Neonatal seborrhoeic dermatitis: Difference between revisions
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==Background== | ==Background== | ||
{{Skin anatomy background images}} | |||
*Also known as cradle cap, infantile seborrhoeic dermatitis, crusta lactea, milk crust, and honeycomb disease | *Also known as cradle cap, infantile seborrhoeic dermatitis, crusta lactea, milk crust, and honeycomb disease | ||
*Starts between 2- | *Starts between 2-6 weeks of life; improves by 6 months | ||
* | *The role of malassezia furfur, a non-contagious fungus, in the pathogenesis of neonatal seborrheic dermatitis is unclear | ||
{{Dermatitis types}} | |||
==Clinical Features== | ==Clinical Features== | ||
[[File:Baby With Cradle Cap.jpg|thumb|An infant with "cradle cap" (i.e. seborrhoeic dermatitis).]] | |||
[[File:Cradle Cap Detail.jpg|thumb|Image closeup]] | |||
[[File:Seborrheic dermatitis child.jpg|thumb]] | |||
*Greasy yellow-red scales | *Greasy yellow-red scales | ||
*Proclivity for scalp (cradlecap), but may find around ears, cheeks, neck | *Proclivity for scalp (cradlecap), but may find around ears, cheeks, neck, and nasolabial folds | ||
*Not pruritic | *Not pruritic | ||
*Also axilla and groin where there are significant sebaceous glands | *Also axilla and groin where there are significant sebaceous glands | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Neonatal rashes DDX}} | {{Neonatal rashes DDX}} | ||
{{Plaques DDX}} | |||
== | ==Evaluation== | ||
*Clinical diagnosis | *Clinical diagnosis | ||
**Consider immunosuppression or [[HIV]] in severe or widespread lesions | |||
{{Neonatal atopic dermatitis vs seborrhoeic dermatitis}} | |||
==Management== | ==Management== | ||
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*Application of mineral oil followed by washing and removal of scales with comb | *Application of mineral oil followed by washing and removal of scales with comb | ||
*Avoid topical steroids | *Avoid topical steroids | ||
==Disposition== | ==Disposition== | ||
Latest revision as of 17:26, 11 December 2024
Background
- Also known as cradle cap, infantile seborrhoeic dermatitis, crusta lactea, milk crust, and honeycomb disease
- Starts between 2-6 weeks of life; improves by 6 months
- The role of malassezia furfur, a non-contagious fungus, in the pathogenesis of neonatal seborrheic dermatitis is unclear
Dermatitis Types
- Atopic dermatitis
- Candida dermatitis
- Cercarial dermatitis
- Contact dermatitis
- Dermatitis herpetiformis
- Diaper dermatitis
- Dyshidrotic dermatitis
- Neonatal seborrhoeic dermatitis
- Nummular dermatitis
- Perianal streptococcal dermatitis
- Perioral dermatitis
- Seborrheic dermatitis
- Stasis dermatitis
Clinical Features
- Greasy yellow-red scales
- Proclivity for scalp (cradlecap), but may find around ears, cheeks, neck, and nasolabial folds
- Not pruritic
- Also axilla and groin where there are significant sebaceous glands
Differential Diagnosis
Neonatal Rashes
- Acne
- Atopic dermatitis
- Candidiasis
- Contact dermatitis
- Diaper dermatitis
- Erythema toxicum neonatorum
- Impetigo
- Mastitis
- Milia
- Miliaria
- Mongolian spots
- Omphalitis
- Perianal streptococcal dermatitis
- Psoriasis
- Pustular melanosis
- Seborrheic dermatitis
- Sucking blisters
- Tinea capitis
Plaques
- Psoriasis
- Bowen disease
- Discoid lupus erythematosus
- Drug eruption
- Erythema annulare centrifugum
- Lichen planus
- Lichen simplex chronicus
- Nummular dermatitis (nummular eczema)
- Parapsoriasis
- Pityriasis rosea
- Seborrheic dermatitis
Evaluation
- Clinical diagnosis
- Consider immunosuppression or HIV in severe or widespread lesions
Neonatal atopic dermatitis vs. seborrhoeic dermatitis
| Category | Neonatal atopic dermatitis | Neonatal seborrhoeic dermatitis |
| Presentation | 1-2 months | 2-6 months |
| Puritic (fussiness) | Yes | No |
Management
- Salicylic acid shampoo (Sebulex) OR
- Application of mineral oil followed by washing and removal of scales with comb
- Avoid topical steroids
Disposition
- Outpatient