Seborrheic Dermatitis: Causes, Symptoms, and Treatment Options

27 March 2025 | Author Synphaet Ramintra Hospital

Seborrheic Dermatitis: Causes, Symptoms, and Treatment Options

What Causes Seborrheic Dermatitis?

The exact cause of seborrheic dermatitis is unknown, but several contributing factors have been identified:

 

  • Abnormal immune system response
  • Excess yeast (Malassezia) on the skin leading to inflammation
  • Hormonal changes, especially increased androgens
  • Nervous system disorders increasing sebum production
  • Stress and insufficient rest
  • Underlying physical illness or weakened immune system
  • Weather changes, such as cold/dry or extreme heat
  • Exposure to irritants, dust, and pollution
  • Genetic factors or family history of allergic conditions

 

What Are the Symptoms of Seborrheic Dermatitis?

 

  • Red, itchy, flaky rashes with white or yellowish scales, often with undefined borders
  • Commonly affects areas rich in sebaceous glands, such as scalp, face (especially eyebrows and sides of the nose), behind the ears, chest, and upper back
  • Symptoms may come and go, worsening with stress or weather changes
  • May cause hair loss in affected areas

 

How Is Seborrheic Dermatitis Treated?

Seborrheic dermatitis cannot be permanently cured. Treatment focuses on relieving symptoms and preventing flare-ups or spreading.

 

  1. Topical treatments: Medicated creams or shampoos containing selenium sulfide, zinc pyrithione, coal tar, ketoconazole, or mild topical steroids
  2. Oral medications: For severe or unresponsive cases, doctors may prescribe antifungals or oral steroids, which must be used strictly under medical supervision

 

Self-Care Tips for People with Seborrheic Dermatitis

  • Avoid triggers like stress
  • Exercise regularly
  • Get adequate rest
  • Avoid scratching the rash to prevent irritation or infection
  • Use gentle skincare products that are pH balanced and alcohol-free
  • Keep skin and scalp clean; avoid applying cosmetics on affected areas to prevent pore blockage
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