Seborrhoeic Eczema

Seborrhoeic eczema is a chronic skin condition that can affect both infants and adults. It takes the form of red and reddish-yellowy plaques with small or medium-sized scales and without clearly defined edges. It occurs on the scalp, the forehead, the eyebrows, the nasolabial fold (the fold between the nose and the lip), the ears, and the sweat channel on the front of the trunk. In severe cases, large areas of the face and trunk can be affected. The cause is uncertain, but may be due to colonisation with lipophile yeast fungi such as pityrosporum ovale.

The best treatment is with shampoos containing tar, selenium disulphide, zinc pyrithion, salicylic acid and imidazol (e.g. bifonazol, ketoconazol). In the face and on the body, creams with imidazols such as bifonazol, clotrimazol, ketoconazol or also substituted pyridon ciclopirox should initially be used. Alternatives are 2 % metronidazol cream or 1 or 2 % erythromycin cream. If the condition worsens, cortisone products can be temporarily used in cream or ointment form. Treatment should then be continued with oil-in-water or water-in-oil emulsions, depending on skin type.

Seborrhoische Dermatitis

Foto: Amras666, Lizenz: Creative Commons by-sa 3.0 / Kurz