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Friday, February 10, 2012

Seborrheic Dermatitis

Seborrheic Dermatitis-What is seborrheic dermatitis?

Seborrheic dermatitis (Seborrheic Dermatitis) is an inflammatory skin disease seborrhea parts. Seborrheic dermatitis, seborrheic dermatitis occurred in the sebaceous gland distribution and more places, such as scalp, face, chest, and folds of the Ministry. Seborrheic dermatitis is the most fundamental and effective way to inhibit the abnormal secretion of sebum, with steatorrhea AND drugs to reduce the inflammation of the skin lesions at the complete detoxification to prevent the release of histamine and histamine receptor, from the antipruritic effect. Recommendations for treatment to the skin, fat, skin lipid level (fuzhiping) by a number of skin expert technical guidance, after numerous research, combined with modern high-tech penetration, selected flavescens, one hundred, Kochia scoparia, Cnidium, Cork, camphor, pseudolaric, borneol and other traditional Chinese medicine essence, dedicated to dermatitis, seborrheic dermatitis and other symptoms caused by fungi, bacteria.
Seborrheic dermatitis - an overviewSeborrheic Dermatitis Seborrheic dermatitis is a head and facial swelling, itching, peeling, the exudate scab disease characterized by Chinese medicine also unfamiliar the wind, "and" surface travel wind poison "the name of the Qing Dynasty" Golden Mirror of Medicine, Surgery, Heart Tips, "it reads:" This certificate was born in the surface of the initial issuance of the face swollen, nymph line of itchy, dry skin, from the white dust. times very itch, scratch, heat and moisture Sheng Tianjin yellow water, wind, dry Sheng-chun, blood, pain, embarrassment ".

Seborrheic dermatitis (Seborrheic Dermatitis) is an inflammatory skin disease seborrhea parts. Overflow dermatitis occurs more distribution in sebaceous glands, such as scalp, face, chest, and folds of the Ministry. Occurred in the scalp, mild wave of erythema piece overlying the gray and white bran-like scales, with mild itching, rash expansion, visible greasy scaly map-like patches; accompanied by severe oozing, thick crust, smelly flavor, can involve the entire head. Hair loss, sparse. Facial damage is more common in the nose, nasolabial fold and eyebrow, pink stain, covered with a greasy yellow scales, often sounded shiny. Chest, scapular, first as a small reddish-brown follicular papules with greasy scales, later gradually become central with fine scales, the edge of a dark red pimples and greasy circular patch. More common in the folds of the Department of the armpit, breasts, navel and groin, into the realm of clear erythema, less scrap, and humid, often accompanied by erosion, exudation. More common in 30 to 50 years old, especially in obese middle-aged man.
Chronic seborrheic dermatitis after, easy to recurrent, often accompanied by folliculitis, blepharitis, facial often associated with acne, rosacea mite dermatitis complicated. Seborrheic dermatitis is the most fundamental and effective way to abnormal secretion of steatorrhea AND inhibition of sebum, to reduce the inflammation of the skin lesions at the complete detoxification to prevent the release of histamine and histamine receptor, from the antipruritic effect. The best treatment of steatorrhea and Sport with the B vitamins, to effectively eradicate.

