Treatment for Scalp Seborrheic Dermatitis

Understanding Seborrheic Dermatitis of the Scalp

• Seborrheic dermatitis presents with greasy yellowish scaling, itching, and secondary inflammation primarily affecting sebaceous areas including the scalp, and is associated with certain populations such as patients with Down syndrome, HIV infection, and Parkinson's disease, according to the American Academy of Otolaryngology-Head and Neck Surgery 1

First-Line Treatment Options

Antifungal Therapy

• The American Academy of Otolaryngology-Head and Neck Surgery suggests that topical corticosteroids, such as clobetasol propionate 0.05% shampoo, should be used for short periods only to avoid side effects 1

Additional Therapeutic Considerations

Coal Tar Preparations

• The American Academy of Dermatology recommends coal tar as an alternative treatment for seborrheic dermatitis, available in shampoo formulations for scalp application, but may cause folliculitis, irritation, and staining of skin and clothing 2

Emollients

• The British Medical Journal suggests that emollients provide a surface lipid film which retards evaporative water loss, and are most effective when applied after bathing 3

Monitoring and Follow-up

• The American Academy of Otolaryngology-Head and Neck Surgery advises watching for signs of contact dermatitis from topical preparations, and addressing secondary bacterial infection when present 1
• The British Medical Journal warns that overuse of topical corticosteroids can lead to skin atrophy and other adverse effects 3