How To Get Rid Of Seborrheic Dermatitis? (DANDRUFF)

Summary

Seborrhoeic dermatitis, a common form of eczema, affects 3-10% of people, causing itchy, dry, and inflamed skin, often linked to oil production and yeast overgrowth. The condition is non-contagious and varies in severity. Treatment involves managing triggers, using antifungal and anti-inflammatory agents, and avoiding harsh products. Sun exposure can provide temporary relief but is not a long-term solution. New treatments like topical raflumab offer hope. Hair transplants are possible but require careful management to prevent flare-ups.

Takeaways

• 🔍 Seborrheic dermatitis (SD) is a common form of eczema characterized by itchy, dry, and inflamed skin.
• 🧬 It has a genetic component and is non-contagious, affecting 3-10% of the population.
• 🌱 SD is associated with oiliness of the skin or scalp and can affect all skin types.
• 🌟 Symptoms range from mild to severe and can significantly impact self-esteem.
• 🌡 Triggers for SD can include increased oil production, overgrowth of yeast, and immune system responses.
• 💊 Certain medical conditions and immune-compromised states can increase the likelihood or severity of SD.
• 🌞 Sun exposure may help in the short term but is not a consistent or long-term solution due to potential skin damage.
• 🚫 SD cannot be cured due to its genetic nature, but treatments can manage symptoms and triggers.
• 🧴 Regular washing and avoiding harsh shampoos can help prevent oil buildup and yeast overgrowth.
• 💊 Treatments for SD include antifungals, anti-inflammatory agents, and corticosteroids, with new treatments like raflumab offering non-steroidal options.
• 💇 Hair transplants can be performed on patients with SD, but it's important to manage the condition to avoid flare-ups post-surgery.

Q & A

What is seic dermatitis?

Seic dermatitis, also known as seborrhoeic dermatitis or sebera, is a common form of eczema characterized by itchy, dry, and inflamed skin. It is a chronic inflammatory skin condition with a poorly understood genetic component and is related to the oiliness of the skin or scalp.

What percentage of the population is affected by seic dermatitis?

It is estimated that 3 to 10% of the population have or have experienced seic dermatitis at some point.

Is seic dermatitis contagious?

No, seic dermatitis is non-contagious, meaning it cannot be caught from someone else or spread to others.

What are some common misconceptions about seic dermatitis?

Common misconceptions include the belief that it is contagious or that it is solely related to dry skin. In reality, it is associated with oiliness and can affect all skin types.

What factors can contribute to an episode of seic dermatitis?

Factors that can contribute to an episode include increased oil production, overgrowth of the yeast Malassezia, genetic predisposition, immune system response, and various aggravating factors such as immune-compromised states, nervous system disorders, hormone fluctuations, certain bacteria, climate extremes, and UV damage.

How does sun exposure affect seic dermatitis?

Sun exposure can help clear seic dermatitis in the short term, possibly due to the sterilizing effect of UVA and UVB light on the yeast and the suppression of Langerhans cells in the skin. However, it should not be considered a long-term solution due to potential skin damage.

What is the difference between seic dermatitis and other forms of eczema like atopic dermatitis and psoriasis?

Seic dermatitis tends to appear more yellow and greasy and is typically not itchy. Atopic dermatitis presents as dry, inflamed, and itchy patches with undefined edges, while psoriasis plaques are thicker, powdery, and often affect drier areas like elbows and knees.

Why is regular hair washing important for individuals with seic dermatitis?

Regular hair washing is important to prevent oil buildup and subsequent yeast overgrowth, which can exacerbate seic dermatitis. However, it is recommended to avoid harsh shampoos containing SLS, which can cause irritation.

What are some treatment options for seic dermatitis?

Treatment options include identifying and avoiding triggers, using antifungal agents like zinc pyrithione or selenium sulfide, corticosteroids for short-term inflammation control, and new treatments like the FDA-approved topical foam raflum for patients aged 9 or above.

Can seic dermatitis affect hair transplant outcomes?

Seic dermatitis can potentially trigger a flare-up in predisposed patients, but if the condition and surgical recovery are properly managed, it should not affect the ultimate hair growth from the transplant.

How does the new FDA-approved treatment for seic dermatitis, raflum, work?

