Seborrhea of ​​the scalp: treatment at home (Photo)

Many people do not even suspect that poor hair condition can be caused by a fairly serious disease.
If you have seborrhea of ​​the scalp, dandruff, greasy shine, rapid contamination of strands - all these are its symptoms. It occurs mainly due to improper functioning of the sebaceous glands. The production of subcutaneous fat can either increase or decrease, its chemical composition changes, it clogs the skin and disrupts metabolism.

As a result, microorganisms multiply and become the main provocateurs of the disease. If neglected, it can lead to baldness, but in its usual forms it can be quickly and easily treated with a professional approach. But first you need to find out why you became her hostage.

Seborrheic dermatitis - what is it?

According to the international classification (ICD-10), seborrheic dermatitis is listed under number L21.

With this disease, the functions of the sebaceous glands are disrupted - the skin on the scalp, on the forehead, behind the ears, and in other places is occupied by red flaky spots, yellowish crusts, and swelling is observed. The patient experiences burning and itching.

Men are concerned about whether the army accepts recruits with this diagnosis. It turns out, yes, he does.

However, if the patient has an exacerbation of the disease, he may be given a deferment so that he can spend this time on treatment.

Seborrhea in neurological diseases

How to get rid of seborrhea

in the presence of neurological diseases? Therapy is very problematic. To relieve acute symptoms, you can use some traditional methods and carry out basic therapy.

Negative consequences of taking antipsychotics:

1. Increased prolactin levels in the blood.
2. Partial absorption of vitamins.
3. Reduced immune system level.

Therefore, when treating an underlying psychosomatic or neurological disease, you should take vitamin complexes constantly, taking a break of no more than 2-3 months. This will help support the immune system, which means it will smooth out the manifestations of dermatological diseases, in particular seborrhea.

Local therapy with the use of antiseptics and antifungal drugs is indicated. Treatment is best carried out in the form of pulse therapy, at the time of intermission of the underlying disease. Any consultations regarding treatment should be carried out only with the attending physician.

How to distinguish it from psoriasis

Many skin diseases have similar symptoms. Thus, seborrheic dermatitis and psoriasis are especially often confused.

There is even a term - “seborrheic psoriasis”, which indicates how similar the symptoms of these diseases are. By this term, experts mean skin lesions in the scalp, ears, and nose.

How is psoriasis different from seborrheic dermatitis? Although they have a common favorite place - the scalp, other than that their preferences are not similar.

In psoriasis, rashes are usually observed on the arms (especially on the elbows), on the legs around the knees, and on the back. In seborrhea - on the face (often on the cheeks), on the chest and back.

Peeling scales look different: with psoriasis they are silvery, with seborrhea they are white or yellowish. The latter, by the way, are easily removed, but psoriatic ones are difficult to remove. If you pick them off, a bleeding wound will open.

Seborrheic plaques are different in size, they have an oily sheen, and the border between the affected and healthy skin is clearly visible. With psoriasis, the plaques are larger, without an oily sheen, and the skin is noticeably thickened.

Therapeutic shampoos for seborrheic dermatitis

The correct choice of hygiene products for scalp care is the basis for successful treatment and prevention of exacerbation of seborrhea. Shampoos should not contain ingredients that are a common cause of skin irritation, such as fragrances, parabens, silicone, etc.

Therapeutic shampoos for seborrheic dermatitis

Today, the pharmacy offers a whole range of different products for the care and treatment of scalp prone to seborrhea: “Friderm”, “Nizoral”, “Sulsena”, etc.

Nizoral shampoo

Their action is aimed not only at cleansing the skin and hair, but also at eliminating the cause of the disease and manifestations of the inflammatory reaction. The composition of shampoos may vary, but the main components are the substances described in the table below.

Some shampoos may also contain components such as climbazole and ichthyol.

Many detergents contain several active ingredients. Typically, medicated shampoos are recommended to be used 1-2 times a week for a period of 2-4 weeks. The duration of therapy depends on the intensity of symptoms. As a preventive measure, it is recommended to wash your hair with a medicinal product once a month.

Preventive use of medicated shampoos

Note! In order for the active ingredients to manifest their properties, it is necessary to apply shampoo 2 times while washing your hair and leave for 5-10 minutes.

Your doctor may prescribe a combination or alternation of different shampoos, or a combination of a medicated cleanser with other topical medications.

A trichologist will recommend the right remedy

Symptoms of the disease

The areas of the skin affected by the disease are characterized by redness, covered with papules (small pimples, rashes) and scales connected to each other by sebaceous secretions.

In adults, the situation develops progressively - larger and larger areas appear in the affected area, the person experiences severe itching and burning, sometimes quite painful.

If scratching (which is difficult to avoid) damages the skin, there is a risk of infection of the wounds and their suppuration.

As a rule, the symptoms of the disease intensify if a person violates the recommended diet, abusing spicy foods, not to mention drinking alcohol, which clearly becomes a powerful impetus for the development of the disease.

In newborns, the initial stage of seborrhea is characterized by the appearance of dandruff, which subsequently changes into yellowish scales, which are easy to get rid of by combing.

Children's doctor Komarovsky, well known to young parents from his useful TV stories, notes that seborrhea in children almost does not bring them the inconvenience that an adult patient experiences.

In addition, it often goes away on its own; only in exceptional, most problematic cases, the doctor prescribes a special lotion or shampoo for the baby.

However, an unpleasant consequence of the disease can be dysfunction of the hair follicles. Sometimes infant seborrheic dermatitis affects the child’s general well-being: diarrhea appears, sleep deteriorates, and appetite disappears.

Causes

There is no single specific cause of seborrhea.
Sometimes this happens when there are hormonal changes in the body or when a certain type of fungus or yeast infection appears on the skin. People with Parkinson's disease or epilepsy are more prone to seborrhea. Some people with seborrhea are deficient in certain types of vitamin B in their diet. Microorganisms (yeasts) that naturally live on the skin can also contribute to the development of the disease. Unlike many other forms of eczema, seborrheic dermatitis is not the result of an allergy.

Seborrheic dermatitis is associated with several neurological disorders:

1. Parkinson's disease,
2. Epilepsy,
3. Traumatic brain injury,
4. Stroke,
5. Skin problems such as acne, oily skin or skin conditions (rosacea),
6. Endocrine diseases such as diabetes, which lead to obesity,

Other factors include:

1. Stress or fatigue
2. Cold dry weather
3. Hormonal changes or illness
4. HIV AIDS,
5. Alcohol consumption
6. Using certain skin care products, especially those containing alcohol,
7. Use of aggressive detergents, solvents, chemicals and soaps.

Symptoms range from mild to severe.
Common symptoms include a flaky, dry scalp or a buildup of waxy, dead skin behind the earlobes. Often the skin in the middle of the forehead and on both sides of the nose is red, especially in the folds. There may be acne and inflammatory processes. Hair is prone to oiliness and loss, and profuse dandruff appears. The signs of seborrheic dermatitis can vary from one person to another. Some of the most common symptoms seen in adults include:

• Development of white or yellowish scaly patches on the skin or dandruff that eventually flake off,
• Patches of oily skin covered with flaky white or yellow scales or crusts,
• Itching or redness of the affected area,
• Plaques that develop over a large area of ​​skin
• Hair loss in the affected area,
• Redness or crusting of the eyelids (blepharitis).

The disease in most cases affects not only the scalp, but also the forehead, eyebrows, area around the nose, and ears.

Photo

Diagnostics

Despite the fact that the characteristic signs of oily seborrhea, as well as the dry appearance of dandruff, are visible to the naked eye, specific diagnostics are needed to help determine the causes of the disease and determine a treatment strategy.

The following studies are being carried out:

• scraping for fungi - identifies the pathogen, in particular Malassezia or other provoking factors;
• a blood test for the state of immunity, because some manifestations of oily seborrhea may be associated with allergy-like factors;
• examination of the gastrointestinal tract;
• analysis for hormones that can provoke the disease - we must not forget that seborrhea on the face also occurs with such serious diseases as Itsenko-Cushing syndrome;
• examination of the central nervous system, including psychological, because manifestations are often associated with stress factors.

Doctors who need to be visited for a quality examination: trichologist - a specialist in hair and diseases associated with growth abnormalities, dermatologist, endocrinologist, neurologist. Sometimes a gastroenterologist and a psychotherapist are added. An unpleasant aesthetic problem can really indicate significant disorders in the body, so if it is important to get rid of seborrhea with a guarantee, then you need to visit all these specialists. It is necessary to exclude a disease with similar symptoms - psoriasis.

Causes of illness on the face and body

One of the first questions that the sick person and the people around him ask himself: is seborrheic dermatitis contagious and what (if it is really contagious) are the routes of transmission of the infection. Fortunately, the disease is not transmitted from person to person.

The fungus Pityrosporum Ovale (according to other classifications - Malassezia), which provokes the development of seborrhea, is constantly present in an absolutely healthy body and is just waiting for a reason to start acting.

