How to treat seborrheic dermatitis

Written by Liu Jing

Dermatology

Updated on December 31, 2024

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Seborrheic dermatitis commonly occurs in the head, face, chest, back, and other areas with excessive sebum secretion in adults, and it can also affect infants and young children. It is necessary to enhance skin cleanliness and provide symptomatic treatment such as anti-inflammatory measures and regulation of lipid metabolism. Focus on skin cleanliness, eat more green vegetables and coarse fibers, and provide anti-inflammatory treatments such as oral tanshinone IIA sulfonate capsules, vitamin B6 tablets, doxycycline hydrochloride capsules, clarithromycin sustained-release tablets, and total paeony glycoside capsules. For the affected skin areas, apply topical remedies like Curcuma comosa clearing ointment, compound indomethacin tincture, etc. Products such as selenium disulfide cleanser or ketoconazole shampoo can be used to wash the scalp and as a body wash. Regularly enhance skin cleanliness and frequently change underwear.

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Written by Xie Ming Feng

Dermatology

1min 2sec

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What department should I go to for seborrheic dermatitis?

Seborrheic dermatitis, also known as seborrheic eczema, is a chronic, papular, scaly superficial inflammatory skin disease that occurs in areas where sebum is excessively secreted. It is more common in adults and newborns, but can occur at any age. The main symptoms include follicular papules appearing on the scalp, face, chest, and back, which then merge into large, yellowish-red or dark red patches. These patches are covered with greasy scales and crusts, and may be accompanied by exudation, crusting, erosion, and eczema-like changes. In severe cases, it can spread throughout the body, causing diffuse erythema and significant scaling all over, along with varying degrees of itching. This disease is a chronic condition that can recur repeatedly. It is one of the most common diseases in dermatological practice. Therefore, patients with seborrheic dermatitis should consult a dermatologist.

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Written by Huang Ling Juan

Dermatology

58sec

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What is seborrheic dermatitis?

Seborrheic dermatitis refers to a type of inflammatory skin disease that occurs in areas where sebum secretion is abundant, including the face, chest, and back. These areas tend to be oilier and are prone to developing erythema and greasy scales. If the seborrheic dermatitis is of the dry type, it may also be accompanied by symptoms of peeling skin. The condition commonly affects individuals with hyperactive sebaceous glands, typically those with oily skin. Some people have combination skin that is also prone to oiliness, making them susceptible to seborheic dermatitis, often due to improper skin care. Dietary habits, frequent late nights, and consuming overly spicy or greasy foods can also lead to the development of seborrheic dermatitis.

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Written by Xie Ming Feng

Dermatology

1min 5sec

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What fruits to eat for seborrheic dermatitis?

Seborrheic dermatitis is a chronic papular and scaly superficial inflammatory skin disease that occurs in areas of the skin where sebum is secreted, often accompanied by varying degrees of itching. The causes are generally believed to be related to increased sebum secretion or changes in its chemical composition, as well as colonization and infection by Malassezia. Other factors such as stress, diet, alcohol consumption, deficiency of B-complex vitamins, fatigue, emotional stress, infections, etc., can all influence the onset and development of the disease to varying degrees. Clinically, patients are advised to maintain regular life habits, ensure sufficient sleep, adjust their diet, limit polysaccharides and fats, avoid spicy and stimulating foods, avoid alcohol, and consume more vegetables and fruits. As for what types of fruits to eat, it is generally better to choose fruits rich in B-complex vitamins, such as tomatoes, bananas, grapes, kiwis, pears, walnuts, chestnuts, oranges, etc.

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Written by Xie Ming Feng

Dermatology

59sec

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What are the symptoms of seborrheic dermatitis?

Seborrheic dermatitis, also known as seborrheic eczema, is a chronic, superficial inflammatory skin disease characterized by papular and scaly inflammation that occurs in areas of sebum secretion. It can be associated with varying degrees of itching and is commonly seen in adults and newborns. The main symptoms include hair follicle papules appearing in areas of sebum secretion such as the scalp, face, chest, and back, which then merge into dark red or yellow-red patches. These patches are covered with greasy scales and crusts, which can lead to exudation, crusting, and erosion, manifesting eczematous changes. In severe cases, the lesions can spread throughout the body, leading to diffuse erythema and significant desquamation. At this stage, it is referred to as seborrheic erythroderma. This condition is chronic and may have recurrent episodes.

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Written by Xie Ming Feng

Dermatology

1min 52sec

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How to Treat Seborrheic Dermatitis

Seborrheic dermatitis, also known as seborrheic eczema, is a chronic papular scaly superficial inflammatory skin disease that occurs in areas with excess sebum secretion. It can be accompanied by varying degrees of itching and typically occurs in areas with abundant sebaceous glands such as the scalp, face, chest, and back. The treatment generally includes three aspects: The first aspect involves advising patients to maintain a regular lifestyle, get sufficient sleep, avoid various mechanical stimuli, use less hot water and soap with high alkalinity for bathing, and pay attention to their diet by limiting and reducing the intake of polysaccharides and fats, alcohol, and spicy and irritating foods, while consuming more fruits and vegetables. The second aspect is the treatment with topical medications. Commonly used medications include mixed preparations containing corticosteroids and antifungal drugs, such as compound miconazole and compound econazole. If the effect is unsatisfactory, topical calcineurin inhibitors such as pimecrolimus or tacrolimus can be used. If there is exudation or erosion, zinc oxide ointment or erythromycin ointment can be chosen. For scalp lesions, shampoos containing ketoconazole or selenium sulfide can be used. The third aspect is the treatment with oral medications, which generally includes supplementation with B vitamins such as vitamin B2, vitamin B6, and compound vitamin B, or zinc-containing preparations. For severe itching, antihistamines can be taken orally. In cases of fungal infection or widespread lesions, oral itraconazole can be administered, and for bacterial infections, tetracycline or erythromycin can be prescribed.