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Writer's pictureTerri Miller

Seborrheic Dermatitis: What You Need to Know

By Terri Miller, RN - BSN, Dermatology Nurse


Hey there, skincare enthusiasts! Today, we're diving into a topic that's close to my heart (and many of my patients' scalps): seborrheic dermatitis. Buckle up for some real talk about this common but often misunderstood skin condition.


What is Seborrheic Dermatitis?

Seborrheic dermatitis is like that uninvited guest at a party – it shows up uninvited and can be hard to get rid of. It's a chronic skin condition that causes red, scaly patches, typically in oily areas of your body. Think of it as dandruff's more stubborn cousin.


The Usual Suspects: Where It Shows Up

  • Scalp (hello, dandruff!)

  • Face (especially around the nose and eyebrows)

  • Chest

  • Upper back

  • In skin folds


The Million-Dollar Question: What Causes It?

While we can't point to a single culprit, we suspect it's a team effort:

  1. Malassezia yeast (don't worry, it's normally on your skin)

  2. Your skin's oil production

  3. An overactive inflammatory response

  4. Stress and hormonal changes (because why not?)


Keep an eye out for:

  • Skin flakes in your hair or eyebrows

  • Red, greasy areas on your skin

  • Itching (though not everyone experiences this)


Treatment Time: Your Weapons Against the Flakes

  1. Antifungal creams or shampoos: These are your frontline defense.

  2. Mild corticosteroid creams: For when inflammation is crashing the party.

  3. Calcineurin inhibitors: Perfect for sensitive areas like your face.


For scalp issues, look for shampoos containing:

  • Ketoconazole

  • Selenium sulfide

  • Zinc pyrithione

Pro tip: Use these 2-3 times a week, alternating with a gentle, fragrance-free shampoo.


Living with Seborrheic Dermatitis

Remember, this is a chronic condition. It's not about finding a cure, but managing it effectively. Some lifestyle tweaks that might help:

  • Stress reduction (easier said than done, I know!)

  • Getting enough sleep

  • Eating a balanced diet


A Nurse's Parting Words

Be kind to your skin! Aggressive scrubbing might feel satisfying, but it can make things worse. Treat your skin gently, and it'll reward you in the long run.

If seborrheic dermatitis is making your life difficult, don't suffer in silence. Reach out to a healthcare provider. We're here to help you find relief and boost your confidence.

Remember, your skin might be acting up, but you're still absolutely fabulous!

Stay flake-free, my friends! 💖


Got questions about seborrheic dermatitis or other skin concerns? Drop them in the comments below!




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