The reasons for its activity may be:

• weak immunity;
• hormonal changes (in a teenager during the transition period, in women during menopause);
• stress;
• use of various medications (for example, prescribed for the treatment of Parkinson's disease);
• infectious diseases;
• poor nutrition;
• hereditary factor.

In children, many experts associate the development of the disease with maternal hormones remaining in the child’s body, which can disrupt the normal functioning of the sebaceous glands.

The nature of the disease is also influenced by the environment and weather factors.

In autumn and winter, the disease usually worsens. A humid climate provokes the rapid proliferation of pathogenic fungi.

Causes

The occurrence of the disease is always based on the growth and active reproduction of a yeast-like fungus of the genus malassezia. It lives in the pores of the dermis and feeds on sebum. Experts classify this microorganism as a conditionally pathogenic one, which does not make itself felt until it receives favorable conditions or a kind of impetus for development.

There are many reasons why malassezia begins to multiply intensively:

• hormonal disorders. They can occur due to taking certain medications, as well as as a reaction of the body to pregnancy, childbirth, menopause;
• malfunctions in the functioning of internal organs. At risk are people suffering from pancreatitis, gastritis, ulcers and other chronic ailments;
• problems with the nervous system, mental illnesses (schizophrenia, epilepsy, others);
• depression, stress, fatigue are one of the most popular causes of seborrheic dermatitis on the head in an adult;
• persistent chronic infections;
• immunodeficiency in any of its manifestations (HIV, AIDS), as well as any deterioration of the body’s defenses;
• vegetative-vascular dystonia;
• ailments related to gynecology/andrology, including tumors of the reproductive organs;
• disorders of the thyroid gland also negatively affect hair;
• genetics.

Attention! Doctors emphasize: since seborrhea of ​​the scalp is not contagious, only the peculiarities of the sebaceous glands (hyper- or hypofunction) can be inherited.

In addition to the direct causes of seborrhea of ​​the scalp and fungal growth, there are several factors that increase a person’s susceptibility to oily hair, dandruff, itchy skin, and other symptoms of dermatitis:

• insufficient or too much vitamins and minerals in the body;
• unhealthy lifestyle (snacks on the run, lack of physical activity, bad habits);
• an unbalanced diet may also be the culprit for the fact that you are tormented by seborrheic dermatitis on the head;
• influence of weather factors;
• neglect of personal hygiene, neglect of hair washing, facial skin care;
• using cosmetics that are not suitable for your hair type;
• abuse of aggressive salon procedures (deep peeling, photorejuvenation and others)

Even frequent hair coloring or perming can make the skin too dry, prone to flaking and the appearance of white flakes.

Stages

The disease goes through a number of stages. The task of the patient and doctors (diagnostics allows this) is to capture it at the very beginning.

During the first stage, small red spots appear on the face and parts of the body.

During the second, the surface of the spots becomes covered with scales and crusts, and peeling begins. The person feels burning and itching. Sometimes the patient (especially if it is a child) has a fever and may experience diarrhea.

The third stage (to which we must try not to bring the situation) characterizes the spread of the disease to other parts of the body.

In addition, focal infection leads to hair loss. To restore the patient’s hair, a trichologist must be involved in the treatment.

The causes, signs and symptoms, as well as photos of atopic dermatitis in children can be found in our material.

The causes and treatment of neurodermatitis with folk remedies are described in the article at the link.

Reviews of Locobase Ripea cream and its analogues are presented here:

Shampoo for seborrhea of ​​the scalp

You should purchase shampoos containing zinc and tar that act against fungus. It can be:

• Dandruffed;
• Zincon;
• Algopix;
• Friederm-zinc;
• Friderm tar;
• Nizoral;
• Elf;
• Sebazon.

These shampoos not only eliminate dandruff, but also relieve itching, flaking, stop the spread of fungus, and reduce the production of sebaceous secretions.

What should be the composition of such a shampoo:

• Ciclopirox kills infectious agents.
• Medical tar eliminates peeling.
• Ketonazole is able to neutralize the harmful effects of fungi on the skin.
• Zinc pyrithiones prevent the inflammatory process.
• Selenium sulfides. These components stop the spread of fungal infection.

The duration of treatment with shampoo should be no more than a month. Good products do not contain parabens or fragrances. Zinc-containing products speed up the healing process.

Types of seborrhea of ​​the scalp

Although different types of seborrhea have many similarities, the treatment regimen in each specific case has its own characteristics and differences.

One patient will be helped to recover by zinc ointment, another by sulfur ointment or apple cider vinegar.

If the doctor has developed a treatment plan depending on the diagnosed type of seborrhea, it must be followed strictly, following all the recommendations step by step.

Fat

This form of the disease is characterized by increased activity of the sebaceous glands. Most often observed in adolescents and young men .

It is characterized by an abundance of acne and the characteristic oiliness of the affected areas of the skin.

Dry

With this type of disease, the skin looks unnaturally dry (moisturizing with water, ordinary shampoos do not bring positive results), and cracking may occur.

All this is a consequence of the low efficiency of the sebaceous glands. Typically, this type of seborrhea affects adolescents who have not entered puberty.

What is dry seborrhea?

Mixed

In this case, the symptoms of the first two types of seborrhea are mixed. The same patient may experience both areas affected by oily seborrhea and dry lesions. This disease most often occurs in men.

Seborrheic dermatitis on the face: symptoms, treatment

Seborrheic dermatitis on the face is one of the manifestations of seborrhea, which in turn is widespread everywhere. The majority of the population suffered from this disease at various periods of their lives. In most cases, men, adolescents and infants are affected by the pathology. On the head, seborrheic dermatitis develops mainly in childhood in the form of specific seborrheic crusts, but as the child grows, the pathology subsides. There are three types of manifestations of seborrheic dermatitis:

• dry seborrhea - in this case, the secretion of sebum is reduced, and skin damage is caused by excessive drying and cracking. In most cases, the dry form of seborrhea is observed in childhood;
• oily seborrhea – characterized by increased activity of the sebaceous glands, which secrete excess amounts of sebum. With this form of pathology, a change in the composition of the skin microflora is observed;
• mixed seborrhea – characterized by a combination of symptoms of oily and dry seborrhea. In this case, signs of dry seborrhea are observed mainly on the scalp, while oily seborrhea manifests itself in the form of seborrheic dermatitis on the skin of the face.

Treatment of this pathology requires a long time and is supportive, since the pathology tends to occur in a chronic form. In the summer, the symptoms of the disease weaken; in the autumn, on the contrary, an exacerbation is observed. Chronic dermatitis affects about 5% of the population. Seborrheic dermatitis is not a dangerous disease, but it causes psychological and cosmetic discomfort.

Symptoms of seborrheic dermatitis

Seborrheic dermatitis, or seborrheic eczema, is an inflammatory process on the skin that occurs when bacteria enter the sebaceous glands. At the same time, sebum decomposition products begin to be released, which leads to the development of severe skin irritation. A complication of oily seborrhea is the appearance of acne. They are formed when the gland ducts are blocked by clots of sebum and particles of dead skin. When bacteria penetrate the sebaceous gland, an inflammatory purulent process occurs in the deep layers of the skin. Signs of seborrheic dermatitis on the skin of the face:

• itching begins to intensify with sweating;
• facial redness;
• skin irritation;
• yellow and white scales on the skin;
• peeling of the skin;
• soreness and sensitivity of the skin;
• the occurrence of acne.

In most cases, the skin in the area behind the ear is damaged, the forehead, eyebrows, cheekbones, wings of the nose, glabella, and nasolabial folds are affected. The onset of pathology is usually acute and occurs gradually. The clinical picture in the presence of seborrheic dermatitis on the face is identical to other skin pathologies; only a dermatologist can exclude them during the examination and thorough diagnosis. These are the following pathologies:

• pityriasis versicolor;
• impetigo;
• psoriasis;
• perioral dermatitis;
• atopic dermatitis;
• dermatomyositis;
• skin candidiasis;
• systemic lupus erythematosus.

Causes of seborrheic dermatitis

The causes of seborrheic dermatitis are currently not fully understood. In most cases, it develops in adolescents during puberty; the occurrence of pathology is associated with a sharp increase in the level of sex hormones in the body. As the teenager grows, the hormonal levels begin to stabilize, and signs of pathology disappear. Treatment of pathology in adolescence consists only of techniques that give a local effect. When an older person begins to develop the clinical picture of seborrheic dermatitis, there may be several reasons:

Genetic predisposition

Quite often, this disease is familial, since the function of the sebaceous glands is determined at the genetic level. Typically, a patient with seborrheic dermatitis has relatives with the same pathology.

Hormonal reason

Medicine has established that androgens, the male sex hormone, are an extremely powerful stimulator of sebum secretion, so seborrhea usually affects males. The sudden onset of seborrheic dermatitis in a man may be a sign of the presence of oncological pathology - testicular seminoma. In females, seborrhea can develop with a decrease in the production of estrogen (female sex hormone) and a significant increase in the secretion of progesterone and androgen. These hormonal changes in women are observed against the background of gynecological pathologies, for example, polycystic ovary syndrome or obesity.

