What is Seborrhoeic dermatitis

• Redness & scaling (greasy) in region where sebaceous glands are most active
• More common in males
• Prevalence 1:25
• Increased incidence in HIV + population & Parkinson's disease
• Inflammatory reaction related to proliferation of the yeast Malassezia furfur (in sebum)
• Tendency to reoccur

Site of predilection

• scalp, forehead, face, chest, armpits, under the breasts, groins
• Mild cases have dandruff and patches of flaky skin on the face
• If the condition becomes worse a more extensive rash can occur
• Palpable papular rash or round or oval patches of red, scaly, greasy skin
• Yellow-brown crusts may form
• The rash may become itchy

• Antifungal shampoo 2-3 times a week to hairy areas
• Antifungal cream once or twice daily