, can be used for children over two years old,
  • Sulfur ointment is the best low-cost treatment for thick seborrhea,
  • We see - accelerates the regeneration processes,
  • Tsindol (talker) - helps to defeat dandruff, relieve inflammation, can be prepared at home, with instructions for use and reviews on Tsindol can be found at this link,
  • Elokom - an effective anti-inflammatory agent,
  • Solcoseryl - heals skin wounds well,
  • Akriderm - stops the inflammatory process, relieves itching,
  • Tsinokap (cream and spray) - fights against fungus, has a good drying effect,
  • Elidel is an anti-inflammatory medicine that can be used for a long time (including children from three months old) without the risk of addiction and side effects,
  • Clotrimazole - effectively neutralizes harmful microorganisms.

This video will tell about the treatment of dry and oily seborrhea with the help of tablets, creams and ointments:

Therapeutic Shampoos

With seborrhea, you can not use ordinary detergents, you will need special medical shampoos. About how to choose a shampoo for seborrhea we wrote here.

As a therapeutic agent, shampoos are recommended to be used from two weeks to a month, depending on the severity of the disease.

Sometimes it becomes necessary to combine (use simultaneously) two types of shampoo: with an antifungal effect and containing zinc.

Masks for hair and scalp

Masks are effective against seborrhea, the options of which are very many.

Onion: prepared from one medium-sized onion, a tablespoon of aloe juice and the same amount of honey, two teaspoons of dry mustard (it is previously diluted with water) and one yolk.

This mask is kept on the hair for an hour, hidden under a film and wrapped in a terry towel.

Mustard: mix two teaspoons of mustard (also previously dissolved in water), a tablespoon of brandy and aloe juice, one yolk, one teaspoon of alcohol tincture of calendula.

Apply to unwashed hair, hold for 40 minutes, wrapping a good towel.

Cedar: take in equal amounts cedar oil (essential oils are generally effective against seborrhea), strong black tea and vodka. Rubbed into the hair roots, washed off after a half to two hours.

How much does Mustela shampoo for children with seborrheic crusts cost and how is it used correctly? This will be described by our publication.

Reviews on oil from La Cree mom stretch marks are presented for review in our material.

How to treat women during pregnancy and breastfeeding

The trigger for seborrheic dermatitis can be hormonal changes in the human body, so the disease can be detected in a pregnant woman, and if it has already been diagnosed, there is a great danger of exacerbation.

There is seborrhea of ​​the scalp, ear, rash can also be on the back.

One of the safest means is Uryazh brand products (an emulsion, for example, is recommended even for babies from the first days of life).

Disease prevention

Many are wondering if there are ways to prevent the disease. The risk is significantly reduced if:

  • timely treat diseases of the digestive system and endocrine system,
  • observe personal hygiene
  • use quality detergents
  • purchase underwear made from natural fabrics,
  • eat well, trying to eat less allergenic foods,
  • monitor your own weight if you are prone to obesity,
  • avoid stress, emotional overload.

Immunity strengthening

For the final victory over the disease, strong immunity is required. And to strengthen it, you need to apply measures:

  1. Take tincture of echinacea, eleutherococcus, ginseng. However, with these tinctures you need to be careful, because they can increase pressure.
  2. Use biogenic stimulants. Recommendations: therapeutic mud, mummy, propolis.
  3. Take drugs with lactobacilli: Linex, Hilak Forte, Lactofiltrum.
  4. Take a walk in the fresh air and play sports. Although this sounds trite, but the effectiveness of sports in terms of strengthening immunity is extremely high.

Proper nutrition

Treatment of seborrheic dry dermatitis on the head involves proper nutrition. The fact is that many products cause excessive secretion of sebaceous secretion on the scalp. This, for natural reasons, provokes the development of the fungus. Therefore, it is worth abandoning excessively fatty, spicy, fried and salty foods. Also, do not drink a lot of alcohol, coffee and butter products. It is worth giving up fast food and hot drinks. It is advisable to drink warm tea or coffee and consume more greens and vegetables. Various dairy products, chicken, low-fat soups and dried fruits, cereals - all this is indicated for use.

With proper treatment and care, you can achieve a good result, and with improper nutrition, all these results can be reduced to nothing.

Watch the video: DermatitisEczema: A Brief Discussion of Types of Dermatitis and an Overview of Management Options (March 2020).