Is It Dandruff Or Seborrheic Dermatitis
W. Steven Pray, PhD, DPhBernhardt Professor, Nonprescription Products and DevicesCollege of Pharmacy
Gabriel E. Pray, PharmD CandidateCollege of PharmacyWeatherford, Oklahoma
Patients approach pharmacists with a host of questionsabout relatively minor health conditions, and many involve the skin.Dermatologic questions concern allergic dermatitis, dry skin, minorwounds, and numerous other problems.1 Dandruff and seborrheicdermatitis are two closely related dermatologic conditions thatmay be successfully self-treated. However, the pharmacist should beaware of the various means by which both are recognized and the possibleinterventions.
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Types Of Eczema Commonly Found In Older Adults
There are many different types of eczema so its important to know your type so that you can avoid the triggers and heal the skin. Here are the most common types of eczema in older adults:
Common in adults over the age of 60, this type of eczema appears as fissures or grooves that are pink and red, affecting the superficial layers of skin. Its usually found on the legs but can be found on the upper arms, thighs and lower back. Other symptoms include soreness and itchiness.
Contact dermatitis is temporary and occurs when your skin is exposed to an irritant such as chemicals in a cleaning product or laundry detergent.
Venous Eczema mostly shows up on the lower legs in the form of itchy, red and scaly patches. Older adults who have a high body mass index or a family history of varicose veins are most susceptible.
Nummular eczema is characterized by coin-shaped scores on the skin. These sores may be open and are very itchy. The lesions may also be dry or weeping.
Seborrheic eczema tends to appear on areas of the body where there are a lot of oil-producing glands . It appears as red, greasy or swollen skin with white or yellow crusty flakes. While people of any age can develop seborrheic dermatitis, people with certain diseases such as Parkinsons Disease are believed to be at an increased risk.
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Treatment Of Severe Seborrhea
An occasional patient with severe seborrhea that is unresponsive to the usual topical therapy may be a candidate for isotretinoin therapy.14 Isotretinoin can induce up to a 90 percent reduction in sebaceous gland size, with a corresponding reduction in the production of sebum. Isotretinoin also has anti-inflammatory properties. Treatment with daily doses of isotretinoin as low as 0.1 to 0.3 mg per kg may result in improvement in severe seborrhea after four weeks of therapy. Thereafter, a dose as low as 5 to 10 mg per day may be effective as maintenance therapy over several years. However, isotretinoin has potentially serious side effects and few patients with seborrhea are appropriate candidates for therapy. The most devastating side effect is teratogenicity, but other serious side effects include hyperlipidemia, neutropenia, anemia and hepatitis. Mucocutaneous adverse effects include cheilitis, xerosis, conjunctivitis, urethritis and hair loss. Long-term use has been associated with the development of diffuse idiopathic skeletal hyperostosis . This agent must be used cautiously and only by physicians who are well versed in all of its adverse effects.
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Best For Eczema And Dandruff: Bodewell Shampoo
While theyre not technically the same conditionand you can have one without the otherscalp eczema and dandruff often go hand-in-hand, not to mention have many of the same symptoms. This sudser addresses both, thanks to the addition of pyrithione zinc to reduce itching and flaking, an active ingredient both derms we spoke with recommend. Its also specially formulated to restore much-needed moisture to the scalp.
Does Head And Shoulders Have Phthalates And/or Parabens
It depends on the specific shampoo. Many shampoos offered by Head and Shoulders do not list phthalates and parabens as part of their compositions. Quite a few are clearly labeled paraben-free. Parabens are anti-bacterial and anti-mold preservatives.
Some shampoos use a paraben substitute i.e. Phenoxyethanol.
But in the case of phthalates, only the Head & Shoulders Supreme products are clearly labeled phthalate free.
For the other shampoos, it can be assumed that phthalates are present unless clearly labeled otherwise.
The other shampoos might also be free of parabens if labeled so, but the presence of phthalates remains unknown. Phthalates are used either as plasticizers or gelling agents i.e. to make the shampoo spread better.
Just to be 100% sure, you can re-check the label to make sure there is a paraben-free label on your preferred H& S product.
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Types Of Eczema That Affect The Scalp
Seborrhoeic eczema is one of the most common types of eczema seen on the scalp and hairline. It can affect babies , children and adults. The skin appears red and scaly and there is often dandruff as well, which can vary in severity. There may also be a rash on other parts of the face, such as around the eyebrows, eyelids and sides of the nose. Seborrhoeic eczema can become infected. See the National Eczema Society factsheets on Adult seborrhoeic dermatitis and Infantile seborrhoeic dermatitis and cradle cap for more details.
Atopic eczema is another common type of eczema that can affect the scalp at all ages. The skin is red, dry and itchy and can easily become infected, especially if scratched and when there is broken skin.
