Seborrhoeic dermatitis: types, causes and treatment

Seborrheic dermatitis is a well-known disease that affects the skin of the face and body as well as the scalp. Do you have seborrheic dermatitis and want to know how to treat it? Keep reading:


¿What; is it seborrheic dermatitis?

This disease consists of the appearance of inflammation in areas of the skin with more sebaceous glands such as the face, scalp, nose or chest. It is a chronic skin disease that occurs in the form of outbreaks, although with the characteristic that it can go through periods of inactivity, and may disappear temporarily.

This pathology occurs mainly in two age groups, in childhood (within the first three months of life) or in adulthood, generally in men.

To this day, seborrheic dermatitis in children continues to be the subject of debate due to its relationship with atopic dermatitis. Children who suffer from this disease usually have pink, round-shaped lesions covered by yellowish peeling. These outbreaks usually affect, in addition to the scalp, the forehead, eyebrows, ears, nose, eyelids and neck; although it can also extend to the trunk, armpits, groin, thorax and back.

Although in childhood this skin condition tends to disappear in a few months or a few years, in adulthood it usually presents stages of improvement and worsening caused by different factors, such as stress, excessive intake of carbohydrates, alcohol, coffee, etc. and the use of inappropriate greasy cosmetics.

The face, scalp, eyebrows, nose, chest and groin are some of the areas that are affected in this process, as can be seen in the graph we attach from Rueber Farmacias.

seborrheic dermatitisAlteration in the quantity and/or quality of cutaneous lipids: This theory focuses on the increase in sebaceous activity in conflict areas. In fact, it does not focus so much on the amount of sebum as on its composition.

  • Pityrosporum Ovale infection: It should also be taken into account that the areas that most experience this type of dermatitis are also those that have the highest population of P. ovale. In fact, an improvement in the clinical picture has been observed when this is reduced. population by antifungal treatment.
  • Lifestyle: It can be influenced by stress, heat, febrile illnesses, depression, irritating topical products and fatigue, producing a worsening of the pathology’s symptoms or generating new outbreaks.
  • Neural influence: This skin problem occurs with a higher incidence in patients with Parkinson’s, facial paralysis and supraorbital or quadriplegic damage. This higher incidence seems to be due to chronic neuronal inflammation.
  • Aggravating factors: immunosuppression (as in patients with HIV), alcohol and vasodilators.
    • Figured seborrheic dermatitis: It begins with pinpoint, pink spots with scales that increase in size. There is itching of very variable intensity, although bearable.
    • Pityriasiform seborrheic dermatitis: The lesions are rounded, pink in color, with a finely scaly and greasy surface in the seborrheic areas, but dry in other locations. They can appear in any area, but the scalp is always affected with a thin, adherent layer.
    • Psoriasiform seborrheic dermatitis: The lesions are more reminiscent of psoriasis. Lenticular, nummular or bright red plaque lesions with adhered scales. Regardless of the clinical form, the scalp is always dry. affected.

Symptoms of seborrheic dermatitis:

One of the most revealing factors is flaking of the scalp. At first it is common to confuse it with dandruff, since the peeling process is mild and without lesions. However, as it progresses, this peeling ends up presenting erythema and inflammation, indicators of true dermatitis.

One of the first symptoms is itching or burning. The most frequent location is on the scalp where it manifests itself with a lot of dandruff. seborrheic dermatitis on the face can affect the eyelashes, between the eyebrows, nasolabial folds and auricles. The edges of the eyelids can be affected, sometimes leading to the loss of the eyelashes. This condition is known as seborrheic blepharitis.

This skin pathology can be classified:

Infant seborrheic dermatitis: It affects the infant in the first months of life. It usually starts on the head and may be covered by a thick, greasy-looking crust, called cradle cap. It can then spread to the forehead and appear scattered lesions on the face, neck, trunk and arms with a psoriasiform appearance.

Adult seborrheic dermatitis: There are authors who think that there can be three forms:

Treatment for seborrheic dermatitis.

Fortunately, this disease has treatment and is quite effective. We will begin by highlighting the daily practices that can help us improve the appearance and condition of a pathology like this:

  • In times of outbreak it is advisable to dispense with the most intense treatments and remain only with cosmetic treatments for as long as necessary.
  • Perform correct skin hygiene, with specific products that do not damage the skin’s barrier function and are tolerant.
  • Avoid extreme temperatures and always protect yourself from air, cold or sun in conflict areas.
  • Prevent intense sweating or take remedies, such as wearing breathable clothing.
  • Properly treat any superinfection, with antifungal, anti-inflammatory and keratolytic active ingredients.