Occurred in parts of the head, face, chest and back, such as seborrhea, seborrheic dermatitis, seborrheic dermatitis is a superficial chronic inflammatory skin disease, the cause is unclear, the infection may be associated with the lipophilic yeast-Malassezia mental factors, eating habits, lack of vitamin B family, alcohol and other factors promoting seborrhea strong can play a precipitating role. Occurs on the the seborrhea parts, the parts common to the scalp, face, armpits, upper chest, back and Yin thigh. Light only involving the scalp, the performance for the dandruff, itching, showing diffuse gray and white bran-like scales, the basement can be a little redness, severe cases, follicular papules, greasy like to expand the formation of scaly, and a little bit like erosion, oozing, scab and other damage, severe cases, the scalp was re-greasy thick crust, caused by bacterial infection, often due to the show caught the occurrence of folliculitis, boils, local lymph nodes, tenderness. Facial damage often occurs in the eyebrow, eyebrows, eyelids, nasolabial fold, nose next to the ditch, ears after, etc. Infant seborrheic dermatitis tends to occur within one month after birth, the performance of the head fully or partially covered with a thickness ranging from greasy greyish yellow scab skin, often involving the eyebrows, ears, asymptomatic, recovered normal within one month, continued healing, often associated with eczema, but also with bacterial and Candida infections. Should be noted that the law of life, eat less fat and spicy spicy food, avoid using alkaline soap shampoo, wash, local avoid scratching the principles of local treatment to reduce sebum, anti-inflammatory, antipruritic.
Seborrheic dermatitis - clinical manifestations
Seborrheic dermatitis, seborrheic dermatitis, the sebaceous glands of the body hyperthyroidism, too much sebum excreted to accumulate in the skin, the skin of the accumulation at chronic inflammatory lesions.
Common distribution richer parts of the damage tend to brown or yellow-red plaques occur in the sebaceous glands in sebaceous glands exuberant young people and adult patients with clear boundary on the greasy scaly or crusted. Location and damage severity, clinical manifestations, is also the difference between:

Scalp: large areas of gray chaff-like greasy scaly patches and then gradually extend the integration into a community clear plaques, severe cases the whole scalp is covered with a greasy smell and thick crust and can be associated with steatorrhea alopecia.

2, face, ears, ears and neck: often spread by the scalp from the red and yellow or greasy scaly rash.

Beard: There are two types First, the hair follicle with mild swelling and inflammation associated with small light brown scab, that is to be sore, stubbornly refractory. Another disseminated red, greasy scales, pustules formed deep, involving the entire hair follicle.

4, torso: first as a small reddish-brown follicular papules with greasy scales, the latter had become the central fine bran-like scales, the edge of a circular patch of dark red papules and large greasy scales, multiple chest and scapula .

Five fold Ministry: more common in obese middle-aged, skin lesions and disseminated friction form of erythema exist clear erythema boundary, on the greasy scales
Seborrheic dermatitis - Chinese medicine
Seborrheic dermatitis patterns of life, adequate sleep, diet, limit greasy polysaccharide food, avoid alcohol and spicy food spicy food. Taking vitamin B12 and B6. Available when the intense itching, sedative, antipruritic, others such as vitamin C, sodium thiosulfate intravenously.

Chinese medicine treatment: seborrheic dermatitis of the crusts should be the main clearing heat and dampness, available flavors xiaoduyin plus capillaris 15 grams, 3 grams gardenia, rhubarb decoction, mainly on the scales should be heat and cool blood raise the dish and moistening better take Radix, habitat, Eclipta grass 15 grams, Dan, Chinese angelica, red peony and Ligustrum lucidum each 10 gram decoction.

Topical: to dissolve the fat, exfoliation, anti-inflammatory analgesic antipruritic mainly preferred Chinese medicine products the fat Pingxiao significant effect. Commonly used drugs, sulfur, mine zinc Xin, coal tar, salicylic acid, selenium sulfide, imidazole, etc. in different parts of different lesions selection of different types of pharmaceutical, such as on the scalp can be used 75% ethanol to 15% propylene glycol Waicha twice daily, and 2% ketoconazole solution and shampoo Waicha, or shampoo. Other parts of the available 50% sulfur, calamine lotion, or 2% -5% sulfur coal tar paste, 20% ketone bran azole cream local application may be. And 2% salicylic acid daily 2 application may be available, 5% succinic acid ointment were to contribute to the improvement of erythema, scaling and itching, no adverse reactions.