Allergic contact dermatitis can develop as a result of your body reacting to a particular substance to which you are allergic. Everyday items that can cause allergic contact dermatitis on the scalp include the following:
- Hair shampoos, conditioners, gels, sprays and other hair products
- Hair dyes, perm solutions
See the National Eczema Society booklet on Contact dermatitis for more details.
Irritant contact dermatitis is a type of eczema that occurs when the skins surface is irritated by a substance that causes the skin to become dry, red and itchy. For example, shampoos, mousses, hair gels, hair spray, perm solution and fragrance can all cause irritant contact dermatitis. See the National Eczema Society booklet on Contact dermatitis for more details.
References And Further Information
Skin Deep is a website that contains images of people with different skin tones to help patients and doctors better understand and describe symptoms of different skin conditions: .
The PDF document below shows what eczema can look like on different skin tones.
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What Is The Best Shampoo For A Sensitive Scalp
- Vanicream Free and Clear Shampoo. Vanicream Free & Clear Shampoo.
- Briogeo Dont Despair, Repair! Shampoo.
- Dae Daily Shampoo. Dae Daily Shampoo.
- Davines Naturaltech Calming Shampoo. Davines Naturaltech Calming Shampoo.
- LOreal Professional Mythic Oil Shampoo. LOreal Professionnel Mythic Oil Shampoo.
- Heeta Hair Scalp Massager.
Is Aveeno Good For Eczema
Consider using a moisturizer with colloidal oatmeal, such as AVEENO® Eczema Therapy Moisturizing Cream or AVEENO® Eczema Therapy Itch Relief Balm clinically proven to help relieve the itching and irritation of eczema. Colloidal oatmeal is the only skin protectant ingredient FDA-approved for the treatment of eczema.
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Dr Oz Show Today: Start Paying Attention To Your Scalp
May 27, 2019 by Linda Pena
Today, 5/27/2019, Dr. Oz discusses the importance of checking an important part of your bodythe scalp. It is a place on our skin that is overlooked many times until we notice itching or dandruff. Presented by Head & Shoulders. Scientist Dr. Rolanda Wilkerson explains how to future-proof your hair by moisturizing your scalp. Then, singer Jessie James Decker joins in via Zoom to share the improvement shes seen in her scalp health and hair.
Dr. Wilkerson says people forget to treat their scalp. It is an area covered with hair. It is an out-of-sight-out-of-mind part of us, we forget about. She says that prevention is important to future-proof your scalp.
Wilkerson says to use a scalp moisturizing shampoo. She says that when the scalp is happy, you will have prettier and healthier hair. She recommends the Head & Shoulders Deep-Moisturizer Shampoo and Conditioner. She says the scalp has 10 layers of skin. After studies conducted, the scalp on every participant was healthier after using the conditioner. She says this product has won 4 anti-aging beauty awards.
A visitor to the show, singer Jessie James Decker, said she had very dry skin. After using the recommended product, her scalp is healthy again and not itching or dry. She says this is a plan everyone can do every day.
Note: Any products and only the products mentioned on his show are Oz approved. Beware: Many have used his face/name fraudulently as an endorsement for their products.
I First Started Getting Psoriasis Around The Age Of 26
It was when I worked at a steakhouse as a cook. I was eating a lot of beef and white bread because it was free. Somebody would mess up a steak or burger at least twice a day, and boom, I had a free meal. I ate beef and white bread almost everyday for two years. Not a good choice.
Red spots starts showing up around my eyelashes and above my lip. Then they started flaking and getting gross, then it started in my hair, little crusty bumps. I didnt know what to do, I didnt have health care, so I couldnt go to the doctor. And it wasnt that bad.
During the next summer I played a lot of basketball outside with no shirt on and it went away. Getting a tan apparently makes psoriasis disappear. But I was also thinking, oh it goes away in the summer, who cares.
I went back to college and started drinking black coffee twice a morning and feeling stressed out. I think the black coffee and stress made the psoriasis return. During that winter it got really bad. The red dots became huge and dry, it felt like my skin was made of rocks. I kept putting lotions on it recommended by some of my female friends, all of which contained alcohol and fragrance, which actually made it worse. When I would reach up to grab things, the dots would crack and bleed.
I was really scared to eat differently like actually scared. How could I ever live without disgusting food and Pepsi on a daily basis?
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Treatment Of The Body
Seborrhea of the trunk may be treated with frequent application of zinc or coal tar containing shampoos or by washing with zinc soaps. Additionally, topical ketoconazole cream, 2 percent, and/or a topical corticosteroid cream, lotion or solution applied once or twice daily will prove useful. Benzoyl peroxide washes are also helpful in controlling seborrhea of the trunk. Patients should be cautioned to rinse thoroughly after application of these agents as they will bleach clothing and bed linens. These agents may be drying, and the patient may benefit from application of a moisturizer after treatment.
Dermatitis Or Eczema Prevention
Most forms of dermatitis and eczema are chronic conditions. One exception is contact dermatitis. It can be prevented by finding and avoiding the irritant that caused the skin condition.