In this way, below are a series of active ingredients that your treatment for this health problem should always have:

  • Antifungals, which have the function of reducing the population of P.ovale, a bacteria that is key to the development of this pathology.
  • The anti-inflammatories, which reduce inflammation, acting directly or indirectly on the immune system.
  • The antilipase, which acts by preventing the action of the lipases of the microorganisms and, as a consequence, the irritation caused by fatty acids is avoided, partially alleviating the inflammatory reaction.
  • Keratolytics such as salicylic, glycolic or lactic acid. Not only do they break up accumulations of corneocytes, but in higher concentrations they are capable of reducing the thickness of the stratum corneum. On the hair, they make it more porous, increasing its capacity to absorb the sebum produced by the scalp. This leads to a decrease in sebum on the scalp, reducing the possibilities of action of P. ovale and, therefore, reducing the inflammation of seborrheic dermatitis.
  • Antiseborrheic such as zinc or azelaic acid, which block the exit orifices of the pilosebaceous follicle, preventing the dispersion of sebum throughout the scalp.

Thus, in your treatment for seborrheic dermatitis on the face, you should include creams that contain this type of active ingredient.

One of the first symptoms that appear on the face is dryness, thus­ such as loose skin, erythema or itching. The face is the most visible place on our body and seborrheic dermatitis can cause low self-esteem in people who suffer from it. That is why we must start using specific facial creams for this pathology. What Can it cause seborrheic dermatitis on the face? Stress, fatigue, extreme climates, oily or acne-prone skin, lack of hygiene, obesity or the use of non-recommended cosmetics.

As we have already said before, excess fat is one of the possible causes of this disease, so if we eliminate unhealthy fats such as sausages, fried foods, fast food, industrial pastries and sweets from our diet; we will reduce the progression of this disease.

A product that can help you a lot to control the influence of this pathology on the face is Sebovalis Facial Gel, which we will talk about later.

On the other hand, seborrheic dermatitis also usually affects the scalp. If you suffer from this disease, you should take care of your hair health with lotions and shampoos that stop excess sebum. At first it can be confused with an outbreak of dandruff, but if you notice that it persists and begins to take on a yellowish tone, we recommend that you go to your dermatologist for a diagnosis.

Do you want to start controlling your seborrheic dermatitis outbreaks? Help yourself with SEBOVALIS, our line dedicated to the care and control of seborrheic dermatitis.

Products and creams for seborrheic dermatitis from sesderma.

The line SEVOBALIS is one of the most complete in the care of skin with seborrheic dermatitis. It not only soothes itching and erythema, but also helps rebalance sebum production and prevents P.ovale infection, making outbreaks less intense and frequent. In addition, it eliminates yellowish plaques and controls keratinization of the scalp, key in the treatment of seborrheic dermatitis.

The assets you are with formulated, such as oat extract, calendula, mimosa and glycyrrhetinic acid, exert a soothing and anti-inflammatory action; while salicylic and lactic acid break up accumulations of corneocytes, hydrate and control skin sebum for an anticeborrheic action.

The SEBOVALIS line is composed of 5 products that cover all the possibilities of seborrheic dermatitis, having specific presentations for the face, body, hair and even to treat it from the inside with nutricosmetic capsules.

  • Sebovalis Gel and Facial cream: Not all skin types have seborrheic dermatitis are excessively oily, so SEBOVALIS FACIAL is presented in gel format (for oily skin) and in cream format (for combination or dry skin). It can be applied to treat redness of the facial skin and peeling and also other areas such as the chest, back or ears. It is an excellent alternative and/or adjuvant to the treatment of seborrheic dermatitis with topical corticosteroids, since it regulates sebum secretion and the growth of microorganisms (P.Ovale), thanks to its antifungal and antiseborrheic active ingredients. Micronized zinc pyrithione inhibits 5-alpha reductase, the main triggering factor of seborrhea, and piroctone olamine provides its antifungal character.
  • Shampoo treater: Helps regulate keratinization and flaking of the scalp due to its salicylic acid content, which leads to a decrease in sebum and therefore reduces the infection capacity of P.Ovale. Calendula extract and glycyrrhetinic acid improve erythema, scaling and pruritus, reducing the inflammation produced in seborrheic dermatitis. It eliminates yellowish crusts formed on the scalp, and improves erythema, scaling and pruritus. Oat extract improves erythema and pruritus, reducing the inflammation produced in seborrheic dermatitis. Panthenol softens and conditions the hair, leaving a feeling of softness and silkiness and avoiding hair oil.
  • How to use: Apply to damp hair, lather and rinse with water. In outbreaks use every day and in maintenance 2 or 3 times a week. Alternate with shampoo Seskavel frequency of Sesderma.
  • Hair solution: It is applied directly to flaking scalp, face and ears, acting on redness immediately. Thanks to its spray format, it has a very simple application method. Acts on redness on the scalp. Its liposome active ingredients manage to penetrate the hair follicle, thus increasing the effectiveness of the treatment. Eliminates yellowish crusts formed on the scalp, and improves erythema, scaling and pruritus. Regulates sebum secretion and the growth of microorganisms (P.Ovale). It should be applied at night to the scalp and washed the next day. In periods of outbreak it can be used every day, although the normal thing will be use it as maintenance 1 or 2 times a week
  • Sebovalis Capsules: Food supplement indicated for the care of oily skin and hair, as well as as the associated manifestations. It helps regulate oily hair and skin thanks to its powerful formulation, being an adjuvant to the pharmacological and dermocosmetic treatment of seborrheic dermatitis. You should take 2 capsules a day with plenty of liquid, preferably during meals.