Beauty treatments: facial seborrheic dermatitis is also available through the penetration of drugs, the way treatment of ion conduction and natural plant mask.Seborrheic dermatitis - analysis of diseaseSeborrheic dermatitis, seborrheic dermatitis, also known as seborrheic alopecia, hair loss often occurs in seborrheic dermatitis, and general overhead. The early symptoms of dermatitis is the follicle mouth as the center of skin inflammation, manifested as small papules and gradually expand to form a clear boundary of the wet greasy scaly patches, severe cases haired scalp can cover a filthy scab . There is also a relatively dry, and his head had gray chaff-like scales - dandruff. The former is said wet seborrheic dermatitis, the latter known as the dry seborrheic dermatitis. Both itchy, can make hair loss. Dermatitis caused by pathogenic bacteria to fungi.Fungal seborrheic dermatitis, the excessive secretion of sebum, fungi enter the skin to chronic inflammation; thereby causing the capsule inflammatory series of reactions, so that hair growth, development, metabolic disorders, hair, along with rather sparse to fall off.

It is very different from the bald kind of sebum secretion, hair loss symptoms.Sebum secretion Sheng and the nervous system or endocrine dysfunction, constipation and eating spicy food may be a predisposing factor, eating more fat and too frequent shampooing is also one of the reasons. The monks of the past, suffering from seborrheic dermatitis by little, his vegetarianism and the nervous system but nervous about. Frequent shampooing, destruction of the sebaceous glands of the mouth of obstructions, so that excessive secretion of sebum, the fatty acids in fungi hotbed.Seborrheic dermatitis - treatmentThe treatment of seborrheic dermatitis is divided into the systemic treatment and local treatment. Systemic treatment: B vitamins topical steatorrhea and Sport, the itching is severe, oral antihistamines and sedatives such as chlorpheniramine. Exudation obvious or secondary infection can be oral antibiotics such as roxithromycin. Local therapy: principles of fat, inflammation, sterilization, itching, dandruff, for external use to skin lipid levels. Local outside the rule-based, in severe cases can be used with the treatment.Seborrheic dermatitis, seborrheic dermatitis, occurs more sebaceous distribution, such as scalp, face, chest, and folds of the Ministry. Occurred in the scalp, mild wave of erythema piece overlying the gray and white bran-like scales, with mild itching, rash expansion, visible greasy scaly map-like patches; accompanied by severe oozing, thick crust, smelly flavor, can involve the entire head. Hair loss, sparse. Facial damage is more common in the nose, nasolabial fold and eyebrow, pink stain, covered with a greasy yellow scales, often sounded shiny. Chest, scapular, first as a small reddish-brown follicular papules with greasy scales, later gradually become central with fine scales, the edge of a dark red pimples and greasy circular patch. More common in the folds of the Department of the armpit, breasts, navel and groin, into the realm of clear erythema, less scrap, and humid, often accompanied by erosion, exudation. More common in 30 to 50 years old, especially in obese middle-aged man. This disease is chronic, easy to repeated attacks, often accompanied by folliculitis, blepharitis, facial often associated with acne, rosacea mite dermatitis complicated. Seborrheic dermatitis occurs in the head should be treated? Take the fat level elimination 5g with equal amount of shampoo (Caile, or Kangwang) mixed, rub head massage for 10 minutes, then rinse with water, once daily.
