{"id":7871,"date":"2020-04-26T05:25:16","date_gmt":"2020-04-26T08:25:16","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/dermatitis-seborreica\/"},"modified":"2020-04-27T15:11:03","modified_gmt":"2020-04-27T18:11:03","slug":"seborrheic-dermatitis","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/","title":{"rendered":"Seborrheic dermatitis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#Que-es-seborreico-dermatitis\" >What is seborrheic dermatitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#%C2%BFQue-causa-la-dermatitis-seborreica\" >What causes seborrheic dermatitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#%C2%BFQuien-contrae-dermatitis-seborreica\" >Who gets seborrheic dermatitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-dermatitis-seborreica\" >What are the clinical features of seborrheic dermatitis?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#Dermatitis-seborreica-infantil\" >Infantile seborrheic dermatitis<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#Dermatitis-seborreica-infantil-2\" >Infantile seborrheic dermatitis<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#Dermatitis-seborreica-en-adultos\" >Seborrheic dermatitis in adults<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#Dermatitis-seborreica\" >Seborrheic dermatitis<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#%C2%BFComo-se-diagnostica-la-dermatitis-seborreica\" >How is seborrheic dermatitis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#%C2%BFCual-es-el-tratamiento-para-la-dermatitis-seborreica\" >What is the treatment for seborrheic dermatitis?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#Tratamiento-del-cuero-cabelludo\" >Scalp treatment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#Cara-orejas-pecho-y-espalda\" >Face, ears, chest and back<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-seborreica\/#Manejo-en-infantes\" >Management in infants<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-seborreico-dermatitis\"><\/span>What is it <span class=\"term\" data-term-id=\"378\">seborrheic<\/span> <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Seborrheic dermatitis (the American spelling is &quot;seborrheic&quot;) is common, <span class=\"term\" data-term-id=\"319\">chronic<\/span> or recurring form of <span class=\"term\" data-term-id=\"491\">eczema<\/span>\/ dermatitis that mainly affects the <span class=\"term\" data-term-id=\"262\">sebaceous<\/span>, gland-rich regions of the scalp, face and trunk. <\/p>\n<p>There are childhood and adult forms of seborrheic dermatitis. Sometimes it is associated with psoriasis (sebopsoriasis). Seborrheic dermatitis is also known as seborrheic eczema.<\/p>\n<p>Dandruff (also called &#039;<span class=\"term\" data-term-id=\"234\">pityriasis<\/span> Capitis &quot;) is a non-inflamed form of seborrheic dermatitis. Dandruff is presented as bran <span class=\"term\" data-term-id=\"385\">scaly<\/span> patches scattered inside <span class=\"term\" data-term-id=\"122\">hair<\/span>Carrier areas of the scalp.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-dermatitis-seborreica\"><\/span>What causes seborrheic dermatitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The cause of seborrheic dermatitis is not fully understood. It is associated with <span class=\"term\" data-term-id=\"893\">proliferation<\/span> of various species of skin <span class=\"term\" data-term-id=\"836\">diner<\/span> Malassezia, in its yeast (no<span class=\"term\" data-term-id=\"1417\">pathogen<\/span>) shape. Their <span class=\"term\" data-term-id=\"717\">metabolites<\/span> (like fatty acids oleic acid, <span>malssezin and indole-3-carbaldehyde) can<\/span> cause a <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> reaction. Differences in the skin barrier. <span class=\"term\" data-term-id=\"1468\">lipid<\/span> Content and function can represent individual presentations.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-dermatitis-seborreica\"><\/span>Who gets seborrheic dermatitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Infantile seborrheic dermatitis affects infants younger than 3 months and usually resolves at 6-12 months of age.<\/p>\n<p>Seborrheic dermatitis in adults tends to start in late adolescence. <span class=\"term\" data-term-id=\"589\">Predominance<\/span> it is greater in young adults and the elderly. It is more common in men than in women.<\/p>\n<p>The following factors are sometimes associated with severe seborrheic dermatitis in adults:<\/p>\n<ul>\n<li>Oily skin (seborrhea)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"849\">Family<\/span> tendency to seborrheic dermatitis or family history of psoriasis\n<\/li>\n<li>Immunosuppression: organ <span class=\"term\" data-term-id=\"1792\">transplant<\/span> receptor, human immunodeficiency virus (<span class=\"term\" data-term-id=\"127\">HIV<\/span>) <span class=\"term\" data-term-id=\"145\">infection<\/span> and patients with <span class=\"term\" data-term-id=\"976\">lymphoma<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"402\">Neurological <\/span>and <span class=\"term\" data-term-id=\"1771\">psychiatric<\/span> Diseases: Parkinson&#039;s disease, tardive dyskinesia, depression, epilepsy, paralysis of the facial, spinal nerve <span class=\"term\" data-term-id=\"1762\">cable<\/span> injury and <span class=\"term\" data-term-id=\"1036\">congenital<\/span> disorders like Down <span class=\"term\" data-term-id=\"350\">syndrome<\/span>\n<\/li>\n<li>Treatment for psoriasis with psoralen and ultraviolet A (PUVA) therapy <\/li>\n<li>Lack of sleep and stressful events.