Other pathologies of infectious and non-infectious nature

The degree of efficiency of the sebaceous glands depends on the general condition of the human body, the state of the immune system and other organs. Seborrheic dermatitis can occur against the background of the following pathologies:

• chronic infectious diseases;
• lack of vitamins, insufficient nutrition, overwork, chronic stress;
• diseases of the gastrointestinal tract;
• diabetes;
• while taking hormonal drugs - contraceptives, anabolic steroids;
• infections of the central nervous system, epilepsy, schizophrenia;
• tumors of the adrenal glands or genital organs.

Treatment of seborrheic dermatitis on the face

Therapy for this pathology should begin with determining the cause of the disease. Since seborrheic dermatitis can also occur against the background of other pathologies, seborrhea cannot be eliminated without effective treatment of the primary disease. If signs of skin pathologies are detected, you should consult with specialized specialists:

• dermatologist (first of all) – contacting this specialist is required for all patients with skin manifestations;
• andrologist for men;
• gynecologist for women;
• gastroenterologist;
• neurologist;
• endocrinologist

Depending on the condition of the skin, its elasticity, moisture, oiliness and type of seborrhea, the area of ​​the affected area, the specialist will prescribe a diet, local and general procedures for seborrheic dermatitis on the facial skin. Therapy should begin with gentle means with a gradual transition to stronger ones. The main rule of dermatology is the expression - the more acute the process, the milder the treatment. As of today, several medications have been developed that normalize the functioning of the sebaceous glands; accordingly, treatment is aimed at reducing the severity of individual symptoms. In order to increase the effectiveness of therapy, it must be comprehensive. It is necessary to combine sedatives, antifungal and antihistamines, diet, vitamin therapy, and the use of ointments, creams and lotions.

Recommendations regarding the treatment of seborrheic dermatitis

Eliminate disturbances in the gastrointestinal tract

Medicine associates the presence of various dysfunctions in the gastrointestinal tract with the formation of seborrheic dermatitis on the patient’s face. Therapy for this pathology directly depends on the normalization of the microflora in the intestine. Initially, you need to do a comprehensive examination after consulting a gastroenterologist. The work of the intestines, stomach, pancreas, and biliary tract is examined. Based on the test results, the doctor may prescribe the use of choleretic drugs (Sibektan, Gepabene, Artichoke extract, Odeston, Hofitol, Berberine), medicinal sorbents (Enterosgel, Filtrum STI, Polysorb ", "Polyphepan"), digestive enzymes ("Penzital", "Creon", "Pancreatin", "Biozim", "Mezim"). Choleretic drugs and enzymes help normalize the functioning of the gastrointestinal tract, while sorbents perfectly cleanse the intestines and remove toxins of bacterial origin, allergens, medications, and pathogenic microorganisms from the body.

Eliminate all concomitant pathologies that can provoke the progression of dermatitis on the face

As mentioned above, these are endocrine disorders, hormonal imbalances, the presence of recent infectious diseases, pathologies of the central nervous system - all of them have a negative impact on the development of seborrheic dermatitis.

Ultraviolet irradiation

Irradiation with small doses of ultraviolet radiation is quite effective and can reduce redness, itching, quickly relieve the inflammatory process and normalize the functioning of the glands. After the procedure, you may experience minor discomfort and redness in areas of the skin, but such symptoms are reversible and should not be a cause for concern.

Drugs that have a detoxifying effect

For therapy, it is very effective to use drugs that have desensitizing, detoxification, decongestant, anti-inflammatory and anti-scabies effects - these are drugs, including sodium thiosulfate, calcium chloride. They allow you to remove toxins from the body and prevent the development of allergic reactions.

Normalization of the functions of the autonomic nervous system

For these purposes, tranquilizers, belloids, bellaspon, and bromcamphor are used.

Vitamin therapy

The use of vitamin therapy for seborrhea has an excellent effect, especially vitamins B2, B1, E, A, C.

Treatment with corticosteroid drugs

External therapy with corticosteroids is very effective and allows you to quickly achieve the desired result; such drugs can relieve redness, swelling, and inflammation. However, the use of hormonal drugs can lead to the development of unwanted side effects. An addiction effect develops, local vasodilation occurs, atrophy of skin areas may occur - the appearance of rosacea, telangiectasia, erythema. Such phenomena indicate the fact that it is necessary to limit the use of drugs and use them only in cases of extreme necessity and only in short courses.

There is a drug called Skin-Cap, which has antibacterial, antifungal and antiproliferative effects. This product is created for external use. If such a drug is recommended by the attending physician, then it is worth remembering that the drug contains clobetasol propionate, which is a powerful synthetic glucocorticosteroid, although there is no mention of it in the instructions, so you need to take into account its effect on the body and immediately discuss possible side effects with your doctor.

Shampoo with ketoconazole cream

The product can be used as a remedy for daily body hygiene; you can also use antimycotic, tar and zinc shampoos; while washing, you should wash your face with foam. This needs to be done daily. Cream containing ketoconazole also gives excellent results. You can try using antimycotic shampoo "Sulsena" paste 2% of. Numerous patient reviews indicate the benefits of this drug.

Local therapy for oily seborrhea

Aimed at degreasing the skin and reducing the amount of sebum secreted by the skin glands. In the absence of pustules, treatment should begin with the removal of flat blackheads (comedones). This manipulation is carried out either by mechanical techniques - skin cleansing, or using salt compresses and other procedures similar in effect. Facial cleansing should be carried out exclusively in beauty salons, since this is a complex procedure that requires appropriate skills and involves a certain stage - poultice, steam bath, paraffin mass and only then mechanical removal of comedones from the skin.

In severe cases of oily seborrhea, treatment with the use of female sex hormones is possible, but only under the close supervision of an endocrinologist. Such substances are used two days after menstruation, and the course ends a week before the start of the next menstruation. External estrogenic substances can be used for males for a longer period, for one and a half to two months.

In the presence of acne and the appearance of an inflammatory process in the sebaceous glands, therapy is supplemented by the use of ointments and creams with an antibacterial effect. You can wipe the skin with an aqueous solution of 1-2% sodium thiosulfate, 3-5% purified sulfur, sodium tetraborate or sodium bicarbonate. When the inflammatory process subsides, it is worth switching to alcohol solutions, such as salicylic alcohol, boric acid, tincture of lily of the valley, hawthorn, and valerian.

It is optimal to use lotions and mash; for example, you can use the “Tsidol” mash twice a day, which in a short time allows you to stabilize the inflammatory process on the skin. A decoction of oak bark with honey (proportions: 1 teaspoon of honey per glass of oak bark decoction) helps greatly in the presence of oily seborrhea; rubbing is also done twice a day. Lotions made from infusions of string, chamomile, and sage are effective. If crusts and scales affect the eyelids, they can and should be removed using special liquids with precise ophthalmic dosages.

Local therapy for dry seborrhea

It consists of wiping areas of damaged skin with aqueous solutions of sodium bicarbonate, salicylic, citric, boric, hydrochloric or acetic acid. The therapy is also complemented by lubricating the skin with shaken suspensions of sulfur and ichthyol. After the acute manifestations subside, exfoliating preparations are prescribed, which help achieve the separation of comedones. Very useful in case of dry seborrheic dermatitis are creams with vitamins E, A and medicinal herbs.

The newest American drug MG 217 medicated Tar, which is available in the form of shampoos and oils

Both oil and shampoo are allowed for use in the presence of psoriasis and seborrhea. This is a special therapeutic-moisturizing composition that contains coal tar (in oil - 2%, in shampoo - 3%). Use shampoo twice a week, just like regular hair shampoo. The oil should be used 1-4 times a day and applied to areas of direct damage to the skin.

Proper skin care

In addition to drug therapy, proper daily facial skin care is also very important. It is best to avoid contact of the skin with water, so do not use cleansing lotions designed to cleanse the skin. All drugs should not have an irritating effect.

Use of immunomodulatory drugs

It is also possible to use drugs whose action is aimed at stimulating the immune system, for example, Pimecrolimus-Elidel, which has an antifungal and anti-inflammatory effect. But it can be used in cases where previous therapy did not have the desired effect and did not allow progress in curing the pathology. It is also worth noting that frequent and prolonged use of immunomodulatory drugs can lead to dire consequences.

Maintaining an appropriate diet

If during the treatment of pathology you do not adhere to a certain diet, then the result of treatment significantly loses its effectiveness. Nutrition should be aimed at limiting carbohydrates, salt, coarse fats, cholesterol-containing, spicy foods, and it is also advisable to reduce the amount of alcohol, coffee and chocolate consumed. It is recommended to adhere to a vegetarian diet with an increased amount of fruits, salads, vegetables, and vinaigrettes.

Seborrheic eczema and blepharitis

Seborrheic blepharitis (also called scaly) develops its activity on the patient’s eyelids, affecting the eyelashes and sometimes the eyebrows. This creates great discomfort for a person and negatively affects vision.

