Seborrheic dermatitis (seborrhea ) - Causes, Symptoms and Treatment .MF .
reasons for seborrheic dermatitis
Seborrheic dermatitis - inflammation of the skin as a result of increased allocation qualitatively altered fat and active influence microbial agents - Pitirosporum orbiculare and Pityrosporum ovale - conditionally pathogenic fungi of the genus Malassezia.Such a defeat exposed skin, densely populated by sebaceous glands, namely, the face (forehead, chin, nose, nososchёchnye folds), the skin of the scalp, chest (region of the midline), back (interscapular area), the area of ears.
has been observed that the activity of these opportunistic fungi growing under adverse conditions, such as immune and endocrine disorders, stress and various lesions of the nervous system.It is known that opportunistic fungi of the genus Malassezia are concentrated around the mouth of the sebaceous glands to produce fatty acid, with an excess of sebaceous saturating.Thus seborrhea - change of quality and quantity of sebum contributes to hyperactivation of fungal microflora: Pityrosporum
symptoms of seborrheic dermatitis
In seborrheic dermatitis, skin damage is gradual, slowly progressive nature and is accompanied by itching, often, intense.In seborrheic areas on a background of red spots appear plaque with a fairly clear boundaries formed by the merger of small nodules of yellowish-pink color, covered with greasy scales.The process of skin lesions is often symmetrical, and at the expense of peripheral growth and resolution in the center of the plaque can acquire girlyandopodobnye and annular shape.
Pictured symptoms of seborrheic dermatitis face
pathological process located in the folds (BTE, under the breasts, in the groin) is often accompanied by weeping, sticky appearance of crusts and cracks.
Pictured seborrheic dermatitis symptoms (nososchёchnye folds)
If it affects the scalp is marked peeling or uneven dense formation of scabs.Often during the inspection, you can see the yellow or white scales that are attached to the hair shaft, as well as dandruff.The hair at the same time is usually thinner and thinning, which ultimately leads to a diffuse alopecia (baldness).
Pictured symptoms of seborrheic dermatitis of the scalp
In the long process, in severe cases of seborrheic dermatitis can progress.Peeling thus becomes significant, flakes thicken.Often joined by secondary infection in the form of honey-yellow crusts.Skin redness and peeling may grow in size, up to erythroderma - significant redness of the skin.This state requires mandatory health monitoring and further investigation.
The picture of seborrheic dermatitis of the body symptoms erythroderma
In newborns with a combination of seborrheic erythroderma with diarrhea and delayed weight gain diagnosed fairly serious skin lesions - desquamative erythroderma Leiner.This state belongs to the category of heavy and requires immediate medical intervention.
Pictured symptoms of seborrheic dermatitis in the child: cradle cap
survey with seborrheic dermatitis
When the diagnosis of seborrheic dermatitis should be excluded, such skin diseases as atopic dermatitis, eczematid, psoriasis, fungal infections (ringworm) and microbialskin lesions.This requires mycological investigation and microscopic skin flakes on pathogenic fungi.Sometimes resort to the diagnostic biopsy, in which a set of multiple characteristics will be fixed cells-neutrophils in the composition and flake crusts, and at the mouths of the hair follicles.In seborrheic dermatitis, flowing torpidly need to further study the hormonal status of the patient.
treatment of seborrheic dermatitis
known that to date there are no drugs that normalize the sebaceous glands, so the problem of the treatment of seborrheic dermatitis should be directed to the correction of certain manifestations of the symptoms.For example, the localization process on the scalp first preferred specific antifungal treatment.Thus apply shampoos containing antifungal component such as ketoconazole or ciclopirox and tar, and zinc pyrithione.
in the treatment of seborrheic dermatitis also use other shampoos with zinc pyrithione.
shampoo containing both ketoconazole and zinc pyrithione, often helps to quickly resolve the problem of seborrheic dermatitis of the scalp and cause more long-lasting remission.
In the acute period of possible use of these shampoos daily until until symptoms diminish.By reducing the effectiveness of a shampoo, it is possible to alternate with each other.In the absence of complete stabilization process means assigns dermatologist further containing selenium sulfide, coal tar and salicylic acid.Combination antifungal shampoos and components that have a drying effect, reduces infiltration, swelling, redness and help to achieve a more rapid recovery of the skin of the scalp.Well proven 1-2% paste "Soultz", as therapeutic and preventive agent for seborrheic dermatitis of the scalp.After applying the shampoo therapeutic, a small amount of 2% paste (about 5 mL) is rubbed in a circular motion to the hair roots, and the formed emulsion is kept on the scalp for 30 minutes and then washed off with warm water.
Such treatment is usually carried out once a week for 3 months.Supportive therapy in a similar mode is 1% of the paste.A good effect in the treatment of seborrheic dermatitis of the scalp have a «Head and shoulders» shampoos, "Friderm-zinc" and "Friderm-tar."
