Seboroik Dermatitis

7/28/2019 Seboroik Dermatitis

1/21

The Correlation between Seborrheic Dermatitis and Low

Values of B Complex Vitamins in the Body

Created by:

FERDY

030.08.102

Medical Faculty of Trisakti University

Jakarta, 8th June 2011

1

7/28/2019 Seboroik Dermatitis

2/21

TABLE OF CONTENTS

Cover..............................................................................................................................1

Table of Contents...........................................................................................................2

CHAPTER I: Abstract........................................................................................3

Background............................................................................................3

Problems.................................................................................................3

Limitation of problems...........................................................................4

CHAPTER II: Introduction................................................................................5

CHAPTER III: Seborrheic Dermatitis................................................................6

Seborrheic Dermatitis explanation.........................................................6

Seborrheic Dermatitis causes.................................................................6

Seborrheic Dermatitis clinical manifestations........................................7

Seborrheic Dermatitis diagnosed............................................................9

Seborrheic Dermatitis differential diagnosis........................................10

Seborrheic Dermatitis treatment...........................................................12

CHAPTER IV: Low Values of B Complex Vitamins..............................................13

Low Values of B Complex Vitamins explanation................................13

Low Values of B Complex Vitamins causes........................................15

Low Values of B Complex Vitamins symptoms..................................16

Low Values of B Complex Vitamins treatment...................................16

CHAPTER V: CORRELATION BETWEEN SEBORRHEIC DERMATITIS

AND LOW VALUES OF B COMPLEX VITAMINS IN THE BODY..........19

CONCLUSION...........................................................................................................20

REFERENCES...........................................................................................................21

2

7/28/2019 Seboroik Dermatitis

3/21

Chapter I

Abstract

Background

I choose this topic because the prevalence of these diseases (seborrheic

dermatitis and low values of B complex vitamins) is quite high in Indonesia. The

second reason is because of my experience with seborrheic dermatitis in my eyebrows

and nasolabial folds.

Seborrheic dermatitis is a disease that causes flaking of the skin. It usually

affects the scalp. In adolescents and adults, it is commonly called "dandruff."

Seborrheic dermatitis can also affect the skin on other parts of the body, such as the

face and chest, and the creases of the arms, legs and groin. Seborrheic dermatitis

usually causes the skin to look a little greasy and scaly or flaky.

Problems

Genetic, environmental, hormonal, and immune-system factors have been

shown to be involved in the manifestation of seborrheic dermatitis. Seborrheic

dermatitis may be aggravated by illness, psychological stress, fatigue, change of

season and reduced general health. It may also occur during times of stress or sleep

deprivation.

In children, excessive vitamin A intake can cause seborrheic dermatitis. Lack

ofbiotin,[pyridoxine(vitamin B6)[ andriboflavin (vitamin B2) may also be a cause.

Although many people consume foods fortified with vitamin B, the typical

American diet that is high in processed, cooked and microwavable food provides only

a fraction of the B-vitamins we need for good health. Because these vitamins are vital

to a vigorous long life, not getting them can lead to serious problems. B vitamins are

easily flushed out of the body, and people on weight-loss diets, alcoholics or those

who take antibiotics or seizure drugs are even more inclined to have vitamin B

deficiency.

3

7/28/2019 Seboroik Dermatitis

4/21

While it is safe for many people to take three times or more of the RDA

(Recommended Daily Allowance) for B-vitamins, each of us has unique requirements

based on our own individual physiology and lifestyle. Consequently, it is important to

check with a knowledgeable health professional before beginning a vitamin regimen

in order to determine your proper dosage. Because deficiencies usually include more

than one B-vitamin, and because the B-vitamins work best as a team, we should take a

B-complex supplement along with any single B-vitamin in order to achieve their

synergistic effects.

Limitation of problems

Learning about seborrheic dermatitis:

What is seborrheic dermatitis?

What causes seborrheic dermatitis?

What are the clinical manifestations of seborrheic dermatitis?