Seborrheic eczematid (or seborrheic eczema) is mostly facial seborrhea, sometimes it affects the upper body. There is an increase (including visual) of the sebaceous glands.

Experts consider this condition to be one of the signs of HIV infection, and therefore warn about the need for early diagnosis.

Main symptoms

How to determine that a person has seborrhea of ​​hair?

1. If clothing is densely strewn with unpleasant-looking white scales, this indicates the so-called oily seborrhea. At the same time, the skin itself is quite dense to the touch, shiny, and upon closer examination looks like the peel of an orange - the pores are so open. Due to excess fat, additional skin diseases appear, including eczema.
2. Dry seborrhea is also accompanied by itching, and the epidermis is full of spots. Sometimes it feels like there is an invisible helmet on your head, the skin is so tight. The use of nourishing masks in this case is simply necessary.

Seborrhea of ​​the head can also be of a mixed type, when the patient has all of the above symptoms, which can replace each other or simultaneously appear in different places of the skin.

Pimples on the scalp are also likely to occur. But in most cases, they are manifestations of concomitant pathologies.

Methods for treating seborrheic dermatitis in children (infants) and adults

A patient can be cured only by using the entire arsenal of medical means and techniques developed specifically for this disease.

First of all, an analysis is needed to make an accurate diagnosis . Then - prescription of medications, nutritional recommendations. Other medicinal cosmetics will also be required.

Women will temporarily not be able to dye their hair or lighten it using hydrogen peroxide – health is more important.

Folk remedies at home

The treatment process for seborrhea is usually long, so traditional methods of using natural, safe ingredients can play a positive role.

Here's what can be useful for masks, rubbing, and treating damaged skin:

• Burr oil;
• a squeeze of sea buckthorn berries combined with olive oil;
• burdock root extract;
• tansy decoction prepared in a water bath;
• infusion of meadowsweet roots.

Many other medicinal herbs are used to prepare infusions, which are taken orally as anti-inflammatory and tonic.

The following video will tell you how to cure seborrhea (dandruff) at home using clay, soap, soda, vinegar, aspirin, and henna:

Medicinal (drugs)

Seborrhea is not always an independent disease; very often a person needs to treat not only the skin, but also, for example, the nervous system and stomach.

In addition to the dermatologist, the treatment involves a therapist, an endocrinologist, a gynecologist, an andrologist, and other specialists.

The patient may be prescribed drugs to strengthen the immune system, vitamins, antifungal drugs, hormonal drugs - tablets and ointments, and in some cases - antibiotics.

Due to the difficulty of making a diagnosis and choosing the optimal medications, self-medication for patients with seborrheic dermatitis is strictly contraindicated.

However, to get an idea of ​​what products are commonly used, let's name some pharmaceutical drugs:

• Ketoconazole - can effectively fight fungus, restores hair structure;
• Fluconazole - helps against various skin inflammations, including lichen;
• Curiosin - used for complex therapy, restores damaged skin, treats poorly healing wounds;
• Aldazole is effective if seborrhea is complicated by parasitic infections.

Recently, the Darsonval apparatus has been used to treat seborrhea. It affects the patient's skin with high-frequency pulsed currents, providing delicate facial care (cures eczema, rashes, swelling, dandruff).

Ointments and creams

The choice of ointment and cream also cannot be random. Each drug has its own characteristics. Here are some options:

• Belosalik ointment - effective for dry seborrhea, relieves itching and swelling;
• Salicylic ointment – ​​has drying properties;
• Bepanten – ensures restoration of damaged skin, recommended for infants;
• Momederm - ointment intended for local treatment of skin diseases, can be used for children over two years of age;
• Sulfur ointment is the best inexpensive remedy for treating thick seborrhea;
• Videstim – accelerates regeneration processes;
• Tsindol (chatter) - helps to defeat dandruff, relieve inflammation, can be prepared at home; instructions for use and reviews of Tsindol can be found at this link;
• Elokom is an effective anti-inflammatory agent;
• Solcoseryl - heals wounds on the skin well;
• Akriderm – stops the inflammatory process, relieves itching;
• Zinocap (cream and spray) – fights fungus, has a good drying effect;
• Elidel is an anti-inflammatory medicine that can be used for a long time (including for children from three months old) without the danger of addiction and side effects;
• Clotrimazole - effectively neutralizes harmful microorganisms.

This video will tell you about the treatment of dry and oily seborrhea with tablets, creams and ointments:

Medicinal shampoos

If you have seborrhea, you cannot use regular detergents; you will need special medicated shampoos. We wrote about how to choose a shampoo for seborrhea here.

Among the most popular are shampoos Ketoconazole, Nizoral, Danex. They, like other similar products, have an anti-inflammatory, antifungal effect, and have a moisturizing effect.

Shampoos are recommended to be used as a therapeutic agent from two weeks to a month, depending on the severity of the disease.

Sometimes it becomes necessary to combine (use simultaneously) two types of shampoo: one with an antifungal effect and one containing zinc.

Diet

We talked about the diet for seborrheic dermatitis in a separate article. The main task is to remove allergenic foods from the table (nuts, mushrooms, honey, milk, citrus fruits).

Salt should be used in minimal quantities. You should eat less foods rich in carbohydrates.

The “liquid component” of the diet must be strictly followed: one and a half liters of water, juices, herbal teas - the mandatory minimum for an adult.

Masks for hair and scalp

Masks are effective against seborrhea, and there are many options.

Onion: prepared from one medium-sized onion, a tablespoon of aloe juice and the same amount of honey, two teaspoons of dry mustard (pre-diluted with water) and one yolk.

This mask is kept on the hair for an hour, hidden under film and wrapped in a terry towel.

Mustard: mix two teaspoons of mustard (also pre-dissolved in water), a tablespoon each of cognac and aloe juice, one yolk, one teaspoon of calendula alcohol tincture.

Apply to unwashed hair and leave for 40 minutes, wrapping it well in a towel.

Cedar oil: take cedar oil in equal quantities (essential oils are generally effective against seborrhea), strong black tea and vodka. Rub into hair roots and wash off after one and a half to two hours.

How much does it cost and how is Mustela shampoo used correctly for seborrheic crusts in children? Our publication will tell you about this.

Reviews of oil for stretch marks La-Cri Mama are presented for review in our material.

Seborrheic dermatitis - treatment with folk remedies

In addition to the main therapy, there is treatment of seborrheic dermatitis with folk remedies at home:

• lotions with tea tree oil;
• dressings from herbal decoctions: string, sage, calendula, plantain;
• Elimination of itching by rubbing the skin with a solution of lemon juice and onion gruel;
• increasing immunity by taking propolis, mumiyo, echinacea, lemongrass, ginseng, eleutherococcus;
• treatment with antibacterial tar soap, burdock oil mask for hair.

How to treat women during pregnancy and breastfeeding

The trigger for seborrheic dermatitis can be hormonal changes in the human body, so the disease can be detected in a pregnant woman, and if it has already been diagnosed before, there is a high risk of exacerbation.

Seborrhea of ​​the scalp and ears is noted, rashes can also be on the back.

Treatment must be coordinated with a doctor and without his recommendation, do not use antiseborrheic drugs, which can be dangerous for both the mother and the unborn child.

One of the safest products is considered to be Uryazh brand products (emulsion, for example, is recommended even for infants from the first days of life).

Treatment

Drug treatment is used only after the exact cause of the external disease has been established. Moderate physical activity, taking vitamin complexes and saturated fatty acids are recommended.

Scalp care is carried out using special shampoos:

• Sulsena;
• Dandruffed;
• Ecoderm.

Sulsen shampoo tends to color hair, so it should be used with caution by women with blond hair.

Dry seborrhea of ​​the scalp:

• Dermazol;
• Algopix;
• Nizoral;
• Haar Vital.

Nizoral shampoo can be used by children and pregnant women.

Seborrhea oily dandruff:

• Avalon Organic;
• Sebazol.

Sebazole is good for use against dandruff in men.

Drug treatment includes drugs for fungus, pills that normalize hormonal levels, vitamins, and omega fatty acids.

Therapy:

1. Antimycotics.
2. Hormonal drugs that increase the level of progesterone in the blood in women, for men they inhibit the active production of androgen.
3. Vitamin complexes.
4. Omega fatty acids.
5. Diet.
6. Antihistamines.
7. Normalization of the gastrointestinal tract environment.

It should be noted that the active release of androgen in men can be associated with pathology of the genitourinary system, therefore, before starting treatment, it would not be superfluous to consult a urologist.

Seborrheic dermatitis

How to treat seborrhea?

The disease is not contagious, so during treatment it is enough to follow the usual rules of personal hygiene. But seborrheic dermatitis, caused by a fungus of the Malassezia genus - possibly due to close contact and insufficient hygiene.

Treatment for seborrhea of ​​the scalp includes:

1. Taking vitamins and omega fatty acids.
2. Restoration of normal gastrointestinal flora.
3. Using shampoos for seborrhea.

