UMEM Educational Pearls

Category: Pediatrics

Title: Seborrhea

Posted: 3/25/2011 by Rose Chasm, MD (Updated: 2/26/2024)
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  • seborrheic dermatitis is most common in infants within the first two months of birth
  • appears as  erythematous, greasy yellow scales most commonly on the scalp (cradle cap), and may also occur on the face
  • most cases resolve spontaneously within weeks to months, but severe cases may be treated with 1% hydrocortisone cream, sahmpooing with selenium sulfide, and using an emollient to remove scales
  • in extreme cases, consider hte possibility of Langerhans cell histicytosis, especially if atrophy, ulceration, or purpura are also present
  • rarely occurs in children between 1 and 12 as they do not have active sebaceous glands, but will appear as dandruff in adolesecents
     

References

Pediatrics Board Review Core Curriculum, 1st edition

MedStudy