Being diagnosed:

How is seborrheic dermatitis diagnosed?

What are the differential diagnosis?

Getting treatment:

How is seborrheic dermatitis treated?

Learning about low values of B complex vitamins in the body:

What is low values of B complex vitamins in the body?

What causes low values of B complex vitamins in the body?

What are the symptoms of low values of B complex vitamins in the body?

Being diagnosed:

How is low values of B complex vitamins diagnosed?

Getting treatment:

How is low values of B complex vitamins treated?

4

7/28/2019 Seboroik Dermatitis

5/21

Chapter II

Introduction

This paper was conducted for the purpose of providing information to those

unaware and unfamiliar with the concepts and issues surrounding privacy and

information about the correlation between seborrheic dermatitis and low values of B

vitamin complex in the body. It should offer resources for further research and

exploration as it pertains to the readers needs. For those who are already familiar with

the topic, this paper would probably be more useful.

Seborrheic dermatitis is a chronic inflammatory condition of the skin that can

manifest at several stages in life. It is most common in infancy from birth to three

years. At this stage the disease is called cradle cap. The disease is not contagious in

infants and usually disappears within twelve months. Seborrheic dermatitis at this

stage is seldom itchy or irritating, but if scratched, the skin can become more prone to

other infections.

The second stage of life where seborrheic dermatitis can occur is post puberty.

The disease manifests as itchy irritable skin with visible flakes. It mainly is found on

the head, face and neck and may be believed to be a bad case of dandruff. Stress

seems to be a factor in the severity of the disease at this age.

The third stage where seborrheic dermatitis becomes prevalent is between the

ages of 30 to 60. Men seem to be more plagued with this disease than women. At this

age the disease can be found on the head or any part of the trunk of the body. It can

vary from a mild rash to very inflamed, itchy scaly skin.

The vitamin B group includes B1 (thiamin), B2 (riboflavin), B3 (niacin andniacinamide), B6 (pyridoxine), B7 (biotin), B12 (cobalamin), folic acid or folate,

pantothenic acid, biotin, inositol, and PABA (para-aminobenzoic acid). Vitamin B

complex improves the body's resistance to stress. Aids in digestion, promotes good

muscle tone, healthy skin. Vitamin B complex reduces muscle spasms, leg cramps,

hand numbness and helps regulate blood pressure. Vitamin B deficiency can cause

beriberi, digestive disturbances, degeneration of the sex glands, and neurological

problems.

5

7/28/2019 Seboroik Dermatitis

6/21

Chapter III

Seborrheic Dermatitis

What is seborrheic dermatitis?

Seborrheic dermatitis is a chronic inflammatory condition of the skin 1,2,3 which

based on constitutional factors,4,5 often found in hairy skin,1,2,6 especially on scalp,

eyebrow and face.1,2

Epidemiology

Prevalence of seborrheic dermatitis is approximately 3-5% population.2,3 Often

found on patient between 20-50 years, male is more than female. Prevalence increases

in patient with HIV and often found in people with Parkinson disease. In infants, can

be found seborrheic on the scalp which is called Cradle cap.3

What causes seborrheic dermatitis?

The cause is still unknown exactly.1,4,5 Only found overproduction of

sebaceous glands in infants and teenagers after puberty.1,2 Predisposition factor is

constitution anomally formed seborrheic state which inherited, the mechanism is still

unknown.5

Many experiments have been done to associate this disease with bacterial

infection orPityrosporum ovale (Malassezia ovale)1,2,3,5,6 which is normal flora in

human skin. OvergrowthP.ovale can cause an inflammation reaction,2,3,5 either effect

of the metabolite products that enter into the epidermal, or because of the fungal itself,

through lymphocyte T cell activation and Langerhans cell.5

Seborrheic dermatitis is closely related to sebaceous gland liveliness. The

Gland is activated when infants borned, then deactivated for 9-12 years because of

androgen hormone from mother is stopped. Seborrheic dermatitis in infants happened

6

7/28/2019 Seboroik Dermatitis

7/21

7/28/2019 Seboroik Dermatitis

8/21

Severe seborrheic dermatitis signed with presence of squamous and oily spots

accompanied by exudation and thick crust.5 Could affect eyebrows, forehead, bridge

of the nose, presternal are, region between scapula1, and neck.5 Mild blefaritis often

occured.1,5

In more severe form, all of the scalps covered by dirty crusts, and smells bad.