Seborrheic dermatitis is the most fundamental and effective way to abnormal secretion of sebum suppression using skin lipid levels, reduce inflammation of the skin lesions at complete detoxification to prevent the release of histamine and histamine receptor from the antipruritic effect.
Seborrheic dermatitis - facial seborrheic dermatitis treated?At present, the traditional methods of clinical treatment:1, oral administration of drugs: vitamin B-race preparations, such as vitamin B6, B2, B1.2, it was argued that the service ketoconazole or tetracycline.3, for external use: fat, anti-inflammatory, bactericidal, the principle of anti-itch commonly used compound sulfur lotion, or Hill raw liquid.Chinese medicine treatment: flushing, exudate, scab can heat and detoxifying, diuretic rule of Sichuan Traditional. Only itch without exudation, nourishing, moistening, expelling wind, clearing heat and as a rule. Muscle Powder for expelling wind change. Use the steatorrhea pure Chinese medicine health or fat Pingxiao.
Seborrheic dermatitis - NotesPrevention and treatment of seborrheic dermatitis treatment of seborrheic dermatitis, pay attention to the following aspects:
Life to pay attention to adjust their diets and eat more vegetables, limit greasy, polysaccharide diet, not eat spicy, wine, spicy food, avoid the psychological stress and local scratch, the law of life, get enough sleep.
Second, the drugs taken orally for treatment. Available vitamin B6, B2 or B-complex vitamin, nicotinamide, etc.. Severe itching available antipruritic sedatives such as antihistamines, inflammation, obvious or secondary infection with antibiotics such as tetracycline or erythromycin.
Third, topical therapy to fat, sterilization, anti-inflammatory, anti-itch treatment principles commonly used drugs steatorrhea Kang, sulfur, Xin Lei lock, coal tar, salicylic acid, selenium sulfide, imidazole, according to different different parts of the incidence of use of different formulations.
Diet: seborrheic dermatitis and digestive dysfunction, and sugar, fatty foods too much about Therefore, patients should be prohibited from drinking, Eat less spicy, seafood, fish, beef, mutton, dog donkey pungent and oily foods, eat more vegetables, fruits, drink more water.
2 Apply a small amount of sulfur soap or acid soap to wash with warm water every night. Remove oily face, clean the skin.
3, to be patient to adhere to treatment, drug abuse, especially the hormone drugs.
Seborrheic dermatitis - prevention and prognosis1, attention to diet, due to the occurrence of seborrheic dermatitis and digestive dysfunction, and sugar, fatty foods too much about Therefore, patients should be prohibited from drinking, Eat less spicy, seafood, fish, beef, mutton, dog donkey pungent and oily foods, eat more vegetables, fruits, drink plenty of water.
Every night coated with warm water a small amount of sulfur soap or acid soap, wash clear facial greasy, clean the skin.
3, be patient and adhere to the traditional Chinese medicine, drug abuse, especially hormonal drugs.
Prognosis: seborrheic dermatitis clinically diverse, and some progress is slow, recurrent. Some may be limited to the head. Some located in other parts of the body due to itching, scratching can cause erythroderma, folliculitis, furuncle swollen lymph nodes go far. Also caused by improper handling of contact dermatitis, or eczema-like change.