This treatment is suitable in the absence of such factors as the presence of neurology, the necessary use of hormonal drugs, and antibiotics. If there is at least one of the listed factors, then therapy should be carried out after the course of treatment of the underlying disease. During this period, you can only use means to eliminate the exacerbation of seborrhea.

Treatment of seborrhea in the presence of underlying diseases in the acute stage:

1. Taking vitamin complexes and fatty acids.
2. Diet.
3. For local use, use facial lotion, shampoo, creams.

You need to understand that taking antibiotics, steroids, and antipsychotics will not get rid of the disease. By using local remedies and taking care of the immune system, you can reduce the severity of the manifestations of dermatological diseases. Complete recovery is possible after completing the course of treatment for a chronic disease.

Diet for seborrhea

The treatment diet excludes eating:

1. Sweet, floury, buttery.
2. Hot, salty, smoked, spicy.
3. Alcoholic drinks, including beer.
4. Sweet carbonated drinks.
5. Fried.

Dietary food should consist of home-cooked dishes, steamed, baked with minimal addition of salt and spices. The diet includes eating white fish, white meat, and vegetables. During the treatment period, you should avoid eating fruits, dried fruits, compotes, jelly, jellies and juices.

Traditional methods

Treatment at home is carried out using the medicinal properties of oils and herbs. How to cure seborrhea at home? Therapy for the disease should be carried out comprehensively, however, with some contraindications, the sore can be treated using a traditional method. Home therapy takes longer, but is also effective for uncomplicated cases of the disease.

1. Medicinal decoction. – 0.200 g burdock root; – 0.05 g of celandine herb; – 1 l. boiled water. Grind the grass and roots, pour boiling water over them, simmer in a water bath for 10 minutes, then pour into a thermos. Use after 1 hour. Rinse your hair with the decoction after washing your hair.
2. Calendula decoction. – 0.05 g calendula; – 0.25 l. boiling water Pour boiling water over the herb, leave in a thermos for 2 hours, rinse your hair after washing.
3. Cognac solution. – 0.05 g cognac; – 1 yolk. Mix egg yolk with cognac and apply to hair roots and scalp. Wrap your head in a bag or film. Tie the top tightly with a scarf. Keep your head like this for 1 hour. After this, wash your hair. The procedure helps with dandruff and accelerates hair growth. Use 3 times a week, course 1 month.

In some cases, supportive care may be the main treatment. Specialist consultation and diagnosis are necessary; seborrhea is not treated equally for all groups of patients.

Disease prevention

Many people wonder if there are ways to prevent the disease. The risk is significantly reduced if:

• promptly treat diseases of the digestive system and endocrine system;
• maintain personal hygiene;
• use high-quality detergents;
• purchase underwear made from natural fabrics;
• eat normally, trying to eat less allergenic foods;
• monitor your own weight if you have a tendency towards obesity;
• avoid stress and emotional overload.

Symptoms of seborrhea

There is oily, dry and mixed seborrhea. Manifestations can affect the face and scalp, sometimes the neck is affected - for example, in men in the beard growth area. Symptoms may vary depending on the type and severity of the disease.

The most commonly found are:

1. With oily seborrhea of ​​the face - thickened skin, the first signs are the appearance of comedones (blackheads). Further, as the pores become clogged, further signs of the disease develop: acne, ulcers, redness at the site of the inflammatory process. This disease is called seborrheic dermatitis.
2. Dry seborrhea is more typical for the scalp and is characterized by dandruff - small scales that create itching and an unkempt appearance. Inflammation with dry seborrhea of ​​the head does not always occur, but baldness or alopecia occurs often.
3. Mixed form - inflamed areas similar to oily seborrhea against the background of dryness of the rest of the skin. It can appear on the face in the form of dermatitis, on the head, in the area of ​​facial hair growth in men.

In an attempt to get rid of seborrhea, people sometimes start washing their hair very often. This does not help against the disease; on the contrary, it aggravates the condition due to an additional violation of the pH factor.

There are special shampoos for seborrhea, usually with an antifungal effect, as well as facial care products, but these alone may not be enough.

Reviews

Lisa S.: “As soon as I was convinced that I had seborrhea, caring for my hair became, of course, more difficult - I need to regularly do healing hair masks. Two especially help me - from tincture of calendula and castor oil (I take it in a ratio of 10:1) and an egg mask with cognac. I wash it off with coltsfoot infusion. If you don’t do this, any improvement will quickly disappear.”

Natalya E.: “Once I came across a forum on the Internet about seborrhea, I read reviews of those who had been cured. By that time, I had all the prerequisites to receive this diagnosis myself - seborrheic dermatitis. I realized that it is very important not to let the disease progress. One girl wrote that burdock oil helps her. I also decided to rub it into my hair. I do this twice a month and have gotten rid of dryness and brittleness.”

Anastasia M.: “To cure seborrhea, you must definitely get to the bottom of the reasons, and if necessary, take various tests. For a long time I could not cure seborrheic dermatitis - it just doesn’t go away. Then I realized that it was at one time provoked by dysbiosis and cannot be treated while the intestines are still not in order. Now, I’m sure I can cope with seborrhea.”

Seborrhea: how to treat it at home

It's no secret that it is much better to prevent a disease than to treat it, and in this case, traditional medicine cannot effectively cope with it.
Her advice is inexhaustible, and most importantly accessible. What does traditional medicine recommend for the prevention and effectiveness of basic treatment?... There are a great many ways to treat seborrhea of ​​the scalp at home. I would like to point out that they are effective only in the initial stage.

When the disease is advanced, you should immediately contact a specialist. Traditional methods of treatment are an additional incentive.

All folk recipes are based on the antiseptic properties of plants, as well as on their high vitamin content. The antiseptic does not allow pathogenic flora to develop, therefore, the process of formation of seborrheic plaques fades, but does not disappear altogether. “Good” medicines include: honey, aloe, calendula, chamomile, oak bark.

Apple vinegar

Unfiltered apple cider vinegar acts as a strong antimicrobial agent and can be most successfully used to relieve seborrheic dermatitis. Vinegar is acidic in nature and helps eliminate infection-causing yeast from affected areas of the skin by raising the pH level of the skin.

1. Take half a glass of water in a bowl.
2. Add 2 tablespoons of raw, unfiltered apple cider vinegar.
3. Mix well.
4. Soak a cotton swab in the solution and apply to scaly or inflamed areas.
5. There may be a slight tingling sensation.
6. Leave on for 5-10 minutes, then rinse with warm water.

For best results, it is recommended to take apple cider vinegar as a drink:

• Add raw, unfiltered apple cider vinegar to 1 cup of warm water;
• You can start with 1 teaspoon for a week and then gradually increase the dose to 2 teaspoons and finally 1 tablespoon.
• Drink this mixture on an empty stomach in the morning every day.
• Continue the treatment for at least 1 week to get rid of seborrheic dermatitis.

Tea tree oil

Tea tree oil has powerful antifungal and antibacterial properties that help eliminate redness, inflammation, and crusting on the skin. Regular use of shampoo with a 5% concentration of tea tree oil will help keep your scalp clean; For seborrheic dermatitis on the face, you can use tea tree-based cream or lotion. An easy way is to simply add a few drops (3 to 5) of it to your cream or lotion bottle and mix well.

1. Dilute 6 drops of tea tree oil in 1 tablespoon of olive oil.
2. Soak a cotton swab in the solution and apply to the affected area.
3. Hold for 5-10 minutes.
4. Wash off the oil with a cloth soaked in warm water.
5. Do this mask once a day for 7-10 days to get rid of this annoying skin condition and prevent its recurrence.

You can also add 10-15 drops of tea tree oil to your shampoo bottle to get rid of scalp seborrhea or dandruff.

Coconut oil

Organic coconut oil has powerful antimicrobial and moisturizing properties that help relieve the symptoms of seborrheic dermatitis by killing the fungus that causes the disease.
Regular use of pure coconut oil helps reduce redness and inflammation while moisturizing dry and flaky skin caused by this condition.

Onion mask

1 egg yolk, add a tablespoon of honey and onion juice, mix all ingredients well, apply the mixture for at least 20 minutes. After time, rinse the hair thoroughly with plenty of warm water, then rinse with a vinegar solution (a tablespoon of vinegar per liter of boiled, warm water), this rinse will not only give the hair shine and softness, which makes it easier to comb, but also muffle the odor Luke.

Oak bark

Before the main shampoo, take a tablespoon of oak bark, steam it with boiling water in a glass, leave until it cools completely, strain and add a tablespoon of honey. Mix well and apply to the scalp and hair with a cotton pad and leave for 20 minutes.

Soda

Soda solution, ideal for both the scalp and the entire body:

1. Take half a teaspoon of baking soda.
2. Add half a glass of water.
3. Mix well to obtain a foamy solution.
4. Dip a cotton swab into the bowl to absorb the prepared solution.
5. Apply to damaged areas of skin.
6. Leave on for 5-10 minutes and then rinse off with cool water.
7. You can rinse your hair and especially affected areas with apple cider vinegar to restore the acidity of your skin.
8. Use this baking soda solution every two days for 2 weeks to successfully treat seborrhea.

