Small child

Seborrheic dermatitis in infants and children


Seborrheic dermatitis in infants is chronic non-infectious recurrent disease. It usually leads to small, scaly and rarely itchy changes that occur on the head, face and body. The problem is particularly noticeable in areas rich in sebaceous glands.

In young children, seborrheic dermatitis is often similar to other diseases, e.g. atopic dermatitis. Many dermatologists make it clear that the symptoms in infants and several-year-olds may be non-specific and the signals may be misleading. In addition, pediatricians often write on the skin changes in young children ointments that work regardless of the cause of the problem. Unfortunately, they are often "with steroids" preparations.

Still, it's worth knowing the cause of the skin changes and choosing the best treatment.

Seborrheic dermatitis in infants

Seborrheic dermatitis under the fodder

In infants, seborrheic dermatitis usually manifests as cradle cap. The disease is a signal of abnormal sebaceous glands.

The most common course of seborrheic dermatitis in children is mildand all changes pass by itself within 6-12 months. Only in a few cases the disease lasts longer and requires consultation with a specialist.

Sometimes infantile lung disease includes a different area of ​​the body than the head and looks a little different than yellow, greasy scales. It happens that there are changes in the area of ​​the mouth, lobes, behind the ears and in the groin - where the skin peels and breaks. These changes are sometimes red and dry. Often, the symptoms worsen with viral infections and during periods of reduced immunity. In addition, they become paler in the cold and exacerbate at high temperatures and in sweating / overheating.

Neglected or improperly treated seborrheic dermatitis may have a more severe course due to bacterial or fungal superinfection.

Seborrheic dermatitis in children

If seborrheic dermatitis occurs in the form of cradle cap on the scalp, the methods prescribed for this area of ​​the body should be used.

However, if the changes occur on the face and body, care should be based on a bath once a day, gentle drying of the skin and the use of ointments in consultation with the pediatrician - it is often recommended ketoconazole or an antibiotic ointment. Sometimes preparations that have been used are used sselenium zinc, 2% pyrithione or salicylic acid. It is sometimes advisable to apply preparations with a corticosteroid. In most cases, the skin condition improves significantly at the end of the first and second year of life.

Seborrheic dermatitis symptoms

Skin changes associated with seborrheic dermatitis usually appear in characteristic places - most often behind the ears, in skin folds - under the fodder, in babies around the neck. Red spots may also appear between the toes.

ŁZS photo - behind the ear

Most often it is diagnosed in such a way that the symptoms of LZS may appear actually from birth - no later than within the first six weeks of life. Meanwhile, AD is usually (but not always) developing in older infants who are at least 6-8 weeks old.

The diagnosis is based on the clinical picture and no additional testing is needed.

Seborrheic dermatitis causes

The causes of seborrheic dermatitis are not fully known. There are theories that the cause may be weakened immune system, dietary deficiencies as well as yeast-like fungal invasion. Causes can be genetic, environmental and hormonal.

Seborrheic dermatitis or atopic dermatitis?

Seborrheic dermatitis, unlike AD, is not allergic, although the appearance of the skin may deteriorate after eating meals rich in milk, its preparations and sugar.

The changes are not as burdensome for the child as in the case of atopy. ŁZS usually does not itch and touches skin folds, lesions are located in small areas. AD is appearing on "straight skin", often touches larger areas of the body, itches and impedes normal functioning - the child scrapes and often sleeps restlessly.