Seborrhea diagnosis and treatment
Seborrhea diagnosis and treatment
Etiology The etiology of seborrheic dermatitis is unknown, although it is believed that;
Increased secretion and retention of sebum on the skin may act as an irritant and alter the epidermal function following percutaneous absorption. In some cases, however, the sebum production may be normal or reduced.
Pityrosporum ovale colonizes the scaly epidermis and induces inflammation.
It may be associated with parkinsonism. Treatment with levodopa reduces seborrhea in addition to ameliorating the symptoms of Parkinson's disease.
Seborrhea may be a manisfestation of zinc deficiency syndrome.
Clinical Features It presents as inflammatory, erythematous scaly eruption, the margins of which may be well defined or indistinct. The scales are yellow in color and greasy in consistency. The disease has a centrocorporeal distribution to tending to localize in ares with high density of sebaceous glands, namely the scalp, forehead, eyebrows, paranasal folds, and retroauricular areas.
Infantile Seborreic Dermatitis
Cradle cap
Seborrheic dermatitis
Leiner's disease
Acne neonatorum
Seborrheic Dermatitis of Adults
Scalp seborrheic dermatitis Pityriasis sicca/ seborrhea capitis/dandruff
Inflammatory seborrheic dermatitis of the scalp
Facial seborrheic dermatitis
Pityriasis oleosa/ oily skin
Marginal blepharitis
Acne vulgaris
Rosacea
Nasolabial seborrheic dermatitis
Seborrheic dermatitis of the beard
Otitis externa
Intertriginous/ flexural seborrheic dermatitis
Exfoliative dermatitis secondary to seborrheic dermatitis
Diagnosis The diagnosis of seborrheic dermatitis is clinical. however, it needs to be differentiated from the following disorders which may sttimulate it closely.
Treatment Seborrheic dermatitis is responsive to topical steroids. One percent hydrocotisone is usually potent enough to provide symptomatic improvemystemic ketoconazole improves seborrheic dermatitis; how ever, it recurs when the drug is stopped. Also the potential side effects of this drug make it unsuitable for long term therapy.
Unani Herbal Treatment Tukhm khatmi, Isbgol musallim, Tukhm katan each 6 gm, and Parshiya wasan 20 gm, then make decoction of parshiya wasan in 4 cup of water and boiled when 2 cup remains, mix all above herbs in this decoction and put at affected area at night and wash with luke warm water in morning.
Massage scalp with a mixture made of equal quantities of lime juice and vinegar. Wash hair with egg shampoo after this.
Fenugreek is very effective in preventing dandruff, hair fall and baldness. Soak fenugreek seeds in water overnight and grind it into a fine paste the following morning. Leave this paste applied on the scalp for 30 to 45 minutes and then wash it with a mild shampoo.
Boil neem leaves in water and use this water to rinse hair.
Massage scalp with warm coconut for half an hour atleast twice a week
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