|
Seborrheic Dermatitis
The following is from a pamphlet given to me by my Dermatologist. I have made a search on the net to find more information, but the sites I found did not give any information that I felt would be of any benefit to anyone.
Personal Experience and Comments
In my discussion with the doctor, he said that anyone suffering from any of the various neurologically involved illnesses, including Post Polio Syndrome, MS, Fibromyofagia, etc. could very well have to deal with this additional problem. As I have not seen this mentioned in any of the other sites. I felt that it was important to cover it.
His recommendations were that only lukewarm showers were to be taken daily and avoid scrubbing. (NO baths) Use the Head and Shoulder's Shampoo that contains Zinc. Shop carefully as there are several variations of Head and Shoulder Shampoo. Wal-Mart has their own brand with the same ingredients and percentages that is priced more reasonably.
Most of the insurance company's are refusing to pay for the Rx lotion that helps the burning sensations. If you choose to pay for the script yourself, it can run about $40.00. There is an identical lotion by the name of AmLactin 12% Moisturizing Lotion. This lotion, while it has the same ingredients but does not require a script, runs about $14.00. If your pharmacy does not carry it, ask them how soon they will have it in.
When treating an outbreak area, one should not use perfumed soaps or detergents, absolutely NO rubbing or hot water. If you only need to wash your face, neck and ear area to refresh yourself, use Cetaphil. It can be used with or without water. One could use it all over for a sponge bath if absolutely necessary.
While those that have never dealt with this problem might consider this a trivial problem, I can assure you it is not. It can distrupt every aspect of your ability to think straight because some experience a sensatioin that can only be described as having every nerve in your body angry and raw. An outbreak frequently follows a bad day of the patient's primary neuological problem. In other words it is a vicious cycle. If the episode of Seborrheic dermatitis is bad enough and long enough, it then retriggers an episode of the originating neuological problem.
Our bodily systems are interconnected and treating one problem without addressing any other problem does not work. I hope you find this information helpful.
Pamphlet Information
Seborrheic dermatitis is a common skin disorder that can he easily treated. It does cause scaling, hut is not contagious and is not diet related.
What is Seborrheic Dermatitis?
This condition is an inflammation in areas having the greatest number of sebaceous or oil glands. The scalp, sides of the nose, eyebrows, eyelids, and the skin behind the ears and middle of the chest are the most common sites. Other areas, such as the navel (belly button) and skin folds under the arms, breasts, groin and buttocks, may also he involved. The affected skin is red and the scale can be yellowish and greasy. Itching may occur
but is usually mild.
Are Dandruff, Seborrhea and Seborrheic Dermatitis the Same?
Dandruff is characterized by excessive scaling on the scalp without redness. There is no skin inflammation. Sehorrhea describes excessive oiliness of the skin, especially of the scalp and face. There is no redness or scaling. Patients with seborrhea may later develop seborrheic dermatitis. Seborrheic dermatitis has both redness and scaling.
Who Gets Seborrheic Dermatitis?
This condition can occur at any age, but is most common in three distinct age groups infancy when it's called "cradle cap," middle age, and the elderly. Cradle cap usually clears without treatment by age eight to 12 months. This may he due to the gradual disappearance of hormones passed from the mother to the child before birth. Gentle shampooing with a mild shampoo is helpful. In some infants sehorrheic dermatitis may develop only in the diaper area where it could be confused with other forms of diaper rash. When seborrheic dermatitis develops at other ages, it may appear. disappear and then reappear. Whether treated or not, it can come and go.
Seborrheic dermatitis is also common in people' with oily skin or hair. It may also he seen in people with acne or psoriasis.
There is now some evidence that a superficial infection with a yeast-like organism may contribute to this disorder. This finding has allowed some new treatment options to be used for many patients.
Is this Condition Associated with Other Diseases?
Because this is such a common disorder. it's not surprising that some patients have other illnesses. There is an increased occurrence of seborrheic dermatitis in adults with conditions of the nervous system such as Parkinson's disease and in some patients recovering from stressful medical conditions such as a heart attack. Those people who have been confined to hospitals or nursing homes for long periods to time and those with immune system disorders appear to be more prone to this disorder. More intense forms of this condition can he seen with psoriasis. People with sehorrheic dermatitis have no increased risk of other skin diseases. This condition does not progress to or cause skin cancer, no matter how long it remains untreated.
Seborrheic Dermatitis
How Long Does this Disease Last?
While sehorrheic dermatitis may subside without treatment. it usually improves with treatment. This condition tends to recur.
Can It Be Prevented?
There is no way to prevent or cure sehorrheic dermatitis. If the rash is a cosmetic problem or if symptoms such as itching are significant, it should he treated. If the scalp is involved, frequent shampooing may he helpful.
Are Laboratory Tests Useful in Diagnosing this Disease?
For most patients. there is no need to perform blood. urine or allergy tests. In rare cases of chronic seborrheic dermatitis that do not respond to treatment, a skin biopsy or other laboratory testing may he done to eliminate the possibility of another disease.
How Is this Condition Treated?
This skin disorder is treatable hut may recur, requiring re-treatment. One effective treatment is a low strength cortisone cream or lotion applied to the affected areas of skin. Some patients may need to use a stronger cortisone preparation. Patients should he sure to follow their dermatolocist's advice, since excessive use of stronger preparations can cause side effects.
For patients who do not respond to this treatment, there are several other effective medications that a dermatologist can prescribe. The frequent use of nonprescription shampoos containing tar, zinc prri!hione, selenium sulfide, sulfur and/or salicylic acid may he recommended by a dermatologist or they may recommend a prescription shampoo for the patient.
Although seborrheic dermatitis is not contagious, it may he related to a yeast-like organism which is normally found on non-diseased skin in low numbers. With the increased scaling and retention of oil in sehorrheic dermatitis, this yeast increases and can aggravate the inflammation of the disease. Specific prescription creams and shampoos to treat this superficial organism can be helpful in controlling the condition in many people
It is still not known if diet, and in particular, food alIergies, play a role in the development of seborrheic dermatitis in infants. On the basis of present studies,, most dermatologists do not recommend changes in diet or extensive allergy tests in such patients.
© 1984 American Academy of Dermatology
Revised 1991, 1993, 1995
PPS Pain Tips Thoughts
|