Talk:Seborrhoeic dermatitis

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 12 August 2020 and 25 November 2020. Further details are available on the course page. Peer reviewers: Juanortiz1.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 08:51, 17 January 2022 (UTC)

"Series of revisions"
I have looked a bit into this using some medical databases such as UptoDate. The section on antihistamines should be deleted. The reference given in that section also does not pertain to this disease and is actually to an unrelated condition (contact dermatitis).

-Citation needed for Coal tar. I would suggest this reference. PMID: 10773717, Comparative anti-dandruff efficacy between a tar and a non-tar shampoo. -The anti-androgen section is related to dandruff but not seborrheic dermatitis. It is questionable to include this. -There is no mention of anti-inflammatory agents such as tacrolimus. -Risk factors could include neuroleptics. — Preceding unsigned comment added by 156.40.252.2 (talk) 18:52, 8 November 2021 (UTC)

"has yet to be proven"
"A suggestion that seborrhoeic dermatitis is an inflammatory response to this yeast has yet to be proven." But its source proved that seborrhoeic dermatitis is not a response to Malassezia furfur; the article does not take account of this fact. —Preceding unsigned comment added by 201.10.158.158 (talk) 23:21, 30 June 2008 (UTC)

"Seborrheic dermatitis is not caused by an altered immune response to Malassezia yeast", reference #6....is from 1998 and is OUTDATED. It is no longer true. Malassezia IS the cause: http://www.pgbeautygroomingscience.com/role-of-lipid-metabolism-in-seborrheic-dermatitis-dandruff.html


 * Malas. species are the cause (probably), though this has been a cause of contrversy for over a century.  The exact mechanism is open to question.Jackfirst (talk) 20:01, 8 November 2011 (UTC)

Dog skin disorders?
One of the links on the bottom of the page is to Dog skin disorders, which is not only a stub, but I think also an inappropriate link from a page about a skin desease in humans. I am of the opinion that it should either be removed, or that links to all other types of skin deseases in animals be linked, too. Sedola 14:09, 3 July 2006 (UTC)

Added major brand names of some of the listed drugs to easier assist readers in locating and identifying them. -Markarian

Soap In seborrhea
Soap is not harmful in SD, in fact, cleansing the skin of oil reduces the risk of outbreak. Although the condition appears a "dry dermatitis" it is in fact one that occurs in oily areas. M. furfur is an lipophilic bacteria and that is one of the reasons it is believed that M. furfur has some role in SD.

The notion that soap might exacerbate the condition is perhaps a misidentification of SD as eczema which is a dry skin disorder. The reference to SLS and soap should be removed from this article. —Preceding unsigned comment added by 70.89.209.149 (talk • contribs) 18:24, 6 June 2007

- As someone who actually suffers with SD (confirmed by numerous dermatologists), I can assure you that soap _can_ be very harmful. I have had mild to severe reactions to various soaps. I can't even shave certain parts of my face (the "goatee" area mostly) because most shaving creams cause a reaction. Of course, this is not the case for everyone. I'm just on the extreme end of the spectrum. Even topical steroid treatments don't help me. The point is, however, that the soap comment needs to remain. The statement is true and properly qualified with a "may". It doesn't say or even imply that everyone with SD "will" get a flare-up from soap, just that it's a possibility. Every dermatologist I've seen said this is not very unusual with SD.

- With all due respect to the first poster I agree with the subsequent comments on soap. I would, however, submit that it is not the soap itself that causes the problems, but rather the perfumes and other additives in most soaps that irritate my skin and increase the likelihood of secondary infection. I note with interest that the treatment page does not include the treatement that I have found most effective in long-term suppression of this condition, namely medical-grade aqueous cream (not regular aqueous cream which contains perfumes and is not sterile) mixed with a small amount of cortizone (about a 1 in 10 ratio). As my dermatologist explained it, SD is the result of the skin drying out and the dry skin cracks and the rashes and other symptoms that appear are actually secondary infections (not really the SD at all). During an acute attack one first uses antibiotics to clear up the secondary infections, then uses the aqueous cream with a small amount of cortizone to keep the skin moisturised and speed the healing of minor lesions to prevent secondary infections. Since I have been using this treatment for the better part of 5 years to successfuly treat this condition I am inclined to agree with my dermatologist's assessment. The other benefit of this treatment is that the doses of cortizon are extremely low and topical, and thus no long-term problems. Since this condition is incurable one must consider the long-term impact of the treatment as a key factor. — Preceding unsigned comment added by 219.167.177.154 (talk) 00:02, 4 June 2012 (UTC)

Questions
Do you want me to get a picture of seborrheic dermatitis or the hair loss due to seborrheic dermatitis? I can take a picture of a flake of seborrheic dermatitis if the option of a glob in hair or under the eye is to disturbing.

