Seborrheic dermatitis on the face — features of treatment and prognosis

Characteristics of seborrheic dermatitis on the face

Men are more exposed to this disease, at a time when the body is experiencing malfunctions of the endocrine, hormonal and immune systems.

Так выглядит себорейный дерматит на фото:

себорейный дерматит

There are three forms of seborrheic dermatitis:

  1. Dry
  2. Oily.
  3. Mixed.

The first type is characterized by increased dryness of the skin, the appearance of crusts, from which it is difficult to get rid of without medical assistance. The disease develops more actively in childhood. In severely affected areas, skin cracks, erosions, and wounds are formed. The main provocateur of this ailment is Pityrosporum ovale.

The second form is characterized by excessive skin oil. It is divided into subspecies, thick and liquid, depending on the density of sebum.

Dense one can cause the appearance of abscesses. It is more common in males of young age when hypersecretion of glands occurs in the body.

Liquid type is usually observed in women. The skin has a grayish tint, it is shiny. Widely open pores show the way to a secondary infection, which makes treatment much more difficult.

The first stage of oily seborrhea is characterized by the occurrence of black dots, the next is fraught with the formation of acne and even furuncles. The surface of the face is as if covered with a greasy veil, under which a favorable environment for the development of infections is created. This can cause an exacerbation of the disease.

A mixed form is a combination of the two above-mentioned types of the disease. On some parts of the face, the skin is dry, on others, it is too oily. A timely appeal to a dermatologist will prevent erythroderma complications. With this disease, you will need to consult several specialized doctors. A neuropathologist, a gastroenterologist, a gynecologist (for women), an andrologist (for men), an endocrinologist are on this list. Such a responsible attitude to diagnosing is explained by a serious warning — the risk of identification with other illnesses.

The main features of dry seborrheic dermatitis are very similar to atopic dermatitis, candidiasis, lichen, psoriasis.

Ignoring the first signs of seborrhea can aggravate the skin condition with the appearance of hemorrhagic crusts, enhanced peeling, the formation of deep wounds and suppurations.

Why does seborrheic dermatitis appear on the face?

Medical researchers continue to work on finding the causes of seborrhea on the face. Today, a number of factors prompting the activity of the disease are identified:

  • Hypovitaminosis.
  • Improper nutrition.
  • Immunity deficiency.
  • Sugar level problems (diabetes).
  • Endocrine dysfunction.
  • Chronic diseases.
  • Non-compliance with personal hygiene.
  • Failures in the activity of the central nervous system.
  • Excessive sweating.
  • Insomnia, weakening of the general state of the body due to lack of sleep.
  • Disruption of the digestive tract.
  • Urinary system problems.
  • Oncological issues.
  • Excessive androgen production.
  • Genetic features.

All of these points contribute to malfunction of the sebaceous glands, which is a provocateur for the reaction on the skin of the face.

Symptoms of seborrheic dermatitis

The appearance of red spots on the face, transforming into yellowish peeling plaques is the first symptom, indicating the likelihood of seborrhea. Such formations may have a different shape, accompanied by itching.

In men with a mustache and beard, the course of the disease is more difficult. Plaques take the form of large plates, the next stage is the appearance of papules, plaques are transformed into nodules. When these formations merge, the skin becomes a continuous hyperemic center.

So, seborrheic dermatitis on the face is characterized by the following symptoms:

  • Uncontrollable itching.
  • Irritation of the epidermis.
  • Red rash.
  • The appearance of acne.
  • Burning.
  • Peeling.
  • Oversensitive and sore skin.
  • The scales are white and with a yellowish tinge.
  • Places of a lesion are on eyebrows, nasolabial area, forehead, cheeks.

An important element in recognizing symptoms is comparing with diseases that have a similar clinical picture. A dermatologist conducts an examination to exclude such diseases as:

  1. Lupus.
  2. Candidiasis.
  3. Atopic or perioral dermatitis.
  4. Impetigo.
  5. Lichen.
  6. Psoriasis.

Seborrheic dermatitis on the face in children

As early as 2-3 weeks after birth, seborrheic dermatitis may occur in infants. The most unpleasant when it appears on the face.