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-dermatitis-seborreica\"><\/span>What are the clinical features of seborrheic dermatitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Dermatitis-seborreica-infantil\"><\/span>Infantile seborrheic dermatitis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Infantile seborrheic dermatitis causes cradle (<span class=\"term\" data-term-id=\"1769\">diffuse<\/span>greasy <span class=\"term\" data-term-id=\"384\">climbing<\/span> on the scalp). the <span class=\"term\" data-term-id=\"255\">eruption<\/span> It can spread to affect the armpit and groin folds (a type of napkin dermatitis).<\/p>\n<ul>\n<li>There are salmon pink patches that can peel off or peel off.<\/li>\n<li>It is not particularly itchy, so the baby is often unaffected by the rash, even when <span class=\"term\" data-term-id=\"308\">generalized<\/span>.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Dermatitis-seborreica-infantil-2\"><\/span>Infantile seborrheic dermatitis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cradle__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6925323-7247492' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cradle__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6925323.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='inf-sebderm1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3454030-8507412' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/inf-sebderm1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3454030.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='inf-sebderm2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4460726-7112892' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/inf-sebderm2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4460726.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Dermatitis-seborreica-en-adultos\"><\/span>Seborrheic dermatitis in adults<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Seborrheic dermatitis affects the scalp, face (wrinkles around the nose, behind the ears, inside the eyebrows) and the upper part of the trunk.<\/p>\n<p>Typical features include:<\/p>\n<ul>\n<li>Winter flares, improving in summer after sun exposure<\/li>\n<li>Minimal itching most of the time<\/li>\n<li>Combination of oily and dry skin in the middle of the face<\/li>\n<li>Poorly defined <span class=\"term\" data-term-id=\"324\">located<\/span> scaly or fuzzy patches <span class=\"term\" data-term-id=\"320\">scale<\/span> on the scalp<\/li>\n<li>\n<p>Blepharitis: scaly margins of red eyelid<\/li>\n<li>Salmon pink, thin, flaky and poorly defined <span class=\"term\" data-term-id=\"368\">plates<\/span> in skin folds on both sides of the face<\/li>\n<li>Flaky, ring-shaped petals or patches on hairline and <span class=\"term\" data-term-id=\"10\">previous<\/span> chest<\/li>\n<li>Rash in the armpits, under the breasts, in the groin folds, and in the genital folds.<\/li>\n<li>Superficial folliculitis (inflamed hair <span class=\"term\" data-term-id=\"1301\">follicles<\/span>) on the cheeks and upper trunk<\/li>\n<\/ul>\n<p>Extensive seborrheic dermatitis that affects the scalp, neck, and trunk is sometimes called pyloriasiform seborrhoeid.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Dermatitis-seborreica\"><\/span>Seborrheic dermatitis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4153282-3443235' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4153282.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9210818-3661789' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9210818.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6075364-2082964' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6075364.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2073438-7800167' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2073438.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm9__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildewxq-5546055-5660356' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm9__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDEwXQ-5546055.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm8__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-3429290-1491454' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm8__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-3429290.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6041927-5153776' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6041927.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8376157-2382443' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8376157.