Raflum is a non-steroidal anti-inflammatory phosphodiesterase inhibitor that alters gene expression in macrophages, changing the immune response to the condition.

Outlines

00:00

🧴 Understanding Seborrheic Dermatitis and Its Treatments

This paragraph delves into the nature of seborrheic dermatitis, a common skin condition affecting 3-10% of the population. It's a form of eczema characterized by itchy, dry, and inflamed skin, with a genetic component. The condition is non-contagious and related to oil production and the presence of a yeast called Malassezia. Symptoms vary in severity and can affect self-esteem. Seborrheic dermatitis is often mistaken for dandruff when it occurs on the scalp. Factors such as increased oil production, immune response, and underlying medical conditions can trigger flare-ups. Sun exposure, while seemingly helpful, is not a consistent or recommended treatment due to potential long-term skin damage.

05:01

🌡 Diagnosing and Managing Seborrheic Dermatitis

The second paragraph focuses on the diagnosis of seborrheic dermatitis, which involves ruling out other forms of eczema like atopic dermatitis and psoriasis. It discusses the life cycle of a flare-up, starting with increased oil production due to various triggers, followed by yeast overgrowth and an immune response that leads to skin inflammation. The paragraph emphasizes the importance of identifying and avoiding personal triggers. It also touches on the misconception of 'no wash' hair care for those with seborrheic dermatitis, recommending regular washing to prevent oil buildup. The use of mild surfactants in shampoos is suggested to avoid irritation, and the paragraph concludes with a discussion on treatment options, including antifungal and anti-inflammatory agents, and the importance of addressing the scalp in treatment plans.

10:03

💊 Advanced Treatments and Considerations for Seborrheic Dermatitis

The final paragraph explores advanced treatments for seborrheic dermatitis, including antifungal agents like zinc pyrithione, selenium sulfide, ketoconazole, and corticosteroids for controlling inflammation. It mentions the importance of not relying solely on the sun for treatment and the need for proper moisturization. The paragraph introduces a new FDA-approved treatment, a topical foam called Raflum, which is a non-steroidal anti-inflammatory. It also addresses the question of hair transplants for individuals with seborrheic dermatitis, suggesting that while it's possible for mild cases, severe cases require the condition to be under control first. The paragraph concludes by highlighting the chronic nature of the condition and the importance of finding and adhering to a personalized treatment plan.

Keywords

💡Seborrhoeic Dermatitis

Seborrhoeic Dermatitis, also known as seic dermatitis or sebera, is a common skin condition characterized by itchy, dry, and inflamed skin. It is a chronic inflammatory condition with a genetic component and is related to the oiliness of the skin or scalp. In the video, it is discussed as the main theme, explaining its symptoms, causes, and treatments.

💡Eczema

Eczema is a term used to describe a group of skin conditions that cause the skin to become itchy, dry, and inflamed. Seborrhoeic Dermatitis is a form of eczema, and the video emphasizes its non-contagious nature and the range of severity of its symptoms.

💡Dandruff

Dandruff is a condition that results in flaky scalp and is mentioned in the script as a classic symptom of seborrhoeic dermatitis on the scalp. It is also noted that dandruff can be a sign of seborrhoeic dermatitis affecting the skin.

💡Malassezia

Malassezia is a usually harmless yeast that lives on everyone's skin. In the context of the video, an overgrowth of this yeast is identified as one of the factors that can trigger seborrhoeic dermatitis, particularly in individuals with a genetic predisposition.

💡Genetic Predisposition

Genetic predisposition refers to the increased likelihood of developing a certain condition due to an individual's genetic makeup. The video discusses how a genetic predisposition can cause the immune system to respond to the overgrowth of Malassezia, leading to inflammation and seborrhoeic dermatitis.

💡Immune System

The immune system is the body's defense mechanism against pathogens. In the video, it is highlighted that certain diseases and medical conditions that weaken the immune system can increase the severity of seborrhoeic dermatitis episodes.

💡Inflammation

Inflammation is part of the body's response to harmful stimuli and is a key feature of seborrhoeic dermatitis. The video explains that inflammation occurs as the body tries to attack the yeast overgrowth, resulting in the characteristic patches on the skin.