La formulationón de SEBOVALIS:

What What makes SEBOVALIS a unique line to treat seborrheic dermatitis? Its complete formula is infallible in the treatment and prevention of this pathology, acting against P.Ovale and the manifestations of hyperseborrhea:

Actives with antifungal action such as zinc pyrithione and piroctone olamine.

Active ingredients with anti-inflammatory action such as Avena sativa. It is a Mediterranean plant whose composition is rich in: Mineral salts (Mn, Fe and Zn), saponins, flavonoids, vitamins (A, B, E and D) and phenolic acids that give it pharmacological properties such as remineralizing, re-epithelializing, vitamin and antioxidant properties. One of the most important active ingredients is avenantriamide (polyphenol), which gives it an anti-inflammatory and antioxidant effect. Antihistamine activity has also been demonstrated in vitro by inhibition of histamine secreted by mast cells.

Keratolytic active ingredients:

Lactic acid is a α-hydroxy acid that is found in the skin naturally as part of a metabolic process, its function in the skin being to help maintain its acid mantle between a pH of 5.5 and 6.0, in the intimate area this pH ranges between 4 and 4.5. It exerts a natural moisturizing effect on the skin by attracting water molecules to the stratum corneum and stimulating the synthesis of ceramides, in addition to improving and modulating the barrier function. It has a clarifying effect on skin pigmentation by promoting a more homogeneous dispersion of melanin and exerting an antioxidant effect.

Salicylic acid has keratolytic and antimicrobial properties, it is widely used in dermatology for its ability to promote epidermal peeling through the rupture of intercellular desmosomal bridges. It also acts as a regulator of skin oiliness and as a potential anti-inflammatory with wide benefits:

  • Keratolytic: promotes peeling and a reduction in the number of comedones, although with less potency than retinoic acid. It is used in concentrations ranging from 5 to 20% (drug) and 1 to 5% (cosmetic). The pro-inflammatory effect has been described as one of the mechanisms of action in lesions such as common warts, plantar warts, etc. It makes the virus more vulnerable to immunological stimulation, and gradually favors its destruction.
  • Repairs photodamage: only associated with AHA or retinoic acid.
  • Photoprotector: acts as a chemical filter and the benzene ring transforms UVB into UVA.
  • Antifungal: collaborates in the penetration of topical antifungal drugs by eliminating the corneal layer, a nutrient for yeasts and dermatophytes.
  • Anti-inflammatory: by inhibiting the synthesis of prostaglandins.
  • Recently it has been used again for its peeling effect as an active component of anti-aging creams and in higher concentrations for performing medium-depth peels.

Other complementary lines for the treatment of seborrheic dermatitis:

In addition to the SEBOVALIS line, there are other SESDERMA products with which it can be combined to enhance the results. One of them is SENSYSES OVALIS, perfect for daily cleansing of skin that has this skin problem. SENSYES OVALIS cleans and repairs skin prone to seborrheic dermatitis thanks to its content of piroctone olamine liposomes and witch hazel extract, which give it antiseptic, sebum-regulating, and skin-protective properties.

The Sebovalis line is an adjuvant in the pharmacological treatment of seborrheic dermatitis. It is also the alternative to this same treatment, thus avoiding taking drugs. We propose two treatments, one shock and one maintenance, for skin with seborrheic dermatitis:

Shock treatment: in the case of seborrheic dermatitis that has never been treated, a strong action on the DS must be initiated, so apply for a month:

  • Sebovalis shampoo treatment: every day until the symptoms disappear.
  • Sebovalis hair solution: every night for the same time as the shampoo.
  • Sebovalis capsulas: 2 times a day.
  • Sebovalis face cream: every night.
  • Sensyses ovalis: limpieza diaria.

Maintenance treatment: After 1 month of shock treatment and until at least 3 months later:

  • Sebovalis champú treating: 2 times a week.
  • Seskavel shampoo frequency or glycolic: the rest of the days.
  • Sebovalis capsules: one a day.
  • Sebovalis gel/cream: every night.
  • Sensyse ovalis: limpieza diaria

If the patient is undergoing treatment with corticosteroids, the application of the serum and the mist Repaskin mender will facilitate the recovery. and it will help about the mechanism of action of corticosteroids, since they need zinc fingers for their proper functioning.

Taking care of your diet (avoiding excess lipids and carbohydrates), avoiding hot flashes, hot flashes, stress, heat, febrile illnesses, depression, irritating topical products and fatigue, cause a worsening of the symptoms of previous seborrheic dermatitis or generating new outbreaks.

Daily hygiene and daily hair cleaning help in the control and care of seborrheic dermatitis. Furthermore, the condition presented by this skin problem is usually associated with alopecia, due to excessive production of seborrhea.

Sesderma is a Spanish dermatological laboratory founded in 1989 by Dr. Gabriel Serrano, a world-renowned dermatologist.

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