Seborrheic dermatitis

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DiagnosisChoose oneTitle

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Secondary infectionChoose one

Atypical features presentChoose any

Atypical features absentChoose any

Tinea capitisChoose one

Treatment decisionChoose one

Additional treatmentChoose any

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Seborrheic dermatitis
• No signs of secondary infection
• Recommended washing with a mild baby shampoo more often, softening thick scale with oil before washing, and gentle brushing
• Follow up as needed

Infant seborrheic dermatitis, including cradle cap, is harmless, rarely itchy, and not contagious, and it usually clears on its own over weeks to months, often by 1 year; treatment loosens the scale and calms inflamed areas. Recommended supportive care with an emphasis on washing the hair every other day or more with a mild baby shampoo, softening thick scale with a little mineral oil or petroleum jelly before washing and then washing it off, brushing gently with a soft brush, and not picking at the scale. Return precautions given including crusting, weeping, or pus bumps, bleeding from the scale, rash spreading beyond the scalp, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Cradle cap title; dandruff title
Infantile vs adolescent
Location: scalp, face, eyebrows, behind the ears, folds, diaper area, chest
No signs of secondary infection vs weeping or crusted
LCH features: petechiae, hemorrhagic crusts, lymphadenopathy, systemic symptoms
Soften and remove scale; gentle care
Medicated shampoo: anti-dandruff twice a week; teen selenium, zinc, ketoconazole; Ketoconazole 2%
Topical ketoconazole
Short topical steroid course: hydrocortisone 1%, Hydrocortisone 2.5%
Mupirocin for secondary infection

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Dermatology for atypical features or no response
Avoid scratching or picking scales
Return precautions
Follow-up as needed or at the next well check

Return precautions in the template

crustingweepingpus bumpsbleeding from the scalerash spreading beyond the scalpfever

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.