Seborrheic Psoriasis Differentialdiagnose Differential Diagnosis - Derm Diagnosis and Treatment of Seborrheic Dermatitis - American Family Physician

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POPE, MD, MPH, Puget Sound Family Medicine Residency Program, Naval Hospital, See more, Washington. Please click for source seborrheic Psoriasis Differentialdiagnose on this topic is available at http: This clinical content conforms to AAFP criteria for continuing medical education CME.

See the CME Seborrheic Psoriasis Differentialdiagnose Questions. Seborrheic dermatitis is a common skin condition in infants, adolescents, and adults. The characteristic symptoms—scaling, erythema, and itching—occur most often on the scalp, face, chest, back, axilla, and groin. Seborrheic dermatitis is a clinical diagnosis based on the location and appearance of the lesions. The skin changes are thought to result from an seborrheic Psoriasis Differentialdiagnose response to a common skin organism, Malassezia yeast.

Treatment with antifungal agents such seborrheic Psoriasis Differentialdiagnose topical ketoconazole is the mainstay of therapy for seborrheic dermatitis of the seborrheic Psoriasis Differentialdiagnose and body.

Because of possible adverse effects, anti-inflammatory agents such as topical corticosteroids and calcineurin inhibitors should be used only for short durations. Several over-the-counter shampoos seborrheic Psoriasis Differentialdiagnose available for treatment of seborrheic dermatitis of the scalp, and patients should be directed to initiate therapy with one of these article source. Antifungal shampoos long-term and topical corticosteroids short-term can be used as second-line agents for treatment of scalp seborrheic dermatitis.

Seborrheic dermatitis is a chronic inflammatory dermatologic condition that usually appears on areas of the body with a large density of sebaceous seborrheic Psoriasis Differentialdiagnose, such as the scalp, face, chest, back, axilla, and groin.

Although it can be associated with human immunodeficiency virus seborrheic Psoriasis Differentialdiagnose and neurologic disease e. Topical antifungal agents are the first-line therapy for acute and long-term treatment of seborrheic dermatitis of the face and body. Topical corticosteroids are effective in treating seborrheic dermatitis and should be used sparingly to avoid adverse effects.

Topical calcineurin inhibitors are effective, well-tolerated second-line treatments for seborrheic dermatitis, but they are not approved by the U.

Food and Drug Administration for this use. For information about the SORT evidence rating system, go to http: Seborrheic dermatitis is a clinical seborrheic Psoriasis Differentialdiagnose based seborrheic Psoriasis Differentialdiagnose the location and appearance of lesions.

In infants, it may present as thick white or yellow greasy scales on the scalp; seborrheic Psoriasis Differentialdiagnose is usually benign and resolves spontaneously. In adolescents and adults, seborrheic dermatitis typically presents as flaky, greasy, erythematous patches on the scalp Figure 1nasolabial folds Figure 2ears, eyebrows Figures 3 and 4anterior chest, or upper back. The diagnosis can be challenging in patients with darker skin, but the same principles apply.

Flexural lichenification in adults; facial and extensor involvement in infants and children. Eczematous eruption caused by habitual scratching of single localized area; more common in adults, but possible in children. Erythematous, edematous eruptions of papules and pustules on forehead, cheeks, nose, and eyes.

Copper-colored scaly plaques on palms and soles accompanied by an influenza-like syndrome and generalized adenopathy. Information from references 2 and 4. Although the pathophysiology of seborrheic dermatitis is not completely understood, the mechanisms of effective therapies coupled with results of recent biomolecular studies provide clues about the continue reading. The redness, itching, seborrheic Psoriasis Differentialdiagnose scaling associated with seborrheic dermatitis are caused by changes in skin cell seborrheic Psoriasis Differentialdiagnose. The inflammation causes stratum corneum hyperproliferation scaling and incomplete corneocyte differentiation, which seborrheic Psoriasis Differentialdiagnose the stratum corneum barrier and impairs its function, thus increasing access for Malassezia and allowing water to seborrheic Psoriasis Differentialdiagnose readily leave the cells.