71.142.214.138 (talk) 04:36, 20 February 2008 (UTC)Cardinal Raven

ooh please do —Preceding unsigned comment added by 72.24.207.77 (talk) 06:43, 31 August 2010 (UTC)

Changes to seb derm
Mostly, I did grammatical changes, introducing no new information. Anyway, it should not have been speed-reverted without discussion here or maybe even without reading. Very unwikilike and against the rules. I'll quote them if anybody likes. But this should not be necessary. Jackfirst (talk) 00:12, 18 January 2011 (UTC)

Correlation to ZNF750 gene polymorphism
I found this in the uniprot.org protein database. It would explain the cause of Seborrhoeic dermatitis as genetic defect. Is this of any relevance?

--Johnny Wezel (talk) 14:16, 12 February 2011 (UTC)

Split
Here's the original rationale for the split proposal (added ) by 187.105.0.153:
 * "SD and seborrhea are used interchangeably here but they are not the same thing."

Any thoughts? Waldir talk 02:50, 5 May 2011 (UTC)

Previously there was a three-paragraph discussion on this, which was subsequently removed. The last part covers it fairly well. Re-instated as follows:  41.141.205.252 (talk) 17:20, 5 November 2011 (UTC)

Seborrhea has been defined as 'a condition in which overactivity of the sebaceous glands causes the skin to become oily'. Dermatitis is a skin condition characterised by inflammation and flaking. The name 'seborrhoeic dermatitis' self-evidently means dermatitis (inflammation) caused by (or believed to be caused by) sebum. It is quite possible to have greasy skin without inflammation. As far as I am concerned they are SEPARATE (if related) conditions. This article should not use the two terms interchangeably to refer to seborrhoeic dermatitis. It should be split either into two articles or at least into two sections within the one article, with the distinction made clear.

I think the page does not necessarily need to be split, but if it is left as it is, the term 'seborrhea' should not be used to refer to seborrhoeic dermatitis. 41.141.205.252 (talk) 17:20, 5 November 2011 (UTC)


 * "Seborrhea" is a symptom, basically "oiliness",  though this is not a complete description.  "Seborrheic dermatitis' is a medical condition.   It is also true that sometimes docs use them interchangably as shorthand,  but generally in a context where the meaning is clear. Jackfirst (talk) 20:07, 8 November 2011 (UTC)


 * I am trying to clear some of the split tag backlog. I see there is recent discussion so will leave it for now Op47 (talk) 18:04, 27 December 2011 (UTC)
 * On second thoughts, no one seems to have taken up the renewed discussion.Op47 (talk) 21:41, 19 January 2012 (UTC)


 * The first line of this article lists seborrhea as one of the alternative names for seborrheic dermatitis. This, as far as I am concerned, is wrong.  It is true that people who should know better (e.g. dermatologists) sometimes use the word seborrhea incorrectly to refer to seborrheic dermatitis. For that reason maybe the word seborrhea should be mentioned, but if so it should be made clear that this is actually a different condition.  One way to deal with the problem would be to have a sentence explaining that seborrhea means greasy skin but in practice is sometimes used incorrectly as an alternative term for seb derm.  — Preceding unsigned comment added by 195.235.210.106 (talk) 08:11, 8 February 2012 (UTC)


 * Furthermore, I see there is a redirect from 'seborrhea' to 'seborrheic dermatitis'. Again, this is wrong.  Probably the best way to do it would be to have a disambiguation page for 'seborrhea', since this word means greasy skin but is sometimes used to refer to seb derm.  — Preceding unsigned comment added by 195.235.210.106 (talk) 08:41, 8 February 2012 (UTC)

"Seb derm" term of art
Physicians often refer to seborrheic dermatitis as "seb derm". I suggest incorporating this into the article. Jackfirst (talk) 21:41, 25 October 2011 (UTC)

Alternative solution to seborreic dermatitis without using any products or medication
http://en.wikipedia.org/wiki/User:Robert.O.SWE
 * Where can I best share this solution in the link above? Please help me as my previous edit of this page was deleted and considered as "chat". I have no sources to site as I am my own doctor. I got to this conclusion on my own and wish to share this knowledge as it's been working for me for 6-7 years. I thought Wikipedia would be an excellent place to share this but apparently not? I find that it's a bit of a shame there is no apparent section where people can share alternative ideas here Robert.O.SWE (talk) 23:41, 10 May 2012 (UTC)
 * You can best share your personal experiences at your own website. The English Wikipedia does not publish its users' own experiences per WP:No original research and WP:NOT.  WhatamIdoing (talk) 05:35, 10 June 2013 (UTC)