In infants, yellowish squamas and lot of debris that sticked on scalp is called cradle

cap.

Seborrheic dermatitis could together with severe acne. If it spreads can be

erytroderm, in infants called Leiner disease.5

According region of the lesion, seborrheic dermatitis is divided into three:1

1. Scalp Seborrheic

In hairy skin, found oily squama with yellowish colored so that hair becomes

sticky; sometimes found crust that called Pityriasis Oleosa (Pityriasis

steatoides).5 Sometimes the squama is dry and layered and often loose itself,

calledPityriasis sika (dandruff5). This kind of seborrheic can cause hair falls,

so that will be bald and itchy. The spread can reach into retroauricular. If it

spreads, the lesion can reach into forehead, called korona seboroik. Seborrheic

dermatitis which found in infants scalp is called Cradle Cap.1,5

2. Face Seborrheic

In mouth area, palpebral, nasolabial folds, chin, etc, found macula

erythematous, which on it are found oily squama yellowish colored. If it reach

into the palpebral, can cause blefaritis.1,5 Often found in women. If found in

hairy region, such as chin and upper lip, can occur folliculitis. This thing often

8

7/28/2019 Seboroik Dermatitis

9/21

found in men who always shave his beard and mustache. Face seborrheic in

beard area is calledsikosis barbe.

3. Body and Folds Seborrheic

These types involve presternal area, interscapula, axillary, under breast,

umbilicus, crural (thigh, perineal). Its seen rash forms macula erythema which

found oily yellowish squama on its surface. In the body, the lesion can shape

like a circle with central healing. In intertriginous area, sometimes can appear

fissure that cause secunder infection.

How is seborrheic dermatitis diagnosed?

Histological findings of seborrheic dermatitis are not spesific, its varieted

according to the stage of the disease. On epidermal, there are parakeratosis dan

akantosis. In corium, there are dilated blood vessels and perivasculer spurt. In acute

stage and subacute, epidermal had ortokeratosis, parakeratosis, also spongiosis. At the

edge of the widen and clogged by a mass of keratin hair follicles estuary, found

mound of parakeratosis which contained neutrofil. This finding is a characteristically

finding. At the upper dermis, there is a mild perivascular lymphohistiocytic spurt. In

chronic stage, the finding is almost same as the finding in psoriasis. 1

9

7/28/2019 Seboroik Dermatitis

10/21

What are the differential diagnosis?

1. Psoriasis1,2,3,5

In psoriasis, there are thick, rough, layered, pearly white and oilness

squamas, accompanied by dripping wax and Auspitz sign. The predilection

is different too. If the psoriasis affects scalp, it will be difficult to be

distinguished with seborrheic dermatitis. The differences are thicker and

white mica squama, skin disorders are also at the boundary face and scalp

and the other places according to the predilections. Inverse psoriasis

which affects flexor area is resemble such as seborrheic dermatitis.5

Psoriasis Seborrheic Dermatitis

2. Pitiriasis rosea1

In pitiriasis rosea, the squama is smooth and not oily. The lesion is in

parallel with the skin line.

3. Tinea capitis1,2,3

In tinea capitis, seen alopecia, sometimes found kerion. In tinea capitis,

erythema is more prominent on the edge and the edge is more active than

the center. It could be distinguished with culture or KOH (which found

long hyphae in tinea capitis).6

10

7/28/2019 Seboroik Dermatitis

11/21

Tinea Capitis Seborrheic Dermatitis

4. SLE with Butterfly rash2,3

Usually doesnt affect eyebrow, and in SLE abnormal blood laboratory

finding is found.

