Seborrheic Dermatitis

Seborrheic Dermatitis


What is Seborrheic Dermatitis

Seborrheic dermatitis, or gneiss, is an inflammatory skin reaction to increased activity of oil glands of nurslings. Almost half of the newborn babies suffer from this disease. In ordinary parlance, people call this disease “cradle cap” or a milky crust. It usually occurs in first 3 months after the birth of a baby.

Causes Seborrheic Dermatitis in Babies

Pediatricians consider the increased activity of oil glands secreting dermal lubricant the key reason of the seborrheic dermatitis appearance.

The following reasons can cause the increase of the sebaceous matter output:

  • hormones received from the mother's organism or produced at the expense of the unstable endocrine profile in a baby organism;
  • hereditary predispositions;
  • mother's allergic diseases; milk formulae intolerance of a child;
  • allergy to detergents and remedies for newborn care;
  • disabled baby care;
  • infectious diseases and an intake of drugs;
  • dysbiosis.

An excessive amount of fat lubricant on the skin causes active breeding of a yeast fungus Malassezia furfur, which is the main pathogen of the seborrheic dermatitis. This species of fungi relates to causal microorganisms. It enters a normal microflora of skin coves and causes an inflammatory reaction only in case of excessive reproduction.

Each baby's organism in the adaptation period of adjustment to the environmental conditions is sensitive to changes of any type, therefore, most often the seborrheic dermatitis occurs just in this age, although in some cases, it can continue for several years.

Unfavorable progress of pregnancy, unreasonable child feeding, crummy newborn care, allergic diseases of parents, a long stay in the locality with an unhealthy ecological situation are the factors contributing to long progress of the disease.

Symptoms Seborrheic Dermatitis in Children

Seborrheic Dermatitis 1

The appearance of white or yellowish fatty crusts on the scalp is the usual manifestation of the baby's gneiss. Sometimes they appear not only on the head, but also on the face in the area of the cheeks, forehead, across ears. While combing, “dandruffs” fall out, but the hair can fall out as well.

In rarer cases, crusts can also appear on the skin of the chest, buttocks. Areas of the skin reddening can appear on the head. The crusts fuse between each other with formation of the solid firm crust, which is popularly called “a milky crust”.

As a rule, a baby's general state does not worsen, the disease does not cause painful sensations. Only in the case of severe disease, a worry, decreased appetite, sleep disturbance, unstable stool and even vomiting can be observed.

In the absence of treatment, the eruptions can spread across the entire body in form of rough spots or warts. Some bacterial infection as well can join in, which will complicate progress of the process.

Treatment Cradle Cap

As a first step, the hairy part of a baby's head must be carefully examined after washing and combing. Unless there are no any secretions, spots or injuries after crusts' combing out, it is not the cause for a worry. Such dermatitis, without a trace being left, is easy self-healed by the age of 3-4 months.

In case of detection of the enumerated changes, without delay, one must see a doctor for the exact diagnosis making and receipt of recommendations on treatment. The seborrheic dermatitis can be confused with atopic eczema; therefore, a pediatrician's or a dermatologist's counselling is necessary.

The proper head washing and removal of crusts are an important point in the gneiss treatment. One is not to tear them down with nails thus, one may not only easily damage the scalp skin, but also infect.

It is recommended to apply kids` oil (an almond, olive, petrolatum or the one with vitamin E) on the affected areas. Put on a bonnet after an application of oil and leave it for 20-30 minutes. In case of rough, thick crusts; one can leave the bonnet all night long. Then, clean out a baby's head with warm water with shampoo and comb out crusts neatly with a soft brush.

One may apply a cream remedy on crusts on the head and leave it all night long. In the morning, use a foaming cream for newborns for washing.

If the crusts are not removed, the ducts of oil glands will be clogged with fat secretions and the disease will start to progress, it will be more difficult to remove the crusts. The anti-seborrheic shampoos ("Nizoral", "Sebuleks", "Friderm Tar", "Ionil") contribute to the suppression of activity of yeast mushrooms, reduction of an inflammatory process and formation of crusts. It is recommended to use them in kids` treatment.

It is recommended to apply special cream ("Freederm" or "Bioderm") after a bathe to the affected areas of the smooth skin. The gels "Bioderma Sensibio", "Saforel", "Topikrem", "Friderm Zinc» can be used for treatment of the skin. In the absence of effect, the doctor can recommend antifungal cream "Klotrimazol" or prescribe ointments with corticosteroids (for example, a hydrocortisone one).

In case of accession of a bacterial infection, antibiotics, vitamin therapy (ascorbic acid, В group vitamins) are prescribed.

The change in the child care is important:

  1. It is recommended to exclude all contact and food allergens. The baby's clothes must be made from natural, but not synthetic fabric.
  2. One is not to allow a baby's overheating during walks. One is not to forget about the need of an exclusion of a child's contact with pets. Food for fish, indoor flowers can cause allergy.
  3. The diet is the essential component of treatment.

Diet Therapy

Seborrheic Dermatitis 2

If the child is breast-fed, the mother is to comply carefully with hypoallergenic diet. At the same time, one needs to exclude the following food stuffs from daily menu: eggs, river and salt water fish, crayfish, and shrimps, all the citruses, tomatoes, pomegranates, mango, pineapples, strawberries, raspberries, persimmons, cocoa, chocolate, coffee, honey, mushrooms, nuts. One is to avoid the intake of smokings, spicy dishes, sausages. It is required to take cow milk carefully, which can also provoke the development of an allergic reaction.

If a child of an elder nursling age suffers from the seborrheic dermatitis, it is recommended to the child to comply with measures of prophylaxis – to eat only hypoallergenic food. Such meals will help to achieve more quickly a desired result in treatment and avoid acuteness. The prognosis of the disease is favorable. There are no complications in case of the correct treatment.

Prevention Seborrheic Dermatitis

The preventive measures include:

  • observance of hygienic norms and rules in the premises for a child (including the conditions of temperature);
  • a daily bathe and a meticulous toilette after bowel and bladder habits;
  • the use of hypoallergenic remedies for child care;
  • an exclusion of contact allergens for a baby;
  • the mother's and the baby's hypoallergenic diet.

Summary for Parents

The seborrheic dermatitis is a rather widespread pathology of newborn babies. Often parents do not consider it necessary to turn to a doctor even at an expressed and circulated manifestation of the dermatitis. Such an attitude threatens the progress of the disease and a transfiguration of the seborrheic dermatitis into an allergic one of children of elder age.

The seborrheic dermatitis requires timely and proper treatment. One is not to try to deal with self-medication. It is desirable to receive a pediatrician's or a dermatologist's counselling and implement his recommendations. It is necessary in a regard to the fact that the clinical signs of other types of dermatitis can be similar to the seborrheic one – only a doctor will make a diagnosis.

Video: How to Handle Cradle Cap

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