💡Treatment

Treatment in the context of the video refers to the various methods and substances used to manage and alleviate the symptoms of seborrhoeic dermatitis. It includes antifungal agents, corticosteroids, and new treatments like the FDA-approved topical foam.

💡Antifungal Agents

Antifungal agents are substances that fight fungal infections. The video mentions several antifungal ingredients like zinc pyrithione and selenium sulfide, which are used to treat the yeast overgrowth associated with seborrhoeic dermatitis.

💡Corticosteroids

Corticosteroids are a class of drugs that are used to reduce inflammation. In the video, they are discussed as part of the treatment for seborrhoeic dermatitis to control inflammation, but their long-term use is cautioned against due to potential side effects.

💡Hair Transplants

Hair transplants are surgical procedures that involve moving hair follicles to restore hair growth in balding areas. The video addresses the relationship between hair transplants and seborrhoeic dermatitis, noting that the procedure can be performed if the condition is well-managed and may potentially trigger a flare-up.

Highlights

Seic dermatitis, also known as sebera, is a common skin condition affecting 3-10% of the population.

Sebic dermatitis is a form of eczema characterized by itchy, dry, and inflamed skin.

The condition is chronic and has a genetic component, with symptoms ranging from mild to severe.

Sebic dermatitis is non-contagious and is related to the oiliness of the skin or scalp.

Classic dandruff on the scalp is a form of sebic dermatitis.

Sebic dermatitis can be triggered by an increase in oil production and overgrowth of the yeast Malassezia.

Genetic predisposition and immune system response play a role in the development of sebic dermatitis.

Certain medical conditions like HIV or Parkinson's disease can increase the likelihood of sebic dermatitis.

Sun exposure can help clear sebic dermatitis, possibly due to its effect on yeast and skin cells.

Sebic dermatitis can occur anywhere on the body with oil glands, including the scalp, face, chest, and groin.

Diagnosis involves ruling out other forms of eczema like atopic dermatitis and psoriasis.

Identifying and avoiding triggers is crucial for managing sebic dermatitis symptoms.

Regular washing is recommended for sebic dermatitis patients to prevent oil buildup.

SLS in shampoos can cause irritation in some sebic dermatitis patients.

Treatment includes antifungals, anti-inflammatory agents, and in some cases, corticosteroids.

New FDA-approved treatment Raflun for sebic dermatitis in patients age 9 or above.

Hair transplants can be performed on sebic dermatitis patients if the condition is well-managed.

Sebic dermatitis is a chronic condition requiring ongoing management and treatment.

