SEBORRHEIC DERMATITIS

Dr. Anis Irawan Anwar Sp.KK

Bagian Ilmu Kesehatan Kulit & Kelamin
Fakultas Kedokteran
Universitas Hasanuddin

INTRODUCTION
SD chronic superficial

inflammatory
predilection for the
nasolabial creases,
axillae, umbilicus,

disease of the skin with a

scalp, eyebrows, eyelids,
lips, ears, sternal areas,
groins and gluteal crease.
Synonims of Seborrheic Dermatitis (SD) :
Dysseborrheic Dermatitis, Unna Disease,
Eczema Flainellare

EPIDEMIOLOGI

Seborrheic dermatitis all races

Males > females
Seborrehic dermatitis neonatus, adults or
older peoples.

ETIOLOGY
E/ of seborrheic dermatitis unknown.
Potensial etiologies of seborrheic dermatitis :
stress, weather extremes, oily skin, infrequent
shampoos, obesity, strokes, HIV
E/ Pityrosporum ovale

PATHOGENESIS
Over secretion in sebaceous glands
predisposition factor.
P ovale in the seborrheic area can
sensitize an individual resulting in spesific IgG
response, can activated complement by both
pathways.

CLINICAL MANIFESTATION
The lesions to be dull or yellowish red in
colour had covered with greasy scales.
They commonly marginate in hairy skin and
involve the scalp, face, sternal and
interscapular regions and the flexures.

This a picture of dermatitis

seborrheic in infant: scalp

This the picture of dermatitis

seborrheic in infants: face.

This a picture of dermatitis

seborrheic in infant:body

This a picture of seborrheic

dermatitis with scales at forehead

This is a picture of seborrheic dermatitis in chest with

erythema and scales.

 Clinical patterns of seborrheic dermatitis

in infantile and adult

Infantile
Scalp (cradle cap)
Trunk (including flexures and napkin area)
Leiners disease

 Adult
Scalp
Dandruff
Inflammatory may extend onto non hairy
areas (e.g. postauricular)
Face (may include blepharitis and
conjunctivitis)

Trunk
Petaloid
Pityriasiform
Flexural
Eczematous plaques
Follicular
Generalized (may be erythroderma)

HISTOPATHOLOGY
Histological

examination

subacute
dermatitis reaction with spongiosis and even
vesicle formation.
There is also considerable acanthosis, with
elongation and the clubbing of the rete ridges,
and there may be some thinning of the supra
papillary part of the dermis.

DIAGNOSIS
The diagnosis of SD based on assessment
of symptoms, accompanied by consideration
of medical history, discovery clinical
manifestation and histopathology.

DIFFERENTIAL DIAGNOSIS
The differential diagnosis of seborrheic
dermatitis includes:
* psoriasis
* pityriasis rosea
* tinea
* atopic dermatitis

THERAPY
Infants
Scalp : - salicylic acid 3-5%
- hydrocortison 1%
- imidazoles
-warm olive oil compress
- mild baby shampoos
- proper skin care with emolients,
creams and soft pasts.

Intertriginous areas:
- Corticosteroid mild potency
- imidazoles preparations (e.g.ketokonazole
2% in soft pastes, creams or lotion)

 Adults:
Scalp:

- frequent shampooing with shampoo

containing 1-2,5% selenium sulfida,
imidazoles, zinc pyrithione,
benzoyl
peroxide, salicylic acid.
- glucocorticosteroids or salicylic
acid
in water soluble bases.

If topical treatment fails, we can give:

- glucocorticosteroid systemic
- antimicrobial treatment

Thank You