A newborn usually has a dry form of seborrheic dermatitis. If you do not take action, the disease can be transformed into pyoderma, which can have not the best effect on the physical and mental state of the child.

The doctor prescribes therapy and nutritional correction. In breastfeeding cases, he prescribes a diet for the mother. With artificial nutrition, the correct selection of baby food is needed.

After 4-5 weeks of a strict following of the doctor’s recommendations, you can achieve complete deliverance from such ailment.

Фото ребенка с себорейным дерматитом на лице:

ребенок с себорейным дерматитом на лице

Therapeutic activities

Therapy consists of internal and external drugs.

The dermatologist takes into account the individual characteristics of the patient, his age, the form of seborrhea, stage. Based on the analysis of all factors, a treatment program is being developed. First, the doctor prescribes a gentle treatment, then recommends more radical means and procedures.

Unfortunately, drugs for the normalization of the sebaceous glands have not been found. Therapy is aimed at eliminating the symptoms, getting rid of irritants, associated diseases. After all, this is one of the main factors provoking the progression of skin disease.

When infected with fungi, Nizoral is recommended. The affected areas are treated for a fortnight.

With the help of Ichthyol paste conditionally pathogenic microflora is brought to normal. It is able to penetrate deep into the dermis and have a keratolytic and antimycotic effect.

Ointment with corticosteroids will provide an anti-inflammatory effect (Hydrocortisone, Prednisolone).

In the aggravated state, oral pharmaceutical preparations such as Fluconazole (100 mg per day), Terbinafine(250 mg), Ketoconazole (200 mg) will be required.

The acute form of the disease, the manifestation of relapses can be eliminated by taking Diflucan (daily dose 100 mg).

The prescription of antimycotic drugs is the exclusive prerogative of the physician. With the unauthorized taking of such agents, there may be side effects and complications. After all, it is imperative to take into account contraindications.

If the disease is caused by allergic reactions, the patient is prescribed antihistamines, such as Claritin, Aerius.

Probiotics Linex and Bifiform are used to eliminate the dysfunction of the digestive system.

Immunity increases due to the use of immunomodulators, Protopic or Elidel for example, as well as with the help of vitamin therapy.

If seborrheic dermatitis manifests itself in a mild form, it is enough to use external therapy products containing tar, zinc, ketoconazole. This is Zinc and Salicylic ointment, Skin-Cap cream, Zindol.

You can get rid of dry seborrheic dermatitis on the face with a single help of ointments or creams. But sometimes you have to use medication treatment. A solution of chlorhexidine, baking soda, salicylic acid, or citric acid can alleviate the condition in this form of seborrhea. It is enough to moisten a cotton swab and process the face. With external seborrheic dermatitis, external products containing ketoconazole are helpful, they are used for 2 to 4 weeks. After applying a thin layer of such a cream, it is washed off after 15 minutes with warm water. Fortified preparations that facilitate the process of exfoliation, and do not have a rejection of comedones recommended for further treatment.

In cases of oily seborrheic dermatitis a course of treatment is proposed, including external and internal pharmacological preparations, with a wide range of qualities:

  • Antibacterial drugs (Minocycline, Erythromycin).
  • Sensitizers (Fenistil, Zyrtec).
  • Agents, which eliminate inflammation (Sodium thiosulfate).
  • Vitamins (Supradyn, Vitrum).
  • Hormonal drugs (Dexamethasone).
  • Ointment with healing, antifungal, antibacterial properties (Exifin, Canesten, Lamisil, Belosalic).
  • Creams of the sparing action (Skinoren, Pantothenol, Losterin).

In the case of ANS disorders, sedatives can be prescribed (motherwort, peony, valerian tincture).