Its important to see a doctor for a proper diagnosis, then try to avoid triggers for your type of eczema or dermatitis .
Other forms of dermatitis can usually be avoided or managed with proper self-care, which includes the following:
- Avoid long showers or baths, which can dry out the skin.
- Use moisturizers like oils, lotions, or creams.
- Avoid irritants that make your skin more susceptible to breakouts, like scented products.
- Dont scrub your skin too hard.
- Use topical steroids to help with itching.
- Keep your fingernails short if you have a habit of scratching.
- Avoid stressful situations that may cause a flare-up.
Establishing a skincare routine can help you manage your atopic dermatitis or eczema symptoms. A doctor can help you come up with a regimen that works for you. You should also take note of things that may have caused your breakouts.
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Calcul Bsa Psoriasis Medication Liquid
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What Causes Scalp Eczema
Seborrheic dermatitis is a chronic inflammatory condition caused by the overproduction of sebum, the natural oils secreted by sebaceous glands in the scalp. It is not contagious.
Because seborrheic dermatitis is a condition related to the sebaceous glands, it can also appear in other oily areas of the skin, including the face , ears, upper chest, upper back, armpits, and genitals.
There is a strong association between seborrheic dermatitis and yeast of the genus Malassezia, which are normally present in the skin but often overgrown in people with the skin condition.
Scientists dont fully understand the exact connection between the yeast and eczema symptoms, but research suggests that a nonspecific immune reaction may be to blame. That is, some interaction between Malassezia, their metabolites , and skin and immune cells results in an inflammatory reaction.
Importantly, once someone becomes sensitized to Malassezia, the yeast will always cause an immune reaction.
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Shampoos Containing Pyrithione Zinc
common ingredient in many OTC anti-dandruff shampoos, pyrithione zinc may have both antimicrobial and antifungal power. It may also help with inflammation and itch. Some authorities, like the American Academy of Dermatology, even suggest washing affected areas of the body with pyrithione zinc soaps.
Youll see OTC products with concentrations ranging from percent. Head & Shoulders Dry Scalp Care and Head & Shoulders Extra Strength, for example, contain 1 and 2 percent concentrations of pyrithione zinc, respectively. Mountain Falls Dandruff Shampoo also contains this ingredient.
Wild Naturals Eczema & Psoriasis Shampoo
Best Natural Shampoo For Psoriasis
For people with scalp psoriasis who have sensitive skin, we recommend trying out Wild Naturals Eczema & Psoriasis Shampoo.
This non-medicated shampoo uses a concentrated and natural formula free of any harsh chemicals that may end up doing more harm than good.
Formulated with all-natural ingredients, Wild Naturals Eczema & Psoriasis Shampoo works as a great alternative compared to other shampoos that may be too harsh on sensitive scalps.
One of its main ingredients is manuka honey, an antibacterial, anti-inflammatory, and moisture-retaining substance known for its healing qualities.
This ingredient is packed with a unique blend of amino acids, vitamins, and minerals that help seal in moisture in order to protect and soothe dry, itchy, and damaged skin.
Manuka honey works by reducing inflammation and fighting off any skin-irritating microbes resulting in decreased psoriasis symptoms.
This ingredient works in tandem with aloe vera, which soothes and moisturizes your scalp, and cehami, which stops itching and redness associated with psoriasis.
Wild Naturals Eczema & Psoriasis Shampoo is also pH-balanced so you can rest assured that it wont strip away vital oils that your scalp needs to protect itself.
If youre looking for a natural solution to scalp psoriasis, you wont go wrong with Wild Naturals Eczema & Psoriasis Shampoo.
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Best Ways To Manage Seborrhoeic Dermatitis
Scalp issues arenât as rare as you think. While some people suffer from an oily scalp, others deal with a dry scalp. One such condition that is quite common and needs specialised care is seborrhoeic dermatitis. Read on to know more about what it is and effective seborrhoeic dermatitis treatmentâ¯techniques that can help you deal with this hair care woe.
Seborrhoeic dermatitis is not a difficult condition to treat, but itâs always safer to nip things in the bud. Weâve done all the research to help you identify early signs of the condition and the ways to treat it.
About Head And Shoulders
Introduced in 1961, the American brand Head and Shoulders provides a variety of products, but theyre most well-known for shampoos. From the 1980s until now, they always have products honored in the list ofBEST ANTI-DANDRUFF SHAMPOO FOR MEN and BEST SHAMPOO FOR DRY SCALP, which expanded their name from the US to Europe, Asia, and other regions.
There are clear advantages when using anti-dandruff shampoos by Head and Shoulders. Not only do they help you get rid of dandruff effectively, but they also aim to make your hair look great and smell great, as well as keep your scalp healthy and comfortable.
But whether Head and Shoulders is safe for kids is another totally different story. Lets take a close look at the ingredients used in their anti-dandruff shampoos to find out!
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