Резюме
Definition
A dermatite seborreica (DS) é uma afecção cutânea inflamatória comum que geralmente se manifesta como eritema e descamação do couro cabeludo, dos sulcos nasolabiais, músculos glabelares, e, ocasionalmente, no centro da face e no tórax anterior. Tende a piorar com o estresse.[1] Em lactentes, a DS pode se manifestar como descamação do couro cabeludo, sendo definida como crosta láctea.[Figure caption and citation for the preceding image starts]: Dermatite seborreica, sulco nasolabial, com descamação e eritema levesDo acervo de Robert A. Schwartz, MD, MPH, FACP, FAAD, FRCP (Edin) [Citation ends].
[Figure caption and citation for the preceding image starts]: Dermatite seborreica, músculos glabelares, com descamação e eritema leveDo acervo de Robert A. Schwartz, MD, MPH, FACP, FAAD, FRCP (Edin) [Citation ends].
History and exam
Key diagnostic factors
- prurido no couro cabeludo
- descamação do couro cabeludo
- descamação dos músculos glabelares
- descamação do sulco nasolabial
- descamação pós-auricular
- flocos brancos
- eritema
Risk factors
- estresse
- parkinsonismo
- Vírus da imunodeficiência humana (HIV)/síndrome de imunodeficiência adquirida (AIDS)
- idade <3 meses
Diagnostic investigations
1st investigations to order
- diagnóstico clínico
Investigations to consider
- biópsia de pele
Treatment algorithm
crosta láctea em lactentes
limitado ao couro cabeludo em crianças e em adultos
limitado à área que não seja do couro cabeludo em crianças e em adultos
doença disseminada ou recalcitrante em adultos
doença disseminada ou recalcitrante em crianças
Contributors
Authors
Camila K. Janniger, MD, FAAD, FRSPH
Clinical Professor
Dermatology
Rutgers New Jersey Medical School
Newark
NJ
Disclosures
CKJ declares that she has no competing interests.
Robert A. Schwartz, MD, MPH, DSc (Hon), FAAD, FRCP (Edin)
Professor of Pathology, Professor of Pediatrics, and Professor of Medicine
Dermatology
Rutgers New Jersey Medical School
Newark
NJ
Disclosures
RAS is the author of several references cited in this topic.
Peer reviewers
Richard Bull, BMBCh
Consultant Dermatologist
Homerton University Hospital NHS Foundation Trust
London
UK
Disclosures
RB declares that he has no competing interests.
David S. Cassarino, MD, PhD
Assistant Professor
Departments of Pathology and Dermatology
UCLA
Los Angeles
CA
Disclosures
DSC declares that he has no competing interests.
Abdulhafez Selim, MD, PhD
Assistant Professor
Biomedical Technology Center
King Fahd University of Petroleum and Minerals
Dhahran
Saudi Arabia
Disclosures
AS declares that he has no competing interests.
Jacek Szepietowski, MD, PhD, FRCP Edin
Professor and Vice Chair
Department of Dermatology, Venereology and Allergology
University of Medicine
Wroclaw
Poland
Раскрытие информации
JS declares he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Clark GW, Pope SM, Jaboori KA. Diagnosis and treatment of seborrheic dermatitis. Am Fam Physician. 2015 Feb 1;91(3):185-90.Полный текст Аннотация
Schwartz RA. Superficial fungal infections. Lancet. 2004 Sep 25-Oct 1;364(9440):1173-82. Аннотация
Kim TW, Mun JH, Jwa SW, et al. Proactive treatment of adult facial seborrhoeic dermatitis with 0.1% tacrolimus ointment: randomized, double-blind, vehicle-controlled, multi-centre trial. Acta Derm Venereol. 2013 Sep 4;93(5):557-61.Полный текст Аннотация
Diehl C, Ferrari A. Efficacy of topical 4% Quassia amara gel in facial seborrheic dermatitis:a randomized, double-blind, comparative study. J Drugs Dermatol. 2013 Mar;12(3):312-5. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Psoríase
- Ceratose actínica
- Lúpus eritematoso sistêmico (LES)
Больше ОтличияЛифлеты для пациента
Dermatite seborreica (caspa e crosta láctea)
Dermatite (seborreia) corporal
More Лифлеты для пациента
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