Transcripts

seic dermatitis or sebera is a common

skin condition that I get asked about a

lot 3 to 10% of the population have SAA

or have experienced it before you're

likely familiar with many of the

Hallmark symptoms but there's a lot of

misconception about what this condition

is and isn't so what is seic dermatitis

what really causes it and most

importantly how do you treat it and what

do hair transplants have to do with this

seic dermatitis is a common form of of

eczema eczema is a term used to describe

a group of skin conditions where the

skin is itchy dry and inflamed it's a

chronic inflammatory skin condition with

a poorly understood genetic component

it's non-contagious so you can't catch

it even though it's mainly characterized

by flakiness of the skin it's actually

related to the oiliness of our skin or

scalp and all skin types can experience

it symptoms have a broad range of

severity from mild and mostly hidden to

to severe and very visible in severe

cases can have a devastating effect on

one's self-esteem classic dandruff on

the scalp is saic dermatitis if you have

saura on the skin it's not uncommon for

dandruff to be present on the scalp as

well it's now thought that there may

even be a trickle down type of effect

where dandr from the scalp can spread a

flare up to the face but this is only if

you're susceptible to it you can't catch

it from someone else or spread it to

somebody else else the individual focus

of symptoms such as on the face scalp or

chest can vary between individuals but

it tends to concentrate where you have

many oil glands here for example is sea

of the eyebrows note the red patches of

skin and white flakes so what causes

sebera like a lot of genetic conditions

and predispositions no one thing leads

to an episode but a combination of

factors all at once can cause a perfect

storm this includes an increase in oil

production also an overgrowth of a

usually harmless yeast called malesia

for four that lives on everyone's skin

then you have the genetic predisposition

of your immune system to mount a

response this can lead to inflammation

and patches on your skin certain

diseases and medical conditions can

increase your chance of getting saic

dermatitis and anything that weakens the

immune system can increase the severity

of an episode of Suba these aggravating

factors include imuno compromised

individuals such as those with HIV or

those undergoing chemotherapy nervous

system disorders about 50% of

Parkinson's patients seem to have craic

dermatitis and we don't yet know exactly

why there's a correlation hormone

fluctuations certain bacteria that might

coexist such as staf orius climate

extremes such as heat humidity cold or

dry and UV damage and sunburn can hurt

the Skin's immune system and the Sun is

a special case many people find that sun

exposure helps to clear sabura up

especially in the summer months the

current theory is that UVA and UVB light

helps in part by killing the yeast a

kind of sterilization and by suppressing

langerhan cells in your skin but that

doesn't mean that the sun is a good

solution or a consistent one a 2015

paper in the Indian Journal of

Dermatology looked at the clinical

characteristics and quality of life life

of cic dermatitis patients in a tropical

country they found that despite a high

sun exposure and a warmer climate

patients still experience an average of

eight outbreaks a year about 14.5% of

patients reported sun exposure as an

aggravator and 35% reported warm weather

as an aggravator though patients in more

seasonally affected areas do site that

sea does improve with sun exposure

patients in more seasonally affected

climates do note that se does improve

with the summer months it could be the

seasonal change in conditions that

affects the yeast and the skin

positively rather than the sun exposure

either way even if the sun can help in

the short term it shouldn't be part of a

long-term solution because in the long

term it could actually cause more damage

to your skin cber dermatitis can occur

anywhere on the body with oil glands

this includes the scalp face chest and

groin on the scalp we call it dandruff

or or cradle cap for many babies with

cradle cap Suba is temporary and does

not recur on the skin or body it causes

scaly non-itchy patches of skin that can

come and go it's chronic but symptoms

can vary and change over time on the

face it can occur around the nose mouth

eyebrows and ears where your skin tends

to produce the most oil on fair skin it

presents as red inflamed patches with

lots of flakes on pigmented skin it can

present as lighter patches of skin which

do resolve as the condition is brought

under control the diagnosis for sebera

is relatively straightforward other

forms of eczema such as atopic

dermatitis and psoriasis need to be

ruled out first atopic dermatitis is the

most common form of eczema it tends to

look dry and inflamed with itchy patches

of skin and undefined edges psoriasis

plaques tend to be thicker and powdery

these tend to affect drier ples fa es

like elbows and knees comparatively

sebera tends to look more yellow and

greasy and typically it does not itch

and you can have more than one of these

conditions at a time making the

diagnosis trickier let's talk about the

life cycle of a flare up first there's

something that causes an increase in oil

production on the body this could be

stress pregnancy hormones illness or sun

exposure yeast is thought to feed on the

excess seab buum and overgrow certain

individuals with a genetic

predisposition have an immune response

to the yeast overgrowth and this could

be made worse by a weakened immune

system the skin then becomes inflamed as

a result of your body trying to attack

the yeast and the cycle ends with oil

production decreasing yeast overgrowth

being better controlled when your

specific immune response is addressed

causing the overall inflammation to

decrease by keeping track of your

triggers and ideally avoiding them you

can help mitigate your symptoms keep in

mind that everyone is different one