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sebderm7__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8138784-4380486' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sebderm7__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8138784.jpg'>\n<\/div>\n<p class=\"p-small\">Seborrheic dermatitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-dermatitis-seborreica\"><\/span>How is seborrheic dermatitis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Seborrheic dermatitis is diagnosed by its clinical appearance and behavior. As the malassezia are a normal component of the skin flora, its presence in <span class=\"term\" data-term-id=\"867\">microscopy<\/span> skin scraping is not diagnostic.<\/p>\n<p>Skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> It can be useful but is rarely indicated. <span class=\"term\" data-term-id=\"474\">Histological<\/span> The specific findings of seborrheic dermatitis are superficial. <span class=\"term\" data-term-id=\"228\">perivascular<\/span> and <span class=\"term\" data-term-id=\"316\">peripheral<\/span> inflammatory <span class=\"term\" data-term-id=\"542\">infiltrators<\/span>, <span class=\"term\" data-term-id=\"248\"><span class=\"term\" data-term-id=\"1902\">psoriasiform<\/span><\/span> <span class=\"term\" data-term-id=\"136\">hyperplasia<\/span>and <span class=\"term\" data-term-id=\"218\">parakeratosis<\/span> around <span class=\"term\" data-term-id=\"107\">follicular<\/span> openings<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-dermatitis-seborreica\"><\/span>What is the treatment for seborrheic dermatitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Seborrheic dermatitis treatment often involves several of the following options.<\/p>\n<ul>\n<li>Keratolytics can be used to remove scale as needed, for example salicylic acid, lactic acid, urea, propylene glycol.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1330\">Current<\/span> Antifungal agents are applied to reduce malasezia, for example ketoconazole, cyclopirox shampoo and \/ or <span class=\"term\" data-term-id=\"1121\">cream<\/span>. Be aware that some strains of Malassezia are resistant to azole antifungals. Try zinc pyrithione or selenium sulfide<\/li>\n<li>Mild topical corticosteroids are prescribed for 1-3 weeks to reduce <span class=\"term\" data-term-id=\"148\">inflammation<\/span> of a <span class=\"term\" data-term-id=\"349\">acute<\/span> flare<\/li>\n<li>Topical calcineurin inhibitors (pimecrolimus cream, tacrolimus <span class=\"term\" data-term-id=\"1122\">ointment<\/span>) are indicated if topical corticosteroids are often needed as they have fewer adverse effects on facial skin.<\/li>\n<\/ul>\n<p>In resistant cases in adults, oral itraconazole, tetracycline antibiotics, or phototherapy may be recommended. Low-dose oral isotretinoin has also been shown to be effective for severe or moderate seborrheic dermatitis.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Tratamiento-del-cuero-cabelludo\"><\/span>Scalp treatment<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Medicinal shampoos containing ketoconazole, cyclopirox, selenium sulfide, zinc pyrithione, coal tar, and salicylic acid are used twice a week for at least a month and, if necessary, indefinitely.<\/li>\n<li>\n<p>Steroid applications to the scalp reduce itching and should be applied daily for a few days from time to time.<\/li>\n<li>\n<p>Calcineurin inhibitors, such as tacrolimus, can be used as alternatives to steroids.<\/li>\n<li>\n<p>Coal tar cream can be applied to flaking areas and removed several hours later with shampoo.<\/li>\n<li>Combination therapy is often advisable.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Cara-orejas-pecho-y-espalda\"><\/span>Face, ears, chest and back<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Clean the affected skin thoroughly once or twice a day with a soap-free cleanser.<\/li>\n<li>Apply ketoconazole or cyclopirox cream once a day for 2 to 4 weeks, repeat as needed.<\/li>\n<li>Hydrocortisone cream can also be used, applied up to twice a day for 1 to 2 weeks. Occasionally, a more powerful topical steroid may be prescribed.<\/li>\n<li>Topical calcineurin inhibitors such as pimecrolimus cream or tacrolimus ointment can be used in place of topical steroids.<\/li>\n<li>A variety of herbal remedies are commonly used, but their <span class=\"term\" data-term-id=\"914\">effectiveness<\/span> It is uncertain.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Manejo-en-infantes\"><\/span>Management in infants<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Regular washing of the scalp with baby shampoo or aqueous cream is followed by a gentle brushing to clean the scales.<\/p>\n<ul>\n<li>White petroleum jelly can be helpful.  <\/li>\n<li>\n<p>Topical antifungals are often prescribed, depending on the extent of the rash.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es seborreico dermatitis? La dermatitis seborreica (la ortograf\u00eda estadounidense es &#8220;seborreica&#8221;) es com\u00fan, cr\u00f3nico o forma recurrente de eczema\/ dermatitis que afecta principalmente a la seb\u00e1ceo, regiones ricas en&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7871","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7871","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7871"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7871\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7871"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}