5. Rosasea2,3

Erythema on face, disorders such papules and pustules.

6. Kandidosis5

Theres vermilion erythema firmly bounded with satelites around.

Kandidosis Dermatitis Seboroik

11

7/28/2019 Seboroik Dermatitis

12/21

7/28/2019 Seboroik Dermatitis

13/21

Low Values of B Complex Vitamins

What is low values of B complex vitamins?

Insufficient vitamin B intake for normal functioning of the body. There are

actually 8 different types of B vitamins: thiamine (B1), riboflavin (B2), niacin (B3),

pyridoxine (B6), folic acid (B9), cyanocobalamin (B12)pantothenic acid and biotin

(B7). A vitamin B deficiency can involve any one of these types or a combination.

As Vitamin B plays a role in many aspects of the body's functioning, deficiency can

have a serious impact on overall health

Are there different types of low values of B complex vitamins?

Vitamin B1 is essential for the body to be able to use carbohydrate as an energy

source as well as for metabolising amino acids. lack of sufficient thiamine in the diet

can cause loss of appetite, poor digestion, chronic constipation, loss of weight, mental

depression, nervous exhaustion, and insomnia. Vitamin B1 deficiency is usually

connected to alcoholism, malabsorption diseases, and poor diet.

Vitamin B2is needed to process amino acids and fats, activate vitamin B6 and folic

acid, and help convert carbohydrates into the fuel the body runs on adenosine

triphosphate (ATP). Adeficiency of vitamin B2 (riboflavin) may result in bloodshot

eyes, abnormal sensitivity to light, itching and burning of the eyes, inflammation in

the mouth, a sore and burning tongue, and cracks on the lips and in the corners of the

mouth.

Vitamin B3 (Niacin) works closely with vitamin B1, vitamin B2, vitamin B6,

pantothenic acid, and biotin to break the carbohydrates, fats, and proteins in food

down into energy. Aniacin deficiency often leads to a chronic illness called pellagra,

characterized by gastrointestinal problems, lesions of the skin, and dementia. VitaminB3 deficiency can occur in alcoholics, individuals with poor or irregular diets, and in

13

7/28/2019 Seboroik Dermatitis

14/21

individuals with medical conditions causing malabsorption from the intestinal tract.

Vitamin B5 (pantothenic acid) is essential for human growth, reproduction and many

normal bodily processes. Many foods contain vitamin B5, therefore a deficiency of

this nutrient is rare. Vitamin B5 deficiency causes depression, personality changes,

heart problems, increased risk of infections, fatigue, abdominal pains, sleep

disturbances, numbness and altered sensation in the arms and legs, muscle weakness,

cramps, increased sensitivity to insulin.

Vitamin B6 (pyridoxine) supports more vital bodily functions than any other vitamin.

Vitamin B6 deficiency is one of the most common nutritional deficiencies. Vitamin

B6 deficiency can cause impaired immunity, skin lesions, and mental confusion. A

marginal deficiency sometimes occurs in alcoholics, patients with kidney failure, and

women using oral contraceptives. Some of these symptoms can also result from a

variety of medical conditions other than vitamin B6 deficiency.

Biotin (vitamin B7) helps in the synthesis of fatty acids, in energy metabolism, and in

the synthesis of amino acids and glucose. Biotin deficiency results in fatigue,

depression, nausea, muscle pains, hair loss, and anemia. Symptoms of a biotin

deficiency include hair loss, a dry, scaly rash around the eyes, nose, mouth, and

genital area, decreased appetite, nausea and vomiting and failure to thrive in children.

Folic acid (vitamin B9) is important for any stage of human life which involves

growth such as pregnancy, lactation and early growth. Folic acid deficiency causes

mood disorders and low levels may play a role in depression, possibly due to a

reduction in neurotransmitter levels. Folic acid deficiency during pregnancy increases

the risk for neural tube defects including cleft palate, spina bifida, and brain damage.

