Seborrheic Dermatitis: Treatment and Hair Care Tips - Dermatology

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Seborrhea


Hello Doctor: I previously experienced an oily scalp (it becomes extremely oily if I don't wash it for a day), and my hair has become thinner (it feels like I've lost half of my hair), making my scalp quite visible.
Last week, I visited a doctor at Tri-Service General Hospital, who diagnosed me with seborrheic dermatitis and prescribed Polytar to use twice a week, along with alternating with Renshan Lishou shampoo.
I was also advised to avoid oily and spicy foods and to maintain a regular schedule.
I have been following the doctor's instructions, but I still find my parting very noticeable with my scalp visible.
May I ask: 1.
Can seborrheic dermatitis fully resolve? 2.
How long will it take for my hair to return to its normal thickness? 3.
Does hair length affect recovery (i.e., is longer hair easier to recover or shorter hair)? 4.
Would using hair growth products be beneficial? 5.
Are there any vitamins I should supplement? 6.
What lifestyle changes should I be aware of? Thank you! I really appreciate it!

v, 20~29 year old female. Ask Date: 2006/12/14

Dr. Hong Zhengsheng reply Dermatology


Hello: The causes of seborrheic dermatitis are quite complex, including factors such as genetics, lifestyle habits, stress, emotions, other skin conditions, various internal and external diseases, and diabetes, among others.
The best advice for you should be tailored to your individual condition.
Online answers can only speculate based on descriptions and experiences, and cannot provide the precise diagnosis and treatment that an in-person consultation can offer.
If you have any questions, it is advisable to consult your physician directly, as this will help resolve your concerns immediately.
I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your city or county and consult with a dermatologist.
All the physicians here are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/12/14

More Info


Seborrheic dermatitis, often referred to as seborrhea, is a common skin condition that primarily affects the scalp but can also occur on other oily areas of the body, such as the face, chest, and back. It is characterized by red, flaky, and itchy patches, and can lead to hair thinning or loss if not properly managed. Understanding this condition and its treatment options is crucial for effective management and recovery.


1. Can Seborrheic Dermatitis Be Fully Cured?
Seborrheic dermatitis is considered a chronic condition that can be managed but not completely cured. The underlying causes are not fully understood, but factors such as genetics, hormonal changes, stress, and the presence of a yeast called Malassezia on the skin can contribute to its development. While symptoms can be controlled with appropriate treatment, flare-ups may occur, especially during periods of stress or changes in weather.


2. How Long Will It Take for My Hair to Return to Normal?
The timeline for recovery can vary significantly among individuals. With consistent treatment, including medicated shampoos and lifestyle modifications, you may start to notice improvements in your scalp condition within a few weeks. However, it can take several months for hair to regain its thickness and for the scalp to appear less oily. Regular follow-ups with your dermatologist can help monitor progress and adjust treatment as necessary.


3. Does Hair Length Affect Recovery?
Hair length itself does not directly influence the recovery from seborrheic dermatitis. However, shorter hair may make it easier to apply topical treatments directly to the scalp and may help in maintaining scalp hygiene. Ultimately, the focus should be on effective treatment and scalp care rather than hair length.


4. Should I Use Hair Growth Products?
Using hair growth products can be beneficial, but it is essential to ensure that they do not irritate your scalp further. Products containing ingredients like minoxidil can promote hair growth, but they should be used under the guidance of a healthcare professional, especially if you have an active scalp condition. Always consult your dermatologist before introducing new products to your hair care routine.


5. Are There Specific Vitamins I Should Supplement?
While there is no specific vitamin that directly treats seborrheic dermatitis, maintaining a balanced diet rich in vitamins and minerals can support overall skin and hair health. Vitamins such as B-complex (especially B6 and B12), vitamin D, and zinc are known to play roles in skin health. Omega-3 fatty acids, found in fish oil, may also help reduce inflammation. However, it is best to consult with a healthcare provider before starting any supplements.


6. What Lifestyle Changes Should I Consider?
Several lifestyle modifications can help manage seborrheic dermatitis:
- Diet: Avoiding excessive intake of oily and spicy foods may help reduce oil production on the scalp.

- Stress Management: Stress can exacerbate symptoms, so incorporating stress-reducing activities such as yoga, meditation, or regular exercise can be beneficial.

- Sleep Hygiene: Aim for a consistent sleep schedule and ensure you are getting adequate rest, as poor sleep can impact skin health.

- Scalp Care: Regularly using medicated shampoos as prescribed, and ensuring thorough rinsing can help manage oiliness and flakiness. Avoiding harsh hair products that contain alcohol or sulfates is also advisable.

In conclusion, while seborrheic dermatitis is a manageable condition, it requires a comprehensive approach that includes medical treatment, lifestyle changes, and ongoing care. Regular consultations with a dermatologist will help tailor your treatment plan and address any concerns as they arise. Remember, patience and consistency are key in managing this condition effectively.

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