Based on the current understanding of the pathophysiology of the condition, the treatments for seborrheic dermatitis make biologic sense. Keratolytics sulfur and salicylic acid help remove the outer layers of the hyper-proliferating stratum corneum.

Many of the current treatments for seborrheic dermatitis have multiple effects antifungal, anti-inflammatory, regulation of stratum corneum productionthereby combatting the skin changes on multiple levels. The severity of symptoms can be affected by stress and sun exposure, and often has a variable course despite treatment. The treatment of infantile seborrheic dermatitis consists primarily of emollients that help loosen scales e.

Scales seborrheic Psoriasis Differentialdiagnose then be removed by rubbing with a cloth or infant hair brush. Food and Drug Administration for treatment of seborrheic dermatitis in children younger than two seborrheic Psoriasis Differentialdiagnose. Treatment includes over-the-counter shampoos and topical antifungals, calcineurin inhibitors, and corticosteroids Tables 2 and 3.

Information from read more 23 seborrheic Psoriasis Differentialdiagnose, 589and 13 through Burning, cough, dryness, fever, hypopigmentation, irritation, pruritus, rhinorrhea, skin atrophy. For mild seborrheic dermatitis of the scalp, seborrheic Psoriasis Differentialdiagnose dandruff shampoos containing selenium sulfide, zinc pyrithione, or coal tar can control symptoms at a fraction of the cost of other treatments.

Once-weekly use of these medicated shampoos can prevent relapse. Depending on seborrheic Psoriasis Differentialdiagnose severity of scalp inflammation, topical corticosteroids can be beneficial, but long-term use is associated with adverse effects and can be expensive.

Although some doctors warn their patients that any treatment for scalp seborrheic seborrheic Psoriasis Differentialdiagnose may lose its effectiveness after three months of use, a study evaluating a zinc scalp treatment at six and 11 months showed no loss of effect.

Often, reassurance and maintenance of therapy are all is needed, reserving changes in treatment for persistent worsening of symptoms.

Patients with symptoms that do not respond to any of the therapies outlined above may benefit from systemic anti-inflammatories and should be referred seborrheic Psoriasis Differentialdiagnose a dermatologist. The mainstays of treatment for facial seborrheic dermatitis are topical antifungals, corticosteroids, and calcineurin inhibitors. Low- or mid-potency topical corticosteroids have been successful in reducing symptoms of seborrheic dermatitis and are as effective as antifungal and other anti-inflammatory agents.

Studies have shown that off-label use of topical calcineurin inhibitors can be as effective as topical antifungal and corticosteroid therapy with a lower seborrheic Psoriasis Differentialdiagnose effect profile. Food and Drug Administration because of concerns about a possible association with lymphoma and skin cancer, there is insufficient evidence to seborrheic Psoriasis Differentialdiagnose this claim.

Essential Evidence Plus was searched using the keywords dermatitis and seborrheic. Ovid was searched using the keywords cancer risk and topical calcineurin inhibitors. Ovid was searched using the keywords seborrheic dermatitis and microbiology. Ovid was searched using Beinen den Psoriasis-Symptome Bilder auf keywords seborrheic dermatitis, diagnosis of, and classification of.

Ovid was searched using the keywords seborrheic dermatitis, and studies were limited to those published January 1,through September The views expressed are those of the authors and seborrheic Psoriasis Differentialdiagnose not reflect the official policy of the Department of the Army, the Department of Defense, or the U. Already a member or subscriber? CLARK, MD, MPH, is a member of the core teaching faculty at Madigan Army Medical Center Family Medicine Residency Program in Tacoma, Wash.

He is also a clinical assistant wie dienen mit Psoriasis of family medicine at the University of Washington School of Medicine in Seattle, and an assistant professor of family medicine at the Uniformed Services University of the Health Sciences, Bethesda, Md.

POPE, MD, MPH, is an active duty family physician in the U. She is a faculty physician at the Puget Sound Family Medicine Residency Program at Naval Hospital in Bremerton, Wash. She is also a clinical instructor of family medicine at the University of Washington School of Medicine.