Vitamin B12 (cyanocobalamin, cobalamin)is considered the most potent vitamin and

is one of the last true vitamins that has been classified. Vitamin B12 is essential for

normal nervous system function and blood cell production. Vitamin B12 deficiency

occurs when there is an abnormally low level of vitamin B12 absorbed in the body.

Vitamin B12 deficiency results in impairment of the activities of B12-requiring

enzymes.

14

7/28/2019 Seboroik Dermatitis

15/21

What causes low values of B complex vitamins in the body?

MAJOR CAUSES

Vitamin B complex comprises a number of vitamins that exist as a family. Theyshould not be taken individually. In this modern era, millions of people suffer from a

deficiency of vitamin B for several reasons, chief among which are:

Stress: emotional, physical and spiritual

Processed foods in the diet: these are not real foods and so they tax the body

Refined sugar. The average person consumes at least 140 pounds of sugar a

year which robs the body of its vitamin B stores

Drugs: both recreational and prescription drugs deplete vitamin B

Toxins: poisons in the environment and personal care products deplete

vitamin B complex Malnutrition. Most people are malnourished because they are not eating the

right kinds of foods

Cooking. Most people do not eat enough real, raw foods, so vitamin B is

killed or so depleted that people are not getting enough of it in the diet

15

7/28/2019 Seboroik Dermatitis

16/21

What are the symptoms?

Thiamin (vitamin B1): loss of appetite, poor digestion, chronic constipation,

muscular weakness, leg cramps.

Vitamin B2: sore throat, seborrheic dermatitis, premature wrinkles.

Vitamin B3 (Niacin): indigestion, fatigue, canker sores, vomiting, dementia.

Vitamin B5 (pantothenic acid): fatigue, insomnia, depression, vomiting, stomach

pains, burning feet.

Vitamin B6 (pyridoxine): dermatitis, cracked and sore lips, inflamed tongue and

mouth, neuropathy.

Folic acid: diarrhea, loss of appetite, weight loss, weakness, sore tongue, headaches,

heart palpitations.

Vitamin B12 (cobalamin): burning of the tongue, fatigue, weakness, loss of

appetite, constipation and diarrhea, abdominal pain, weight loss.

How is it treated?

There are a number of things you can do to prevent and overcome vitamin B complex

deficiency:

1. Stop eating refined sugar.

2. Stop eating artificial ingredients. Read all labels on your foods and if there are

names of chemicals, dont eat them.

3. Reduce stress through a regular exercise program, meditation, counseling and/or

hobbies

4. Stop drinking coffee; switch to organic decaffeinated coffee or organic green tea

5. Eat more vitamin B-containing foods oats, barley, wheat bran, avocado,

salmon, Brazil nuts and others.

16

7/28/2019 Seboroik Dermatitis

17/21

6. Be patient. It took a while to create a vitamin B deficiency, so it takes a while to

reverse the problem; with severe cases it can take a year or so, with milder cases

it can take just a few days.

7. If you have a friend or relative with a mental or emotional disorder, think of the

possibility of a vitamin B complex deficiency and then make suggestions for

adjustments in their diet and take appropriate whole food formulas.

8. Always coordinate all of your health and treatment plans with all of your

practitioners.

9. Avoid toxins in your life. This is a serious issue that causes more health problems

than_people_commonly_realize.

World's Healthiest Foods ranked as quality sources of:

vitamin B6 (pyridoxine)

Food

Serving

Size Cals

Amount

(mg)

DV

(%)

Nutrient

Density

World's

Healthiest

Foods Rating

Spinach, boiled 1 cup 41.4 0.44 22.0 9.6 excellentBell peppers, red, raw, slices 1 cup 24.8 0.23 11.5 8.3 excellent