person's triggers might not affect

somebody else and knowing your triggers

is the first step towards improving your

condition it's trendy now to see no wash

hair care routines and we're told that

that is what leads to healthy looking

hair but for people with seber

dermatitis not washing your hair is not

recommended it can actually make the

seara worse regular washing is an

important step to prevent oil buildup

and the subsequent yeast overgrowth but

something that's often found in many of

our shampoos called SLS or sodium Laurel

sulfate actually has been found to cause

skin irritation in many sebera patients

one study reported that it was a

triggering factor in about 21% of

patients if your shampoo is causing skin

irritation look for ones that have more

mild surfactants this can include sodium

Laurel sulfo ACI acetate or slsa or

sodium Coco iate both of which are

included in the feel confidence shampoo

we make sure to avoid any type of harsh

sulfate that can cause skin irritation

or hair loss remember that you cannot

cure seic dermatitis it's a genetic

predisposition that we cannot just get

rid of and the yeast cannot be fully

eradicated so to treat it you need to

First identify and avoid aggravating

triggers you can address the yeast

growth on your skin with antifungals

it's also important to mitigate oil

production whenever possible another

approach is to use anti-inflammatory

agents or steroids if warranted to

reduce the immune response it's also

important to identify underlying medical

conditions that could be making your

condition worse remember not to neglect

the scalp even if you predominantly

notice SAA on your skin most likely you

at least have have a mild form of it on

your scalp treating both is important

skin treatments include body washes

leave on treatment products and

medicated soaps some people even use

treatment shampoo on the body and that

seems to work for many of them let's

talk about treatment ingredients that

can help with oil control this includes

a salicylic acid shampoo used for the

face and scalp to control sebum this

usually involves a gentle lather letting

it sit for a few minutes and then

rinsing it off and you can do it every

day when there's a flare then go back to

once a week one example Is Neutrogena t-

cell salicilic acid face washes can help

as well you can use it just on affected

areas up to twice a day during a flare

up and then less frequently afterwards

there's also salicylic Lon or 2% BHA

Paula choice is a longtime affordable

favorite and salicylic scalp treatments

like from Inky list can be applied

before showering or shampooing but try

not to get this stuff into your eyes

another important treatment ingredient

is antifungals this includes zinc

pythian which comes as an anti-fungal

dandruff shampoo or a bar soap it treats

the yeast species that trigger the

condition it's also been shown to be

anti-inflammatory but zinc parthian can

be drying this can be found in shampoos

like head and shoulders and can be used

on the body as well another antifungal

ingredient is selenium sulfide this has

a similar mode of action as zinc pythian

and it's usually used daily or every

other day another agent is ketoconazol

this is a stronger antifungal for those

more resistant types of cases 1%

strength is available over the counter

as nerol shampoo and higher

concentrations of about 2% are available

by prescription only if deemed necessary

in very persistent cases oral

antifungals are available by by

prescription but are not the First

Choice another treatment ingredient is

corticosteroids this includes

Hydrocortisone flucon and deside this

helps bring inflammation under control

and can be prescribed and used in the

short term to bring down that

inflammation they aren't recommended for

long-term use because of their potential

side effects but they're good at

controlling some of the short-term

symptoms long-term use of

corticosteroids can potentially lead to

the following thinning of the skin which

can make the affected skin more

vulnerable to damage systemic absorption

has also other ill effects like

increased blood sugar bone loss reduced

immune system weight gain or high blood

pressure in terms of finding the ideal

treatment remember that sometimes it can

take some trial and error to figure out

what exactly works for you during a

flare up and during just maintenance

treatment even if the sun seems to help

your condition don't forget to use

sunscreen and remember that you cannot

moisturize ize the flakes away so just

using heavy creams or heavy moisturizers

will not fix your condition and there is

now a new FDA approved treatment for

seic dermatitis in patients age 9 or

above this is a new topical foam at. 3%

this is the first drug approved for

craic dermatitis with a new mechanism of

action in the past two decades it's

called raflum This is a non-steroidal

anti-inflammatory

phosphodiesterase inhibitor that was

previously used to treat other

conditions like COPD it Alters gene

expression in the macras cells changing

our immune response so can you get a

hair transplant if you have sebera if

the case is mild we often proceed with a

hair transplant and the results turn out

just fine for severe cases we ask that

patients get their condition under

proper control before we proceed to a

hair transplant and if we detect signs

of cic dermatitis during a transplant

I'll often prescribe doxy cyclin which

is an antibiotic with anti-inflammatory

properties for about a 7 to 10day course

and that seems to help in recovery but

can hair transplants trigger a flare up

of sebera the answer is potentially yes

in a predisposed patient but if the

condition and surgical recovery is

properly managed it should not affect

the ultimate hair growth from the hair

transplant as you can see seic

dermatitis is a chronic form of eczema

that has many different types of

triggers and many different type of

treatment options for patients you need

to figure out which treatment type is

best for you and try to stick with it so

that you can keep this condition at Bay