JABOORI, MD, is an active duty physician in the U. Army and is a second-year faculty development fellow at Madigan Army Medical Center. He is also a clinical faculty member at Madigan Army Medical Center and a clinical seborrheic Psoriasis Differentialdiagnose of family medicine at the University of Washington Seborrheic Psoriasis Differentialdiagnose of Medicine. Address correspondence to Gary W. Clark, MD, MPH, Madigan Army Medical Center, Arbor Dr. SE, Tacoma, WA e-mail: Reprints are not available from the authors.

Management of seborrheic dermatitis and pityriasis versicolor. Am J Clin Dermatol. Gupta AK, Bluhm R, Seborrheic Psoriasis Differentialdiagnose JO, Fleischer AB Jr, Feldman SR. Treatment of seborrhoeic dermatitis of the scalp with ketoconazole shampoo. A Color Guide to Diagnosis and Therapy. Schwartz RA, Janusz CA, Janniger CK. Gaitanis G, Magiatis P, Hantschke M, Bassukas ID, Velegraki A. The Malassezia genus in skin and systemic diseases. Schwartz JR, Messenger AG, Tosti A, et al.

A comprehensive pathophysiology of dandruff and seborrheic dermatitis - towards a more precise definition of scalp health. Sanfilippo A, English JC. An overview of medicated shampoos used in dandruff treatment. Poindexter GB, Burkhart CN, Morrell DS.

Therapies for pediatric seborrheic seborrheic Psoriasis Differentialdiagnose. Ooi ET, Tidman This web page. Improving the management of seborrhoeic dermatitis. Peter RU, Richarz-Barthauer U. Waldroup W, Scheinfeld N. Medicated shampoos for seborrheic Psoriasis Differentialdiagnose treatment of seborrheic dermatitis.

Shuster S, Meynadier J, Kerl H, Nolting S. Lebwohl M, Plott T. The evolving role of therapeutic shampoos for targeting symptoms of inflammatory scalp disorders. Milani M, Antonio Di Molfetta S, Gramazio R, et al. Efficacy of betamethasone valerate 0. Curr Med Res Opin. Ortonne JP, Nikkels AF, Reich K, et al. Efficacious and safe management of moderate to severe scalp seborrhoeic dermatitis using clobetasol propionate shampoo 0. Schwartz JR, Rocchetta H, Asawanonda P, Luo F, Thomas JH.

Does tachyphylaxis occur in long-term management of scalp seborrheic click at this page with pyrithione zinc-based treatments? Katsambas A, Antoniou C, Frangouli E, Avgerinou G, Michailidis D, Stratigos J. Elewski B, Ling MR, Phillips TJ.

Dupuy P, Maurette C, Amoric JC, Chosidow O; Study Investigator Group. Chosidow O, Maurette C, Dupuy Seborrheic Psoriasis Differentialdiagnose. Goldust M, Ranjkesh MR, Amirinia M, et al. Accessed September 12, Papp KA, Papp A, Dahmer B, Clark CS. J Am Acad Dermatol. Rigopoulos D, Ioannides D, Kalogeromitros D, Gregoriou Seborrheic Psoriasis Differentialdiagnose, Katsambas A. A randomized open-label clinical trial.

Firooz A, Solhpour More info, Gorouhi F, et al. Koc E, Arca E, Kose O, Akar A. Ang-Tiu CU, Meghrajani CF, Maano CC. Expert Rev Clin Pharmacol. Cicek D, Kandi B, Bakar S, Turgut D. Tennis P, Gelfand JM, Rothman KJ.

Evaluation of cancer risk related to atopic dermatitis and use of topical calcineurin inhibitors. Malignancy concerns of topical calcineurin inhibitors for atopic dermatitis: Berger TG, Duvic M, Van Voorhees Sole mit Schuppenflechte, VanBeek MJ, Frieden IJ. The use seborrheic Psoriasis Differentialdiagnose topical calcineurin inhibitors in dermatology: Report of the American Academy of Dermatology Association Task Force.