The main thing is that if any problems arise, contact specialists immediately for correct diagnosis and the correct treatment method. You cannot perform any independent actions.

Traditional medicine

Traditional medicine offers many remedies for the treatment of dandruff.

Masks

Homemade masks will help in the early stages of the disease , when dandruff is not yet pronounced. List of recipes:

• mix castor oil, vodka and strong tea , 1 tablespoon each, rub into the scalp, leave for two hours, rinse;
• apple cider vinegar into the scalp , leave for an hour, rinse;
• Apply fatty kefir , leave for half an hour, rinse;
• mix the yolk with honey, sour cream, cognac (1 tablespoon each), rub into hair, wrap in film, rinse after 2 hours);
• mix birch tar (2 teaspoons) with castor oil (1 tablespoon) and alcohol (1/2 cup) , leave on your head for 2 hours, rinse.

Important : folk recipes will help not only get rid of dandruff, but also improve the condition of your hair.

Oils

The following essential oils are considered effective in the treatment of dandruff : orange, bay, clove, spruce, cedar, cypress, lavender, frankincense, lemon, lemon balm, juniper, peppermint, patchouli, rosemary, chamomile, sandalwood, pine, tea tree, sage and eucalyptus.

To cure seborrhea with their help, you must:

• add 1-2 drops of essential oil to a portion of the shampoo you use to wash your hair;
• dissolve 1-2 drops in herbal decoctions to rinse hair (first dissolve the ether in a pinch of salt, then add to the decoction);
• prepare the mixture: add 3-4 drops of ether to a fatty base oil, rub into the scalp, leave for an hour, rinse.

Any fatty oil can be used, but jojoba, cedar and Monoi de Tahitian are preferable .

Find out more about the use of various folk remedies for dandruff:

• salt, soda, eggs, apple cider vinegar, aspirin, laundry and tar soap;
• masks : with egg, for itching and hair loss, for oily hair;
• essential oils : castor, burdock, tea tree;
• herbs : nettle and celandine.

Methods for diagnosing seborrhea. Diet and lifestyle recommendations

Seborrhea is a disease that occurs due to a whole complex of functional disorders of the body. Therefore, when diagnosing pathology, it is necessary to resort to a combination of techniques, including:

• Studying the patient's medical history, studying previous diseases.
• Conducting laboratory tests - biochemical blood tests and blood tests for hormones.
• Examination of the scalp and hair.
• Ultrasound of the abdominal cavity, thyroid gland.

For seborrhea, it is recommended to eat fermented milk products, vegetables and fruits rich in vitamins, microelements and fiber. But you should avoid spicy and fatty foods and canned foods. It is recommended to limit the consumption of salt and flour.

Useful for seborrhea, and for health in general, are walking, sports, and healthy sleep. Often patients with scalp disease are prescribed sulfur and mineral baths and sedatives.

Prerequisites for the development of seborrhea

Skin is a unique component of the body. It is she who protects other organs and maintains the constancy of the internal environment. This is achieved thanks to the special structure of the skin. Its mechanical density is given by its multilayer structure, and its elasticity by its chemical composition. The skin consists of three main parts:

• epidermis. This is the top layer of skin that resists environmental factors every day. It is constantly renewed due to the cells of the lowest layer - the basal layer. From the upper one - the horny one - dead scales are peeled off every day;
• dermis. Its structure is similar to wicker furniture. It is characterized by the same density and ability to withstand mechanical stress;
• hypodermis. It consists of identical cells - adipocytes - filled with fat. This fabric's structure is an excellent shock absorber.

  The skin is made up of several layers

Nature has provided protection for the body from overheating and pathogens. The skin contains hair follicles. Hair protects the body from overheating and hypothermia. There is especially a lot of hair on the scalp, in the immediate vicinity of which there are large vessels and membranes of the brain, sensitive to temperature changes.

Hair follicles accompany the sebaceous glands. These structures lie deep inside the dermis, but are connected to the surface in the form of small openings - pores. Sebum is produced daily by the cells of these glands. It copes with several responsibilities at once: it gives the skin elasticity, protects it from dryness and irritation, and also has a detrimental effect on pathogenic microbes.

Sebaceous glands are located deep in the skin

Secrets of the skin - video

Seborrhea of ​​the scalp is a common disease in which the quantity and quality of the secretion of the sebaceous glands is impaired. The disease affects adults and children, but most often it begins during adolescence with hormonal surges. Seborrhea is prone to relapses and a protracted chronic course.

The term seborrhea has been known since ancient times. It is derived from the Latin sebum (fat) and the Greek rrhea (flow).

Treatment of seborrhea

Methods to get rid of seborrhea are closely related to the origin, location and extent of the lesion. Sometimes only specific creams or shampoos for seborrhea are enough; in other cases, prescriptions may include steroid drugs. There is no universal treatment package that would help without preliminary diagnosis; each case is individual.

Among the means used are:

1. Shampoos for seborrhea - purchased at the pharmacy, since those anti-dandruff products that can be bought in the supermarket are ineffective against severe lesions, especially against the background of fungal activity. In addition to shampoos, anti-Malassezia medications are available in the form of ointments, gels, and creams; they are applied both to the scalp and to the face.
2. If vitamin deficiency is diagnosed, then a set of drugs is prescribed to help achieve a balance of substances in the body in the form of tablets, less often - injections, and also in the form of ointments.
3. If an autoimmune reaction is detected: local antihistamines (ointments, gels) or general antihistamines (tablets) are prescribed.
4. To combat severe manifestations of seborrheic dermatitis, hormonal drugs in the form of ointments, such as Celestoderm and analogues, can be prescribed. These medications belong to the group of corticosteroids, therefore, although external exposure to the skin minimizes side effects, they cannot be used without a doctor’s prescription.
5. To eliminate inflammation in facial seborrhea, drying medications can be prescribed, but they are indicated only for severe oily forms of the disease, and are contraindicated for dry ones.
6. General sedatives are prescribed if abnormalities of the central nervous system are detected that affect the inflammatory process and impaired sebum secretion.

The patient should keep in mind that getting rid of seborrhea is not easy, therapy will take time. Additionally, a diet is prescribed that excludes fatty, spicy, and sweet foods; it is recommended to adhere to a daily routine to minimize stress that provokes itching and inflammation. Patients with severe forms of dermatitis may be prescribed hormone therapy in the form of injections. Persons with alopecia are additionally prescribed medications that stimulate normal hair growth.

Is the disease contagious?

Seborrhea is not transmitted from an infected person to a healthy person. However, the fungi that cause the disease can get on the skin through direct contact with the sick person. However, they are not immediately activated and can remain on the host for a long time without symptoms.

Manifestations of seborrhea occur with weakened immunity, disturbances in the body’s defense system, and various chronic pathologies. A small number of fungi - the causes of seborrhea - are found on the skin of any person , the difference is in their number and activity.

Seborrhea on the face (briefly about the disease)

First of all, you need to understand what it is - seborrhea on the face. It is not so difficult to recognize it, since it manifests itself as red inflammatory foci on the skin and hair, causing significant discomfort - unbearable itching, bleeding wounds after scratching.

If a secondary infection occurs, pustules may appear.

Usually the disease originates in the hair. This becomes noticeable when you need to wash your hair frequently due to its excessive greasiness. This is often accompanied by the appearance of dandruff and increased hair loss.

True, after treatment their growth is restored. If you ignore this picture, then seborrhea spreads to the face: eyebrows, bridge of the nose, wings of the nose and to the areas behind the ears.

Seborrheic dermatitis most often affects young people during puberty. However, as they grow older, the functions of their sebaceous glands begin to stabilize.

As a result, seborrhea goes away on its own. If the attack continues to attack from year to year, then it is worth worrying about the cause of this phenomenon - it is recommended to visit a dermatologist.

How to treat the disease?

As it turns out, seborrhea can be either an independent pathology or a concomitant one (provoked by others). Therefore, it is important to find and eliminate the original source, otherwise no treatment will give the desired result.

Despite the very deplorable clinical picture, you can get rid of such a nuisance.

So how to treat seborrhea on the face? Treatment is selected depending on the type. First, local therapy is used. In a situation where the hair and face are affected by oily seborrhea:

1. Use appropriate shampoos (with a neutral pH), creams and peelings, which contain substances that suppress pathogenic fungus. They also slow down the increased activity of the sebaceous glands.
2. The epidermis is systematically treated with salicylic or camphor alcohol. Baby powder or zinc (sulfur) powder dries well.
3. Cosmetic and medicinal products based on tar are used.

With the dry type of the disease, there is no need for long-term use of topical medications. But you will need to wipe the skin with boric or salicylic acid, sulfur-containing ointment, creams containing vitamins A, F and E.

Herbal decoctions and infusions of anti-inflammatory properties are no less effective in restoring the health of the epidermis.

