Seborrhoeic dermatitis

definition
Seborrhoeic dermatitis (SD) is chronic recurent common skin
inflamation affect sebaceous gland-rich areas of skin causes scaling.
Dandruff (pityriasis sicca) : mildest form of seborrhoeic dermatitis
scaling without inflamation
Crandle cap : is transient form of seborrhoeic dermatitis affecting
infants.
SD may be presoriatic stage and may associated with psoariasis and
called seborrhiasis
etiology
Unknown
Possible factor :
malassezia species
Immune response : decrease some immunity component
Genetic ; small role
Risk factors
HIV ; 10 X and resistant
Neural disease, parkinson disease, facial palsy
Neuroleptic medications
Emotional stress
epidemiology
Two peaks : infant after 2 wks + 20s 30s.
M>F
pathophysiology
Summery of pathophysiology
Malasseiza ecosystem and interaction with the epidermis
Initiation and propagation of inflammation
Disruption of proloferation and diferentiation processes of the
epidermis ; and
Physical and functional skin barrier disruption
Local symptoms and sign
Symptoms
Pruritus
Sensation of tightness dryness
Hair: alopecia and less shine

Aggravated by : winter, dry, indoor, sweating

sign
Skin : orange-red erytmema OR grey white
Scaling macules : white/ greasy / yellow orange.
Dryness sensation of tightness
Hair : brittle narrow hair.
Classification : head
Areas
- scalp
- eyebrows
-eyelashes (blepharitis)
-beard (folicular orifices)
Classification : face
Areas
- forehad (corona seborrhoica)
-nasolabial folds
-eyebrows
-glabella
Classification : trunk
Classification : body folds
Areas
- axillae
-groins
-anogenital area
-submarry areas
-umbilicus
-diaper area
Description : diffuse, exudative, sharply marinated, brightly erythematosus
eruption, erosions and fiddures common.
Differential diagnosis of seborrheic dermatitis
Atopi candidiasis
dermatitis

Langerhans cell
dermatophytosis
histiocytosis

psoriasis SLE

rosacea Tinea
infection
complication
Psychological distress
Low-self esteem, embrassment
Secondary bacterial or fugal infectoins
Prognosis

Seborrhoeic dermatitis: infantile good prognosis, self-limited disease

seborrheic dermatitis : adults are chronic and can relapse