Turnip greens, cooked 1 cup 28.8 0.26 13.0 8.1 excellent

Shiitake Mushrooms, raw 145 g 49.3 0.42 21.0 7.7 excellent

Garlic 1 oz-wt 42.2 0.35 17.5 7.5 very good

Tuna, yellowfin, baked/broiled 4 oz-wt 157.6 1.18 59.0 6.7 very good

Cauliflower, boiled 1 cup 28.5 0.21 10.5 6.6 very good

Cayenne pepper, dried 2 tsp 11.2 0.08 4.0 6.4 good

Mustard greens, boiled 1 cup 21.0 0.14 7.0 6.0 very good

17

7/28/2019 Seboroik Dermatitis

18/21

Banana 1 each 108.6 0.68 34.0 5.6 very good

Celery, raw 1 cup 19.2 0.10 5.0 4.7 very good

Cabbage, shredded, boiled 1 cup 33.0 0.17 8.5 4.6 very good

Crimini mushrooms, raw 5 oz-wt 31.2 0.16 8.0 4.6 very goodAsparagus, boiled 1 cup 43.2 0.22 11.0 4.6 very good

Broccoli, steamed 1 cup 43.7 0.22 11.0 4.5 very good

Turmeric, powder 2 tsp 16.0 0.08 4.0 4.5 Good

Kale, boiled 1 cup 36.4 0.18 9.0 4.5 very good

Collard greens, boiled 1 cup 49.4 0.24 12.0 4.4 very good

Brussel sprouts, boiled 1 cup 60.8 0.28 14.0 4.1 very good

Watermelon, diced 1 cup 48.6 0.22 11.0 4.1 very good

Leeks, boiled 0.5 cup 16.1 0.06 3.0 3.3 Good

Tomato, ripe 1 cup 37.8 0.14 7.0 3.3 Good

Snapper, baked/broiled 4 oz-wt 145.2 0.52 26.0 3.2 Good

Carrots, raw 1 cup 52.5 0.18 9.0 3.1 Good

Eggplant, cooked, cubes 1 cup 27.7 0.09 4.5 2.9 Good

Cantaloupe, cubes 1 cup 56.0 0.18 9.0 2.9 Good

Romaine lettuce 2 cup 15.7 0.05 2.5 2.9 Good

Potato, baked, with skin 1 cup 133.0 0.42 21.0 2.8 Good

Onions, raw 1 cup 60.8 0.19 9.5 2.8 Good

Blackstrap molasses 2 tsp 32.1 0.10 5.0 2.8 Good

Calf's liver, braised 4 oz-wt 187.1 0.56 28.0 2.7 Good

Chicken breast, roasted 4 oz-wt 223.4 0.64 32.0 2.6 Good

Ginger root 1 oz-wt 19.6 0.05 2.5 2.3 Good

Venison 4 oz-wt 179.2 0.43 21.5 2.2 Good

Beef tenderloin, lean, broiled 4 oz-wt 240.4 0.49 24.5 1.8 Good

Flaxseeds 2 tbs 95.3 0.18 9.0 1.7 Good

Winter squash, baked, cubes 1 cup 80.0 0.15 7.5 1.7 Good

Strawberries 1 cup 43.2 0.08 4.0 1.7 Good

Avocado, slices 1 cup 235.1 0.41 20.5 1.6 Good

Pineapple 1 cup 76.0 0.13 6.5 1.5 Good

Grapes 1 cup 61.6 0.10 5.0 1.5 Good

World's Healthiest

Foods Rating Rule

18

7/28/2019 Seboroik Dermatitis

19/21

excellent DV>=75% OR Density>=7.6 AND DV>=10%

very good DV>=50% OR Density>=3.4 AND DV>=5%

good DV>=25% OR Density>=1.5 AND DV>=2.5%

Chapter V

The Correlation between Low Values of B Complex

Vitamins and Seborrheic Dermatitis

There are many other factors that may be helpful in controlling this condition.Medical research has shown a correlation between seborrheic dermatitis and low

values of B complex vitamins. There may also be a relationship between the

condition and a low intake of high quality essential fatty acids. The body cannot

manufacture omega 3, 6 and 9 fatty acids. They must be obtained from food sources

or supplemented. Conversely, we as a society eat far too many trans fats and poor

quality fatty acids in our daily diet of supermarket, restaurant and junk foods.