When a mixed type of disease is diagnosed, it is recommended to use combined medicinal formulations.

conclusions

1. Seborrheic dermatitis is a serious dermatological pathology that causes a person considerable discomfort.
2. Symptoms: itching, redness, rash, swelling, plaques.
3. The ointment should be chosen by a doctor; do not abuse hormonal drugs on your own.
4. Ointments work best as part of complex therapy.
5. The average frequency of applying local products to the head is twice a day. We also recommend that you read the instructions for Skinoren cream in this material.

Remedies for dandruff and seborrheic dermatitis

When treating seborrhea of ​​the scalp, topical products are mainly used - shampoos, lotions, creams, ointments and mash. Anti-dandruff products in the form of shampoos are the most popular. They contain antifungal drugs, keratolytics and keratoregulators; they wash hair well.

• Remedies for dandruff and seborrheic dermatitis include drugs with antifungal activity - antimiotics, zinc salts, ciclopirox, octopirox and ciclopiroxolamine.
• Keratolytics are used to exfoliate dead cells: glycolic and salicylic acids, queluamide, papain, birch tar.
• The processes of zinc keratinization are regulated by pyrithioneate, octo- and ciclopirox, tar, selenium disulfide, ichthyol and essential oils of some plants.
• Oils are used to soften accumulations of scales.
• When inflammation develops, antihistamines and medications containing antibiotics and corticosteroids are used.
• For persistent seborrheic dermatitis, systemic antimycotic agents are used.
• Antiandrogens slow down the process of sebum secretion.

Rice. 2. Dry dandruff (photo on the left) and oily dandruff (photo on the right).

Reasons why seborrhea occurs

The trigger for the occurrence of seborrhea can be various types of serious diseases, for example, Parkinson's disease. Mental disorders - schizophrenia, manic-depressive or infectious psychosis, epilepsy can also trigger the occurrence of pathology. Disruption of the process of sebum secretion is also observed after long-term use of medications - progesterone, glucocorticosteroids, testosterone.

Another important reason causing the formation of pathology is a decrease in the barrier functions of the body. The fact is that yeast-like fungi (Pityrosporum ovale) are constantly present on human skin, the number of which in a healthy state is limited, and with increased production of sebum, it increases sharply. This is due to the fact that microorganisms form opportunistic microflora. For their vital functions they use the secretion of the sebaceous glands. If the protective functions of the skin are impaired, the body is not able to control the growth of fungal microflora. Fungi begin to actively multiply, causing the development of skin pathologies.

Symptoms

Symptoms and manifestations of seborrheic dermatitis can be confused with the following diseases:

• psoriasis;
• contact dermatitis;
• atopic dermatitis;
• lichen;
• rosacea on the face.

Seborrheic dermatitis on the face symptoms and treatment
Symptoms of seborrheic dermatitis are:

• redness of the skin, increased sensitivity to soap, cosmetics;
• itching;
• peeling;
• coarsening of the affected areas;
• the appearance of white and then yellow scales and papules on the face.

Note! It is difficult to make a diagnosis on your own without laboratory testing. At the first signs of skin irritation, you should consult a doctor.

The development of the disease occurs stepwise, increasing. Symptoms get worse over time. The areas affected by the fungus increase, the inflammatory process is added, and a complication arises in the form of acne on the face.

Redness of the skin on the face is accompanied by itching and swelling. In places where the skin naturally folds (behind the ears, near the nose, nasolabial folds), creases and cracks form, which can burst and bleed.

Exfoliated skin accumulates and becomes saturated with sebum, acquiring a yellow color and the appearance of solid crusts. If seborrheic dermatitis is not treated adequately, inflammatory processes will develop.

Inflammation is expressed in the appearance of a polymorphic rash. In the center of the scales, papules are formed - bubbles with liquid contents.

At the last stage of development of seborrheic dermatitis on the face, complete blockage of the sebaceous and fatty ducts and inflammation of the hair follicles are added. This is expressed in the appearance of persistent acne.

Seborrheic dermatitis on the face photos and types

The above symptoms and manifestations of seborrheic dermatitis on the face cause moral suffering to patients and greatly worsen the patient’s quality of life. However, with adequate and timely treatment, stable remission of the disease can be achieved. Maintenance therapy will prevent exacerbations from occurring.

Localization

Seborrheic dermatitis of the skin occurs in those areas of the body where most of the sebaceous glands are concentrated:

• cheekbones;
• chin;
• nasolabial triangle;
• eyebrows, eyelashes and forehead;
• nose;
• scalp and skin behind the ears;
• shoulders and interscapular area;
• breast.

But this is not a complete list of places where seborrhea appears. Other areas with increased sebum secretion may also be involved in the pathogenic process. In particularly difficult cases, a generalized type of eczema develops, affecting most of the body.

What it is?

Seborrhea is directly related to disruption of the sebaceous glands located in the scalp at the base of the hair follicle. The disease is caused by excessive or insufficient secretion of sebum and changes in its composition.

This term refers to a combination of fatty acids, salts, proteins and other substances secreted by the sebaceous glands of the head. A decrease in the quality of sebum is associated with a decrease in the percentage of linoleic acid in the composition.

At the same time, the microflora of the head changes and becomes favorable for the development of harmful microorganisms . The skin loses its antimicrobial properties, and inflammatory processes begin. If left untreated, seborrhea spreads to the chest, shoulders, and back.

Sebum is the secretion of the sebaceous glands

The sebaceous glands act as generators of sebum, which is necessary for the normal functioning of the human body.

• Protects skin from infections.
• Softens and protects the skin - thanks to sebum, the skin does not flake or crack.
• Protects skin from drying out.

Sebaceous glands are distributed throughout the skin of the human body. The structure of the glands is branched, resembling a tree. However, their distribution is uneven. There is a concept of “seborrheic zones” - areas in which sebaceous glands are densely concentrated relative to other areas of the body. The forehead, T-zone of the face, ears, scalp, shoulders, chest - all these are seborrheic areas that are more susceptible to the disease. Not all sebaceous glands are active; their number depends on:

• gender,
• person's age,
• hormonal status,
• climate.

In children, almost all sebaceous glands are inactive until the body enters the stage of puberty. With an increase in the volume of sex hormones, the action of the sebaceous glands is activated. In a healthy adult, the activity of the sebaceous glands is stable for a long time, and begins to decrease only with age. If, for any reason, functional disorders occur in the body, fertile soil is formed for the occurrence of the disease “seborrhea of ​​the scalp.” Treatment at home is not a sufficient measure, and if symptoms of the disease occur, it is imperative to seek medical help from a specialist.

Treatment methods for dry seborrhea

The development of treatment tactics for dry seborrhea is carried out taking into account the reasons that caused this disease. An important aspect of the selection of therapeutic methods is the degree of neglect of the condition and its form. To combat dandruff, as the first sign of a specific syndrome, local remedies may be sufficient, the main purpose of which is to restore the normal condition of the skin. As for advanced conditions, an integrated approach is important here, aimed not only at eliminating the characteristic symptoms, but also at eliminating the causes that caused the development of the disease.

Pharmacological treatment

The drug approach to treatment is based on the use of drugs that suppress the ailments that caused the development of seborrhea. In this case, specific groups of drugs are selected individually by the attending physician, taking into account the current picture of the disease. In the early stages, treatment for a dermatological problem is symptomatic. The following groups of medications can serve as the main therapeutic agents:

• vitamin and mineral complexes. To normalize the condition of tissues, it is necessary to ensure that the body receives vitamins (A, B, C, D, E) and minerals (sulfur and zinc) in sufficient quantities;
• hormonal drugs. Depending on the test results, the endocrinologist selects a set of hormonal agents aimed at restoring the patient’s hormonal balance;
• antimycotic drugs. If dry seborrhea is fungal in origin, antifungal drugs are used in tablet form or in the form of topical agents. The main pharmacological antimycotic products of general action can be used: Ketoconazole, Terbinafine, Fluconazole;

  Antifungal tablets Ketoconazole is one of the most common drugs used for dry seborrhea to eliminate its root cause.

• immunostimulants. To strengthen the immune system and restore the body's barrier properties, immunostimulating drugs, for example, echinacea tincture, Cycloferon, Imuran, can be included in the treatment tactics.

Topical preparations

One of the most important elements in the fight against dry seborrhea is the use of local medications. Such drugs should have antifungal, anti-inflammatory and antipruritic effects. The following names are most often assigned:

• sulfur-salicylic ointment. The product is intended for the treatment of inflammation on the scalp of all types, has a pronounced antiparasitic, antimicrobial and regenerating effect. The composition must be applied to the affected areas of the head twice a day (3 hours before washing the hair);
• hydrocortisone ointment. The drug has the ability to relieve unpleasant fishing sensations and swelling from tissues; it belongs to the category of hormonal agents. The composition is applied to the scalp twice a day, the course of treatment is no more than 10 days, unless the doctor prescribes a different period;
• sulfur-tar ointment. The drug has an antimicrobial and healing effect. It is recommended to apply to the skin once a day before bedtime;
• antimycotic ointment Mykozoral, the action of which is aimed at suppressing the pathogenic activity of the fungus. Additionally, the drug relieves the inflammatory process and eliminates itching. The product can be used during pregnancy, as it does not penetrate the placental barrier;
• local remedy Elconom, which suppresses itching, swelling and inflammatory processes of the scalp. Used once a day, the duration of the course is determined by the doctor.