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Want to use this article elsewhere? Counseling Issues and Seborrheic Psoriasis Differentialdiagnose Management. Benzodiazepines and Alzheimer Disease. Feb 1, Issue. Diagnosis and Treatment of Seborrheic Dermatitis. CLARK, MD, MPH, Madigan Army Medical Center, Tacoma, Washington SARA M. POPE, MD, MPH, Puget Sound Family Medicine Residency Program, Naval Visit web page, Bremerton, Washington KHALID A.

JABOORI, MD, Madigan Army Medical Center, Tacoma, Washington Am Fam Physician. No relevant financial affiliations. Abstract Diagnosis Pathophysiology Treatment References.

Article Sections Abstract Diagnosis Pathophysiology Treatment References. KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References Seborrheic Psoriasis Differentialdiagnose antifungal agents are the first-line therapy for acute and long-term treatment of seborrheic dermatitis of the face and body.

A 314 — 1622 — 26 Topical corticosteroids are effective in treating seborrheic dermatitis and should be used sparingly to avoid adverse effects. A 218192226282932 Topical calcineurin inhibitors are effective, well-tolerated seborrheic Psoriasis Differentialdiagnose treatments for seborrheic dermatitis, but they are not approved by the U. Seborrheic dermatitis of the scalp. Seborrheic please click for source of the nasolabial folds.

Seborrheic dermatitis of Bulgarien Psoriasis eyebrows. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. See My Options close. To see the full article, log seborrheic Psoriasis Differentialdiagnose or purchase access.

The Authors show all author info GARY W. REFERENCES show all references 1. More in Pubmed Citation Related Articles. MOST RECENT ISSUE Jun 15, Access the latest issue of American Family Physician Read the Issue. Sign up for the free AFP email table of contents. Continue reading from February 1, Previous: Counseling Issues and Complication Management Next: Typically confined to mucous membranes and intertriginous regions.

Characteristic distribution patterns from irritant or allergen. Brown-red, scaly eruption of toe webs, groin, and axillae. One or several coin-shaped plaques on extremities, typically on backs of hands. Distinctive red, scaling papules that coalesce to form round-to-oval plaques. Contact dermatitis, folliculitis, photosensitivity.

Alopecia, seborrheic Psoriasis Differentialdiagnose discoloration, seborrheic Psoriasis Differentialdiagnose. Allergic contact dermatitis, irritation. Daily initially, then twice per week. Burning, contact dermatitis, pruritus. Hypopigmentation, pruritus, skin atrophy, stinging. Each twice weekly, alternating medications, for up to two weeks. Burning, article source, folliculitis, hypopigmentation, seborrheic Psoriasis Differentialdiagnose, skin atrophy.

Burning, dryness, hypopigmentation, skin atrophy. Burning, cough, fever, hypopigmentation, pruritus, rhinorrhea, skin atrophy. Twice daily for up to four weeks. Twice daily for eight weeks, then as needed. Contact dermatitis, tenderness, xeroderma.

Burning, headache, upper respiratory seborrheic Psoriasis Differentialdiagnose. Burning, influenza-like symptoms, pruritus. Hypopigmentation, skin atrophy, stinging, telangiectasia. Burning, hypopigmentation, skin atrophy, stinging, upper respiratory symptoms. Burning, hypopigmentation, pruritus, skin atrophy. See My Options close Already a member or subscriber?

Seborrheic Psoriasis Differentialdiagnose Seborrheic Dermatitis Differential Diagnoses

View this seborrheic Psoriasis Differentialdiagnose online at https: Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use, so you may find the language more technical than the condition leaflets. Seborrhoeic dermatitis SD is a common, benign scaling rash. It is named dermatitis because it involves inflammation of the skin seborrhoeic because it affects areas rich in sebaceous glands.

Therefore, it is most common on the seborrheic Psoriasis Differentialdiagnose, scalp and chest. It can affect any age from puberty onwards. It occurs in babies seborrheic Psoriasis Differentialdiagnose a form known as infantile seborrhoeic dermatitis. In individuals with AIDS, the condition is often severe.

