Seborrheic Dermatitis: Symptoms and When to Seek Help

Q: Seborrheic Dermatitis: Symptoms and When to Seek Help

Hello Cindy： Your condition doesn't seem to be very serious; it might just be folliculitis or dermatitis. <br>You can try applying a general topical ointment first, and if there's no improvement, then consult a doctor.

Genital Issues / Seborrheic Dermatitis

These symptoms have persisted for about a year and a half, but the condition has been fluctuating, so I haven't sought medical attention.
Initially, there was itching in the genital area, followed by itching in the armpits and scalp; any area with hair tends to be particularly itchy, especially after sweating.
Later, I noticed many small bumps in the genital area, varying in size.
They are not painful but can be itchy at times.
When squeezed, some of them release a white substance, but the bumps do not disappear.
There are also small bumps at the base of the pubic hair, which retract when squeezed.
I would like to know what this condition might be and whether I should see a doctor.

Cindy, 10~19 year old female. Ask Date: 2020/10/17

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello Cindy: Your condition doesn't seem to be very serious; it might just be folliculitis or dermatitis.
You can try applying a general topical ointment first, and if there's no improvement, then consult a doctor.

Reply Date: 2020/10/17

More Info

Seborrheic dermatitis is a common skin condition that primarily affects areas of the body where sebaceous (oil) glands are most active, such as the scalp, face, and upper body. It is characterized by red, flaky, and itchy patches of skin, often accompanied by dandruff on the scalp. The symptoms you describe, including itching in the groin, armpits, and areas with hair, align with this condition. The presence of small bumps that may exude a white substance when squeezed could indicate a secondary infection or the presence of sebaceous cysts, which can occur in conjunction with seborrheic dermatitis.

Seborrheic dermatitis is often exacerbated by factors such as stress, hormonal changes, and environmental conditions. It can be a chronic condition, leading to periods of flare-ups and remissions, which seems to be your experience over the past year and a half. The fact that you have experienced itching and the formation of bumps in hair-bearing areas suggests that the condition may be affecting your skin's oil production and leading to clogged hair follicles.

When to seek medical help for seborrheic dermatitis or related symptoms is crucial. If you notice persistent itching, redness, or the development of new lesions that do not respond to over-the-counter treatments, it is advisable to consult a healthcare professional. Additionally, if the bumps you mentioned become painful, inflamed, or show signs of infection (such as increased redness, warmth, or pus), you should seek medical attention promptly.

In managing seborrheic dermatitis, treatment options may include:
1. Topical Treatments: Over-the-counter antifungal creams, corticosteroids, or medicated shampoos containing ingredients like ketoconazole, selenium sulfide, or zinc pyrithione can help reduce inflammation and control the growth of yeast on the skin.

2. Lifestyle Modifications: Keeping the affected areas clean and dry, avoiding harsh soaps or irritants, and managing stress can help reduce flare-ups.

3. Prescription Medications: If over-the-counter treatments are ineffective, a healthcare provider may prescribe stronger topical medications or oral antifungals.

4. Regular Follow-ups: Since seborrheic dermatitis can be chronic, regular follow-up appointments with a dermatologist can help monitor the condition and adjust treatment as necessary.

In summary, while your symptoms may suggest seborrheic dermatitis, the presence of bumps and the nature of your symptoms warrant a thorough evaluation by a healthcare professional. They can provide a definitive diagnosis and tailor a treatment plan that addresses both the dermatitis and any secondary issues, such as potential infections or cysts. Don't hesitate to seek medical advice, especially if your symptoms worsen or do not improve with self-care measures.

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