Photo gallery: local preparations as part of the treatment of dry seborrhea of ​​the scalp

Mycozoral is an ointment based on ketoconazole, one of the most common antifungal substances

Elokom ointment is used for symptomatic therapy to relieve itching and inflammation of the skin.

Hydrocortisone ointment is a hormonal drug that eliminates inflammation and itching.

Sulfur-salicylic ointment is used to destroy pathogenic microorganisms in dry seborrhea and accelerates skin restoration processes

Treatment with folk remedies

Traditional therapy is an effective auxiliary method of combating dry seborrhea, however, not all recipes should be trusted. As part of the treatment program for a specific disease, it is permissible to use some herbal remedies, as well as oils and infusions. These compositions will speed up the restoration of the scalp, as well as improve the quality of hair growth. Under no circumstances should you use vinegar, salt or other substances that increase dermal irritation and have a mechanical effect during application. Let's consider the safest recipes for folk remedies:

• Mix 5 drops of burdock oil with a teaspoon of honey and one egg yolk. The resulting mass is applied to the scalp several hours before hygiene procedures. If the resulting volume of product is not enough, you can mix more components in the proposed proportion. The composition relieves inflammation, strengthens hair roots and prevents hair loss;
• 2 teaspoons of olive oil mixed with 5 drops of tea tree oil and 2 drops of rosemary oil. All ingredients are mixed and infused for ten minutes. Next, the composition is rubbed into the scalp, after which the product should be allowed to absorb into the scalp for half an hour. After time, your hair should be washed well using a suitable moisturizing shampoo. This product moisturizes the skin and strengthens the hair. This is an effective recipe for dry seborrhea, however, if after applying oils to the scalp, itching or any other allergic symptoms occur, the composition must be washed off immediately;
• Pour 25 grams of dry crushed oak bark into two glasses of boiling water and send the resulting composition to a water bath. After 5 minutes, remove the container from the heat and dissolve 2 tablespoons of honey in the broth. After the product has cooled to room temperature, rub it into the scalp, and after an hour, wash it off with shampoo. This recipe has a soothing effect, preventing skin flaking, and also has a pronounced anti-inflammatory and antipruritic effect. To carry out symptomatic treatment, 10 procedures, carried out every 2-3 days, are sufficient.

Physiotherapy

Physiotherapy sessions are used as an additional method of combating dry seborrhea and seborrheic dermatitis. The following methods appear to be the most effective:

• cryomassage. The procedure is carried out using a special device with an applicator that produces directed steam of liquid nitrogen or a nitrogenous mixture. The affected areas of the skin are treated with wide movements, as a result of which the functions of the sebaceous glands are restored, the processes of exfoliation of dead skin are normalized, swelling and local inflammation go away;
• Darsonvalization. Using a special device equipped with glass electrodes that conduct high-frequency current, the scalp is treated. Electrical discharges awaken dormant hair follicles, which leads to improved hair growth and also helps increase blood flow to the skin. This procedure allows you to restore the secretory and protective functions of the skin. The method is a tool for symptomatic therapy and allows you to cure the initial stage of dry seborrhea in 5–10 procedures.

  The darsonvalization procedure improves blood flow to the scalp and activates hair growth

Shampoos

Patients with dry seborrhea are required to use medicated shampoos. These products are recommended to be used throughout the entire treatment cycle 1-2 times a week. The specific product is selected depending on the picture of the disease:

• antimycotic (destroying cells of pathogenic fungi). The main active ingredients are ciclopirox, ketoconazole, zinc pyrithione;
• keratolytic (suppressive symptoms of psoriasis, including inflammation, peeling and itching). Active components - ichthyol, sulfur, salicylic acid;
• antibacterial (eliminating the pathological effect of bacterial infection on the skin). Active ingredients: crimbazole, octoprirox;
• anti-inflammatory (preventing the development of the inflammatory process and the production of cyclooxygenase). May include substances such as mint extract, zinc pyrithione or menthol.

Patient's nutritional characteristics

Nutrition correction is an important step not only in the treatment of dry seborrhea, but also in the prevention of its relapses. The main goal of therapy is to eliminate an environment that is comfortable for the development of fungi, in which nutrition plays a significant role. So, the patient should adhere to the following nutritional principles:

• exclusion from the diet of foods with preservatives, strong allergens (nuts, honey, seafood, etc.), smoked foods, fried and highly seasoned foods, and alcohol. Products that are highly likely to provoke an allergic response will only increase itching and flaking of the skin;
• daily predominance of fresh vegetables and fruits;
• consuming sufficient amounts of healthy protein (chicken, turkey, lean beef), fermented milk products and vegetable oils.

A prerequisite is to drink clean liquid in an amount of at least 1.5 liters per day. This is necessary to activate and normalize metabolic processes, which will have a positive effect on the condition of the skin.

Video: how to get rid of dry seborrhea

Prevention and prevention of relapse

To avoid the development of seborrhea or its recurrence, you must follow simple rules. Basic tips:

1. It is recommended to wash your hair 3 times a week. Shampoo should be chosen according to hair type, and facial care cosmetics depending on the age and condition of the skin. It is recommended to give preference to natural shampoos that contain tar, salicylic acid, zinc or herbal extracts.
2. Experts recommend spending time in the fresh air every day. At the same time, you need to dress according to the weather. You should not forget to wear a hat in the cold season, and a hat or cap in the summer.
3. Particular attention should be paid to nutrition. The diet should contain foods containing large amounts of fiber and vitamins. Priority in nutrition is fresh fruits, vegetables, berries and dairy products.
4. Periodically you need to take a course of vitamins. The name of the drug, dosage and duration of the course are prescribed by the doctor. To prevent seborrheic dermatitis, the vitamin complex must contain copper, sulfur, zinc and vitamins A, E and B.

Particular attention must be paid to mental health . Stressful situations and strong emotional stress should be avoided. If necessary, the doctor prescribes mild sedatives.

Systems approach

Considering the cause of the development of seborrheic dermatitis, the treatment course may include the following steps:

1. They take medications that have a positive effect on the skin glands: potassium bicarbonate, sodium thiosulfate, sulfur. They have antiseptic, anti-inflammatory and antiallergic effects. Thanks to this, scabies, redness are relieved and toxins are removed from the body.
2. Drink vitamin and mineral complexes to strengthen the body's immune capabilities.
3. Get rid of problems with the gastrointestinal tract. Treatment prescriptions are issued by a gastroenterologist based on examinations and tests. Usually, medications are prescribed that are choleretic and help normalize digestion.
4. Eliminate disorders of the central nervous and endocrine systems if they provoke seborrhea.
5. They resort to ultraviolet irradiation in small dosages to suppress itching.
6. Corticosteroid medications are used (externally). More often they are necessary when the disease becomes chronic or with repeated relapses. You cannot resort to such treatment for a long period, as it can become addictive and cause side effects.
7. They adhere to a special diet and completely exclude alcoholic beverages.

Ointments for dry seborrhea

This form of the disease can be recognized by the condition of the skin. It becomes very dry and lifeless, scales and small cracks appear on it. The person feels severe itching. This seborrheic dermatitis of the scalp can be cured using the following ointments:

1. Sulfuric ointment. This is an inexpensive, but quite effective remedy. The main thing is to apply it correctly. Use a comb to separate your hair into small sections. In the parting areas, carefully lubricate the head with ointment. Rub the ointment on each area for at least five minutes using light circular movements. This procedure is repeated twice a day for a week.

2. Sulsena paste. Helps eliminate itching, get rid of dead skin particles, give hair a beautiful look and shine. Apply it after washing your hair. The paste is gently rubbed into the skin in a circular motion. Leave the product on for 15 minutes. After this, it is simply washed off with warm water. Treatment lasts three months.
3. Nizoral. Preparations of this brand have an excellent antifungal effect. Visible results can be obtained after 10 days of treatment.

Treatment with ointments is very simple. You don't need any special preparation for this. Moreover, such drugs can be called one of the most effective.

Causes of seborrhea

The reason for the appearance of seborrhea lies in the incorrect balance of fats. It is caused by disturbances in the amount of hormones during puberty. A large amount of male hormones (in both sexes) causes the production of excessive amounts of fat.

The process of removing fat from the sebaceous glands is disrupted, which reduces the skin's ability to resist microbes. This creates a breeding ground for infections. Risk factors include:

genetic factor; disorders of the nervous system and psyche; gastrointestinal dysfunction; hormonal imbalance; chronic infections; dietary disorders; thyroid diseases; genital dysfunction; VSD; overwork; excessive consumption of salty, spicy foods and sweets; stressful conditions; neglect of hygiene; dysfunction of the endocrine system; negative impact of external factors.