Seborrheic Dermatitis (Cradle Cap / Dandruff)

Seborrheic dermatitis can be treated using medicated shampoo and by applying a corticosteroid cream

Treatment for seborrheic dermatitis depends on the individual’s age and its location on the body. The condition is treatable but is likely to recur.

Using a medicated shampoo helps to control dandruff. The active ingredients in these shampoos include salicylic acid, ketoconazole, or selenium, coal tar, zinc, resorcin, These shampoos are available over-the-counter.

Severe cases may be treated with shampoos or lotions containing salicylic acid, coal tar, ketoconazole, or corticosteroids.

A corticosteroid cream of moderate potency may also be applied. This should be used continuously twice each day until the condition improves. It may be continued according to the requirement of the individual. However it must be noted that the continuous use of corticosteroids may have side effects including, permanent skin changes.

For infants with cradle cap mild shampooing is very effective. A mild corticosteroid lotion or cream may also be applied.

Topical application of terbinafine solution (1%) is known to be an effective treatment.

Overnight application of a variety of oils such as olive, peanut or mineral helps to soften the scales. This may be followed by the use of a medicated shampoo.

• Apply the shampoo to a small part of the affected area and massage gently

• If face or chest is affected, apply medicated lotion twice a day.

• Shampoo vigorously

• Use the fingers to loosen scales. Scrub for a minimum of 5 minutes

• Rinse well

In the case of a chronic disease, sebo-suppressive agents such as isotretinoin may be used to reduce sebaceous gland activity.

Patients should, however, follow the doctor’s advice. Excessive use of some of these preparations may cause side effects.

Those with seborrheic dermatitis might benefit from biotin supplement.