Changing the balance between these two types of fats in the diet may be helpful to

control seborrheic dermatitis.

Deficiencies of Vitamin B2 can cause ariboflavinosis, which will have

symptoms of cracked lips, inflammation of the tongue, sensitivity to sunlight,

seborrheic dermatitis, pseudo-syphilis affecting the mouth and scrotum.

Since vitamin B6 is integral to the process of new cell formation, it plays a

key role in the healthy function of body tissue, such as skin, which regenerates

quickly. As such, symptoms of deficiency often first manifest in skin conditions.

Eczema, seborrheic dermatitis and other skin disorders have been associated with

vitamin B6 deficiency. To this day, topical B6 creams are used in the treatment of

dermatitis, notably for symptoms related to seborrheic dermatitis.

Biotin (B7), one of the B complex vitamins found in organ meats (e.g., liver,

heart, kidney), egg yolk, cauliflower, chocolate, and mushrooms. Its synthesis by

intestinal bacteria makes human deficiency states rare, unless the diet contains

significant raw egg white protein (avidin), which complexes the vitamin to prevent

intestinal absorption. Dermatitis, retarded growth, and loss of hair and muscular

19

7/28/2019 Seboroik Dermatitis

20/21

control occur in experimental animals with deficiency. Biotin functions as a

coenzyme for carboxylase enzymes that catalyze fixation of carbon dioxide (e.g., in

fatty acid synthesis).

Conclusion

Seborrheic dermatitis is a chronic inflammatory disease that affects scalp and

bodies with sebaceous gland, which based on constitutional factors such seborrheic

status.

Seborrheic dermatitis can be caused by many factors, such as hormonal, fungal

infection, lack of nutrition (especially B complex vitamins; B2(riboflavin),

B6(pyridoxine), B7(biotin)), neurogenic factor, genetic factor and environment.

According to the lesion area,seborrheic dermatitis is divided into 3:

a. Scalp seborrheic

b. Face seborrheic

c. Body and folds seborrheic

The effective treatments for seborrheic dermatitis are anti inflamation and anti

fungal drugs. In this case, patient should be told that his/her disease is chronic and

often relapse. Avoid triggers, such as emotional stress, fatty foods, etc.

Because based on constitutional factor and recurrency, so the prognosis of

seborrheic dermatitis is quite difficult to cure even with controlled treatment.

20

7/28/2019 Seboroik Dermatitis

21/21

References

1. Harahap Mawarli. Ekzema dan Dermatitis: Dermatitis Seboroik. In: Ilmu

Penyakit Kulit. Jakarta : Hipokrates, 2000 : 14-16.

2. Marks James G Jr, Miller Jeffrey. J Lookingbill and Marks Principles of

Dermatology. 4th ed., Saunders Elsevier, 2006 : 111-112.

3. Usatine RP. Papulosquamous conditions. In : The Color Atlas of Family

Medicine. China : Mc Graw-Hill Companies, 2009 : 615-619.

4. Robin GB, Tony B. Lecture Notes Dermatology. 8th ed., Jakarta : Erlangga

Medical Series, 2005 : 74-75.

5. Handoko RP. Dermatosis Eritroskuamosas. In : Djuanda Adhi, Mochtar H,

Siti A, eds. Ilmu Penyakit Kulit dan Kelamin. 5th ed. Cetakan I, Jakarta :

Penerbit Fakultas Kedokteran Universitas Indonesia, 2007 : 200-202.

6. Weller PJB, dkk. Eczema and dermatitis : Seborrheic eczema. In : Clinical

Dermatology. 4th ed., Oxford : Blackwell Publishing, 2008 : 97-99.

7. Schwartz, Robert A.; Janusz, Christopher A.; Janniger, Camila K. (July 2006).

"Seborrheic dermatitis: an overview". American Family Physician 74 (1):

12530.