In addition to your body, hands, and face, eczema
can also plague the scalp, usually in a condition known as seborrheic
dermatitis. There is some disagreement among experts about whether or
not seborrheic dermatitis should be considered a form of chronic eczema
or a separate skin condition, although the National Eczema Association
considers it to be a type of eczema. (Eczema is a general term that
includes a variety of conditions that cause red, inflamed skin.)
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Eczema on Your Scalp?
In addition to your body, hands, and face, eczema
can also plague the scalp, usually in a condition known as seborrheic
dermatitis. There is some disagreement among experts about whether or
not seborrheic dermatitis should be considered a form of chronic eczema
or a separate skin condition, although the National Eczema Association
considers it to be a type of eczema. (Eczema is a general term that
includes a variety of conditions that cause red, inflamed skin.)
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"Seborrheic dermatitis
is a common form of chronic eczema on the scalp associated with a
fungi," says Gil Yosipovitch, MD, professor of medicine at the
University of Miami Miller School of Medicine and author of Living With Itch ($19;
In addition to the
scalp, seborrheic dermatitis may also affect parts of the face (such as
the nose), the back, ears, or center of the chest. It strikes parts of
the body with many oil-producing (sebaceous) glands, leading to symptoms
such as redness, flakes, and patches of greasy, swollen-looking skin.
Unlike atopic dermatitis,
a chronic form of eczema that is thought to be caused by an abnormal
immune reaction, seborrheic dermatitis doesn't usually cause
severe itching. However, you can be diagnosed with both seborrheic
dermatitis and atopic dermatitis at the same time.
Experts aren't sure
exactly what causes seborrheic dermatitis. Genetics might make you more
susceptible, and hormones, stress, or other triggers may lead to an
overactive immune response that causes symptoms like red, painful, flaky
skin to appear. A fungus called malassezia also plays a role. (This same fungus has been linked to dandruff, which is considered to be a mild form of scalp seborrheic dermatitis.)
Seborrheic dermatitis
can usually be treated with medicated shampoos that contain tar, zinc
pyrithione, salicylic acid, selenium sulfide, or ketoconazole. Leave the
shampoo on for five or 10 minutes before rinsing it off. At first, you
may want to use it several times a week, then use it once a week if
symptoms improve.