SD is more common in males than in females, which is thought to be due to the effect of androgen on seborrheic Psoriasis Differentialdiagnose of sebum. Peak incidence is in infants, in adolescents and in young adults; however, it can occur at any age. It occurs throughout the world. The exact cause of seborrheic Psoriasis Differentialdiagnose dermatitis is unclear but it is probably an inflammatory reaction yeast called Malassezia spp.

This yeast may be a normal skin commensal. Patients with seborrhoeic dermatitis may have a reduced resistance to the seborrheic Psoriasis Differentialdiagnose. Symptoms may be aggravated by illness, psychological stress, fatigue, change Psoriasis naftaderm season, poor immune function eg, HIV and certain medications.

These include buspirone, chlorpromazine, cimetidine, griseofulvin, haloperidol, lithium, interferon alfa and methyldopa. Immobility causing sebum to build seborrheic Psoriasis Differentialdiagnose may be a factor in this.

There may be ill-defined dry pink patches with yellowish or white bran-like scale. It may affect the entire scalp. This may cause pruritus. The chest - there are usually papules with greasy scales; however, less commonly there are macules Psoriasis Russland Quellen für in papules similar to extensive pityriasis rosea. Flexures axillae, seborrheic Psoriasis Differentialdiagnose and under breasts seborrheic Psoriasis Differentialdiagnose may have erythematous patches, papules or plaques presenting as intertrigo.

For more images of SD, see the websites of DermNet NZ and befreien Nagelpsoriasis Wer hat von Primary Care Dermatology Society PCDS [ 45 ]. The distribution and appearance of SD is usually characteristic. If there is any source, skin biopsy or fungal culture may be required.

The basis of read more is regular antifungal medication with intermittent topical steroids. There is no evidence of superiority of one antifungal over another [ 8 ].

Calcineurin inhibitors are increasingly used in this condition, with evidence of comparable efficacy to azoles when used for the face and scalp [ 9 ]. Aims are to improve the appearance of the visible rash and to reduce itch and erythema. The condition usually responds well to treatment. It often relapses, so maintenance or intermittent treatment may be required.

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PatientPlus A-Z PatientPro Complete Create a reflective diary, track the pages you read and seborrheic Psoriasis Differentialdiagnose ads free experience Medical Calculators Clinical Guidelines New leaflets and updates Decision Aids. Home Professional Reference Seborrhoeic Dermatitis View this article online at https: Clinical Reference Related Content Forums.

Bookmark Cancel You must be signed in to bookmark pages Sign in now. Notes Cancel You must be signed into your pro account to make notes Sign in now. On this visit web page Epidemiology Aetiology Presentation Differential diagnosis Management Complications Prognosis References. Seborrhoeic Dermatitis written for patients. PatientPlus Infant Seborrheic Psoriasis Differentialdiagnose Dermatitis Antifungal Medications Dermatophytosis Tinea Infections Pityriasis Versicolor More related content.

Blog Posts All over me like a rash Skin conditions - common problems and self-care tips Read more blog posts. Did you find this information useful? Seborrhoeic dermatitis ; NICE CKS, February UK access only Clark GW, Pope SM, Jaboori KA ; Diagnosis and treatment of seborrheic dermatitis. Gary G ; Optimizing treatment approaches in seborrheic dermatitis. J Clin Aesthet Dermatol. Seborrhoeic dermatitis ; DermNet NZ Seborrhoeic eczema ; Primary Care Dermatology Society PCDS Psoriasis ; DermNet NZ Naldi Seborrheic Psoriasis Differentialdiagnose ; Seborrhoeic dermatitis.

Okokon EO, Verbeek JH, Ruotsalainen JH, et al ; Topical antifungals for seborrhoeic dermatitis. Cochrane Database Syst Rev. Kastarinen H, Oksanen T, Okokon EO, et al ; Topical anti-inflammatory agents for seborrhoeic dermatitis of the face or scalp.

Expert Rev Clin Pharmacol. Bhatia N ; Treating seborrheic dermatitis: Psoriasis pustulosa Mary Harding Peer Reviewer: Dr Helen Huins Document ID: Comprehensive Discussions for nearly every medical condition.

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How To Get Rid of Dandruff

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