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Seborrheic Dermatitis

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Seborrheic Dermatitis
Michelle Rabon
ECPI University
MED 201
11/21/11

Seborrheic Dermatitis Seborrheic dermatitis a very common skin disorder is an inflammatory condition of the sebaceous glands and can occur anywhere on the body (Frazier & Drzymkowski, 2009). The symptoms and signs of Seborrheic dermatitis are a gradual increase in the amount of sebum produced by the sebaceous glands, a change in the quality of sebum produced by the sebaceous glands, and skin that is reddened and covered by yellowish, greasy appearing scales (Frazier & Drzymkowski, 2009). Seborrheic dermatitis is known to occur in infants, adults with disorders of the central nervous system, patients recovering from stressful medical conditions, patients who have had long stays in a hospital or nursing home, and patients who have an immune system disorder (Frazier & Drzymkowski, 2009). Seborrheic dermatitis is usually chronic and there is no strategy to stop it permanently but there are over-the-counter treatments and prescriptions treatments that can control the signs and symptoms during a flare-up (Mayo Clinic, 2011). Creams and lotions that are applied to the affected area of the body and medicated shampoos are common forms of treatment. However, in severe cases a doctor may prescribe an oral medication with a whole body effect. The approach you take should depend on your skin type, the severity of your condition, and what part of the body that is affected (Mayo Clinic, 2011). Products that treat Serborrheic dermatitis have several kinds of active ingredients and some of the products have more than one type of active ingredient (Mayo Clinic, 2011). These ingredients include antifungal agents, corticosteroids, and calcineurin inhibitors (Mayo Clinic, 2011). The antifungal agents commonly used to treat Serborrheic dermatitis are ketoconazole, ciclopirox, and terbinafine. Ketoconazole comes in foams, shampoos, gels, and creams. It is available in an over-the-counter strength of 1 percent concentration and prescription strength of 2 percent concentration (Mayo Clinic, 2011). Ciclopirox is only found in prescriptions shampoos and skin products. Terbinafine (Lamisil) is an oral antifungal and usually only prescribed in severe cases because it can cause serious side effects when taken over a period of time, which would lessen its claims of efficacy since Serborrheic dermatitis requires continuous treatment (Mayo Clinic, 2011). Corticosteroids commonly used to treat Serborrheic dermatitis are hydrocortisone, desonide, and betamethasone. Hydrocortisone is available in a cream that can be used everywhere on the body but the scalp. It comes in an over-the-counter strength of 1 percent and prescriptions with higher strengths of concentration (Mayo Clinic, 2011). Desonide is only available by prescription; it is a gel form that can be applied to any part of the body including the scalp. Betamethasone is also only available by prescription; it comes in lotion or cream form and can be applied to any part of the body. However, since it is a stronger category of steroid its use is usually limited to a few weeks at a time (Mayo Clinic, 2011). Calcineurin inhibitors are whole body medications that lower your immune system; they are usually just as effective as antifungal creams and corticosteroid creams. However, since long-term exposure to whole-body drugs increase the risk of cancer or lymphoma the FDA has recommended that this option only be used if the Seborrheic dermatitis has not responded to other treatment methods (Mayo Clinic, 2011). When choosing what method of treatment to use you should always start with the lowest concentration of a medicine and the one with the least side effects. Usually if it is not a severe case over-the-counter methods have the best efficacy rate because their effectiveness usually is not out weighed by the side effects that they might cause. This can also be a good way of choosing between prescription methods as well. Just remember that a medicines efficacy is not only about how effective it is but also that it does not cause side effects that are severe and not worth taking the medicine.

References
Frazier, M.S., & Drzymkowski, J.W. 2009. Essentials of Human Disease and Conditions.
Mayo Clinic Staff. 2011. Serborrheic dermatitis. Retrieved from http://www.mayoclinic.com/health/seborrheic-dermatitis/DS00984
Market Approval for Drug; and Medical Devices. Retrieved from http://scmedical.ecpi.net/mod/resource/view.php?id=185637

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