Medical history (history of the patient) represents an important component in the diagnosis of seborrheic eczema. Family history Are there frequent skin diseases in your family? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). On … Seborrheic Eczema: Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Dyskeratosis follicularis – genetic cornification disorder of the skin. Ichthyosis vulgaris – genetic disease that lead to cornification disorder of the skin, usually drunken scaling; according to its mode of inheritance, two forms are distinguished. : Autosomal dominant ichthyosis vulgaris. X-linked recessive ichthyosis vulgaris Disease usually begins in … Seborrheic Eczema: Or something else? Differential Diagnosis
To prevent seborrheic eczema, attention must be paid to reducing individual risk factors. Behavioral risk factors Psychosocial situation Stress – may increase symptoms Environmental stress – intoxications (poisonings). Climatic influences – sunlight exposure can improve symptoms.
The following symptoms and complaints may indicate seborrheic eczema: Onset with area confluent erythema (redness of the skin) on the face (facial erythema). Greasy scaling, yellow foci (pityriasiform, ie, under the clinical picture of pityriasis = appearance of fine, flour- or bran-shaped scales); on a reddened background (erythema). Pruritus (itching) (rare; if present, then mainly … Seborrheic Eczema: Symptoms, Complaints, Signs
Pathogenesis (development of disease) The exact pathogenesis is unclear. Dermatosis (skin disease) of early infancy (infantile form) and young to middle adulthood (adolescent and adult forms) is thought to be associated with Malassezia species (formerly known as Pityrosporon ovale/yeast fungi) and with hyperfunction of the sebaceous glands. The yeasts secrete lipases and phosphatases. This leads … Seborrheic Eczema: Causes
General measures In addition to the use of creams (with hydrocortisone, erythromycin, ketokonazole, metronidazole, or sulfur), the affected person should spend a lot of time in the fresh air. Exposure to sunlight also contributes to the improvement; often complete healing under summer, maritime climate. Avoidance of psychosocial stress: Stress Nutritional medicine Nutritional counseling based on … Seborrheic Eczema: Therapy
Consequential diseases or complications of seborrheic eczema are not known.
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and hair [greasy scaly yellow foci; on reddened ground; these occur preferentially in the following places: Eyebrows Hairline Between lip and nose Sweat groove] Dermatological examination [due todifferential … Seborrheic Eczema: Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification HIV test – seborrheic eczema is considered an indicator disease for HIV. Mycological or bacteriological diagnostics
Therapeutic target Improvement of symptomatology. Therapy recommendations Skin care with soap-free syndetsNote: Skin care products with high lipid content should not be used. Topical antifungals (antifungals used topically) are agents of choice: e.g., clotrimazole 2%, ketoconazole (e.g., as a shampoo)Alternatively, shampoos containing zinc pyrithione or selenium disulfide (selenium disulfide 2.5%: Keratolytic; horn-dissolving active ingredient; also … Seborrheic Eczema: Drug Therapy
A deficiency symptom may indicate that there is an insufficient supply of vital nutrients (micronutrients). The complaint seborrheic eczema indicates a deficiency of vital nutrients (micronutrients) for: Vitamin B2 Vitamin B6 The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies with high levels … Seborrheic Eczema: Micronutrient Therapy