In cases that are resistant to the above treatment, a dermatologist can assign combination products containing antifungal and hormonal components.Independent use of these funds do not allow, as have numerous contraindications and side effects.
If it affects the skin with seborrheic inflammatory process is assigned the appropriate skin care.Requires the use of means that do not cause an irritant effect to the skin.In this area, well established company "Bioderma" cosmetics line "sensitized".Most preferred for skin care without any contact with water - cleansing lotions.
Treatment of affected skin in the first place should be aimed at reducing the inflammation.To this end, various mash containing zinc.Using the mash "Tsindol" 2 times a day, stabilizes skin inflammation in a short time.Use an antifungal cream "Lamisil" 2 times a day to the affected skin reduces aggression opportunistic fungi of the genus Malassezia in the mouth of the hair follicles and thus causes exfoliating and anti-inflammatory effect.Creams containing zinc pyrithione, well proven in the treatment of facial seborrheic dermatitis.
Recently, more and more active outside immunomodulators used in Dermatology, also possess anti-inflammatory and antifungal activity.This cream "Elidel" and "Protopic" that can be used at a certain stage of the treatment of seborrheic dermatitis, under the supervision of a physician.
all of the above funds are used With the defeat of seborrheic dermatitis of the skin chest and back.This shampoo, lather when washing which is applied to the body, and anti-fungal cream and mash and immunomodulating agents for external use.
With the defeat of seborrheic process folds effective way is to use a liquid Castellani.
Folk remedies for the treatment of seborrheic dermatitis
Of the many folk remedies for the treatment of seborrheic dermatitis are increasingly in recent times we hear about the use of tea tree oil.This authority of the tea tree oil is purchased because of its antifungal effect.Unfortunately, the anti-inflammatory qualities of this tool is not plentiful, so the tea tree oil may not be the drug of choice in the treatment of seborrheic dermatitis.Good drying effect have decoctions of herbs used in the form of lotions and wet-drying bandage with an active inflammatory process.To prevent injury to the skin itch you can use diluted lemon juice in a rubdowns itchy skin.
To achieve a longer period of remission needs daily hygienic skin care, avoiding the use of soap and cleansers, skin-irritating.Since the process of aggravation caused by irregular hygiene skin care, growing a beard and mustache is an aggravating factor in the development of the pathological process.When choosing the underwear must be borne in mind that cotton soft wear significantly reduces skin irritation.Ultraviolet radiation in suberythermal doses in the treatment of seborrheic dermatitis helps achieve a longer remission effect.
In drawing up recommendations for a diet for patients with seborrheic dermatitis is necessary to give preference to low-calorie foods and drinks are excluded, enhances the secretion of sebum.
Doctor's consultation on "seborrheic dermatitis":
1. Why stress when my husband is constantly aggravated seborrheic dermatitis?
known that in functional and organic disorders of the nervous system of the body is unable to keep opportunistic fungi of the genus Malassezia in saprophytic state.The active form of these fungi significantly increases, and they are beginning to show its pathogenic qualities.This is due to the effects of free fatty acids, actively increasing the action of lipolytic enzymes of fungi on the sebum, which provokes inflammation of the skin.
2. true that seborrheic dermatitis is more common in men than in women ?
Indeed it is, and this is due to the phenomenon of the influence of androgens on the sebaceous glands.Most likely this is due to the presence of specific receptors on the surface of the cells of the sebaceous zhelёz- sebocytes to sex hormones, which causes changes in the secretion of sebum, and disorders of the skin barrier properties.
3. there be seborrheic dermatitis in children?
Children seborrheic dermatitis manifests itself in the form of a thick yellow plaques, often greasy and scaly.This so-called cradle cap.They usually appear at the age of 3 months.Such rashes do not itch or cause anxiety kids and painlessly removed using vegetable oils.
4. Dandruff and seborrheic dermatitis are the same?
No.Seborrheic dermatitis unlike dandruff is characterized by an inflammatory reaction of the skin and the presence of lesions.
5. year ago, I had eczema hands.Recently, there was a plaque on his chest.The dermatologist diagnosed seborrheic dermatitis.I asked him if it can not be again eczema.He said no.How can you confirm?
dermatologists have their diagnostic methods.For example, when poskablivanii plaques caused ekzematidnym process will be determined by point erosion.
6. Can one person be both seborrheic dermatitis and psoriasis?And to distinguish them from each other?
Yes, this combination is not uncommon.The difference in these plaques of skin pathologies detected diagnostic poskablivanii scales scalpel.In psoriasis, clearly identifies the symptoms of psoriatic triad: increased flaking silvery (a symptom of "stearin spot"), under the exposed flake glossy surface (a symptom of "terminal film"), droplets of blood appearing at the end of poskablivanii plaque (a symptom of "blood dew").
doctor-dermatologist, Kuklin ETC.