During exacerbation of the disease, a dermatologist develops a comprehensive treatment, which includes:

  • Diet as recommended by the doctor.
  • Antihistamines usage (Tavegyl, Bexidal, Loratadine).
  • Non-steroidal drugs (Voltaren, Ibuprofen).
  • Steroids (Lorinden, Betamethasone).
  • In case of emergency, antibacterial agents are prescribed.

Лечение себорейного дерматита необходимо начинать своевременно, при первых проявлениях симптомов (фото):

Traditional medicine tips

Cucumber Mask

Grate fresh cucumber, add honey (1 teaspoon), mix the mass well. Process the face, after a quarter of an hour wash it with slightly warm water. Repeat the procedure every other day, treatment can be continued until the desired effect is obtained.

The remedy for itching relieve

Water taken in equal parts and apple cider vinegar or lemon juice is a ready-made homemade face tonic that relieves itching well.

Horseradish medicine

200 ml of vermouth, 300 ml of apple cider vinegar, 100 g of grated horseradish are mixed and insisted about 5 days. The mass is strained and applied daily. To prevent skin irritation, after the procedure, lubricate the face with medicated oil (a mixture of camphor and olive oil 1:1).

Oak bark compresses

5 tbsp. of oak bark are crashed, 350 ml of water are added (not chlorinated or boiled). Put the mix on the stove, boil on a quiet fire for 15 minutes. Then let it brew for 6 hours. Strain the mass, add 4 teaspoons of a honey bee, and the drug is ready. Apply on the face, keep for about half an hour, wash off with water. Use the remedy every other day until the result is achieved.

Seborrheic dermatitis on the face and nutrition

The diet of the patient with seborrhea should be developed taking into account the following factors:

  1. Remove all food irritants from the menu.
  2. Cleansing the body of toxins.
  3. Fortified food.
  4. Normalization of the digestive tract.

Perhaps the most useful products are fermented milk, preferably low-fat, with bifidobacteria and lactobacilli. Animal proteins and cereals are an indispensable component of the therapeutic menu. You have to minimize salts and fat, reject fried foods.

Only rabbit meat or chicken is recommended among meat products. Oddly enough, but even beef and turkey are contraindicated. Naturally, pork, duck, goose, and lard are also banned.

It is allowed to include sea fish in the diet.

Only natural juices, fruit drinks, plain water without gas and mineralization should be consumed.

This also applies to the consumption of greens and vegetables:

  • Spinach.
  • Asparagus.
  • Squashes.
  • Pumpkin.
  • Sea Kale.

It is important to remember that some vegetables are strictly prohibited to use, in particular, red or orange ones, as well as eggplants, citrus fruits (except grapefruit), strawberries.

It is also necessary to exclude products that can cause allergies. Whole milk, mushrooms, fast foods, smoked meat are under strict prohibition.

Sweets also do not benefit. The need for sweets can be quenched with fruits and berries not included in the list of prohibited (gooseberries, watermelon, blueberries, cherries).

Ideally, all dishes are steamed, but sometimes they can be boiled or baked.

Preventive actions

To minimize the likelihood of seborrhea on the face is quite realistic, it is enough to follow these recommendations:

  • Healthy diet.
  • Active lifestyle.
  • Prevention of stressful situations.
  • Cure chronic ailments.
  • Healthy sleep, regular rest.
  • Walks on the fresh air, especially before bedtime.
  • If possible, relax on the sea coast.
  • Follow the rules of facial hygiene.
  • Do not use questionable cosmetics, pick up makeup on the advice of a beautician, taking into account the type of skin.

Measures to prevent the disease of the face are simple, you have only to show patience and increased attention to your own health.

There is enough information on the Internet about this disease. Perhaps the greatest interest is caused by forums where people ask questions, share experiences, leave their comments on the treatment of seborrhea on the face. Sometimes they argue, as a result of which truth is born. However, the advice of people should not claim the truth of last resort. No matter how convincingly ex-patients prove the effectiveness of a particular treatment method, no measures can be taken without the knowledge of the doctor. After all, each case is unique, the disease occurs against the background of the state of the body of a particular person with his individual qualities.