Seborrheic dermatitis - the cause of1, the diet is too Feigan greasy, too much sugar, fat, alcohol consumption, overeating spicy and greasy food, endocrine dysfunction, digestive dysfunction.
2 acne. Puberty unusual acne or adult acne (Toxicity acne) did not timely cure, or improper treatment can cause seborrheic dermatitis.
3, improper care, abuse of skin care products hurt the skin's own water and oil equalization function, the skin of water and oil metabolic disorders. PH value of the health of the skin surface is about 5.2-5.5, is not conducive to bacterial growth. Because of the invasion of chemical substance (cosmetics, skin care products, hot dye), sebum secretion and the chemical composition change, thus inhibiting bacterial effect is reduced, the normal flora present in the skin surface, such as Staphylococcus aureus, Malassezia pityriasis bacteria and streptococcus, the large population, affects the skin and disease.
, Metabolic disorders, genetic factors, lack of vitamin B group as well as physical, chemical stimulation, it is often scratching or alkaline cleaning supplies can aggravate seborrheic dermatitis attacks. Mental tension, excessive fatigue, bacterial infections. Seborrhea too much on the basis of seborrheic dermatitis may be secondary to fungal (oval Pityrosporum) and bacteria (Propionibacterium acne bacteria) infection, concurrent acne symptoms; also secondary to allergic reaction to fungi, bacteria own immune response can also be secondary to eczema-like lesions and disseminated seborrheic dermatitis.
6, with gonadal disorder caused by hypersecretion of androgens. In addition, if the female menstrual syndrome. Some thought there may have been immune, genetic, hormonal, neurological and environmental factors.
Seborrheic dermatitis - symptomsCommon in more sebum, hairy, sweating site. Began in the scalp, symptoms worsened to the face, ears, armpits, chest and back, the umbilical fossa and pubic.
Skin lesions can be divided into dry and wet categories.
Dry and more damage for erythema, desquamation, moist papules, blisters, after scratching erosion, oozing, and form yellow crusts. Often severe itching, slow the disease, recurrent. Occur in the the seborrhea District, is often limited to the scalp, severe cases to the Ministry of face, nasolabial folds, eyebrows, eyelids, backs and chests in central umbilical fossa and the groin or axilla. Early follicular papules in the skin lesions, gradual integration into the red and yellow patches of varying sizes, greasy scales overlying scab, in serious cases were mild exudative eczematous dermatitis, limited to a particular site or generalized , and even the development of erythroderma. Different parts and damage to the severity of the clinical manifestations are also differences in
1 scalp small pieces of white chaff-like greasy scaly patches, later extended fused into a clear boundary of the patch, the basal slightly red, mild itching, weight, performance greasy scaly circular patch can be accompanied by exudation and thick crust or hair follicles as the center of the red papules, severe scalp covered with a greasy smell of thick crust, accompanied by hair loss.
2 face, ears, ears and neck often spread by head from yellow red or white greasy scales and crusts. Eyebrow and the surrounding diffuse erythema, desquamation, eyebrows scratch scarce. Eyelid involvement was blepharitis, severe cases can be presented erosive ulcers, the scar left after healing. Ear erosion, flushing, and chapped, unilateral or bilateral, more common in girls and young women, seborrheic otitis externa is more common in elderly patients.
Beard, more common in middle-aged men, the hair follicle with mild swelling, a small light brown scab, often said to be sore, stubbornly refractory. Some pustules of the hair follicle population and greasy scales, the basal around the red, causing hair follicle damage and scar formation. May also have involved the scalp and pubic bone.
Trunk, common in men over the age of 20, occur in the chest and shoulder blades, small reddish-brown follicular papules and covered with greasy scales, gradually forming after center curable to the formation of fine bran-like scales , the edge of a dark red pimples and greasy scaly annular plaques. Another kind of pityriasis rosea, seborrheic dermatitis, round or oval yellow or dark spots film, and only a small marginal scales obvious boundary, the center cured to form a ring damage.
5 fold Ministry, common in the axilla, groin, breast and umbilical fossa, more common in 30 to 50 years, especially in obese middle-aged man. Lesions showed a clear boundary of erythema, greasy scales, such as disseminated friction erythema-like fissures, and swelling. Due to localized hyperhidrosis, easy to secondary infection or improper treatment allows the skin lesions. Genitals were tired and in a timely manner, can form a circular erythema and scaly skin exfoliation, showing subacute eczematous or chronic lichenification erythema, such as psoriasis-like performance without the typical characteristics of seborrheic dermatitis.
Limbs, limb extensor side than the flexor side of the more common, the performance of red and yellow or reddish patches due to scratching, the formation of erosion rather like eczema.
Infant seborrheic dermatitis, 2 to 10 weeks after birth, infants, scalp, forehead, ears, eyebrows, nose and cheek groove and folds, etc. circular erythema, clear boundary, covered with scales, erythema scalable integration and adhesion greasy yellow scab between erosion exudation, inflammation more significant symmetry occurs, micro itch, generally children can be cured in three weeks to two months. Continued healing, often with infant atopic dermatitis complicated by secondary bacterial infection or candida infection. The baby without adult hair follicle damage and seborrhea.
Seborrheic dermatitis on clinical changing, and some slow progress, recurrent. Some may be limited to the head. Some located in other parts of the body due to itching, scratching can cause erythroderma, folliculitis, furuncle swollen lymph nodes go far. Also caused by improper handling of contact dermatitis, or eczema-like change.
Greasy scaly, red and yellow patches in seborrhea area, the border is clearly and consciously itching, chronic, diagnosis easier.