Link to Neurological Disease
According to the article "Seborrheic dermatitis, increased sebum excretion, and Parkinson’s disease: a survey(2003)" in the journal Medical Hypotheses, three possible theories for the relationship between neurologic disease and seborrheic dermatitis are 1)dopamine depletion affects hormones such as MSH which lead to increased sebum production, 2)limited mobility in increases the static pool of sebum rather than the sebum excretion rate in parkinsons, and 3)SD is a path to parkinsons via P Ovale, P Ovale is the common link, based on the observation that family of parkinsons patients have higher SD. They also add a possible 4th theory: the role of age in mediating the relationship between SD and parkinsons. — Preceding unsigned comment added by 99.254.43.220 (talk) 03:32, 4 June 2013 (UTC)

Better main image
The image for Seborrhea around on the face is quite blurry. I uploaded higher quality, sharper image that I took of my seborrhoeic dermatitis. is that OK? — Preceding unsigned comment added by Roymishali (talk • contribs) 17:16, 15 July 2013 (UTC)

Natural treatments
I noticed that a lot of the treatments not listed under natural actually are, such as salicylic acid, succinic acid, and isotretinoin. Such those be moved or the natural section deleted altogether? — Preceding unsigned comment added by 173.68.131.232 (talk) 19:32, 1 August 2013 (UTC)

— Preceding unsigned comment added by Roymishali (talk • contribs) 18:01, 15 July 2013 (UTC)

an addition
Medicated shampoos containing selenium sulfide, zinc pyrithione (like Head and Shoulders), coal tar and salicylic acid, used twice weekly for at least a month and if necessary, indefinitely. Steroid scalp applications reduce itching, and should be applied daily for a few days every so often. Tar cream can be applied to scaling areas and removed several hours later by shampooing.

Hydrocortisone reduces the swelling, itching, and redness that can occur in these types of conditions.

Also using natural oils such as neem and lavender to soothe and heal. — Preceding unsigned comment added by 85.74.252.94 (talk) 14:58, 16 January 2014 (UTC)

an addition
If these measures don't help, the doctor may prescribe topical corticosteroids, antifungal medications or a combination of the two to treat stubborn patches. A common course of treatment includes a daily regimen of ketoconazole (Nizoral) and desonide (Desowen) applied to the skin. Prescription oral medication, such as terbinafine (Lamisil), may be an option if the condition affects a large portion of the body.

A class of medications called immunomodulators, such as pimecrolimus (Elidel) and tacrolimus (Protopic), affects the immune system. These medications have anti inflammatory and mild antifungal properties and are effective in treating seborrheic dermatitis. Due to possible concerns about the effect of these medications on the immune system when used for prolonged periods of time, the drug and food administration recommends that Elidel and Protopic be used only after other treatments have failed, or if someone can't tolerate other treatments. — Preceding unsigned comment added by 85.74.252.94 (talk) 15:01, 16 January 2014 (UTC)

a comment
"Since this condition is incurable...." not so "incurable"

"A class of medications called immunomodulators,....affects the immune system." and because of them I lost precious hair that can not regrow! — Preceding unsigned comment added by 94.71.245.175 (talk) 17:29, 12 February 2014 (UTC)

a comment
"I've struggled with this for years." "I finally had enough...." well.... I am still struggling and still having enough (I'm sick and tired of all this itching that does bleeding and all this hair loss that can not regrow!)

"....that causes scabs that always are itchy and feel like they always need to be picked, and the discomfort that causes the scratching...." you seem to know what you are talking about for something that you had experienced (that I am still experiencing!)

by the way how about adding cetrimide (Cetavlon) to the article, it is an antiseptic with detergent effect against seborrheic dermatitis too — Preceding unsigned comment added by 94.71.245.175 (talk) 17:42, 12 February 2014 (UTC)

USA vs British spelling...
Isn't the rule on Wikipedia that we use Yanky spelling? It should be Seborrheic dermatitis... PS I'm Aussie ;) 182.255.99.214 (talk) 13:24, 13 March 2015 (UTC)


 * No, the rule is that the spelling should be consistent throughout, and it doesn't matter if that's British or US spelling. Which means it effectively depends on if the original creator used British or US English. Joseph2302 (talk) 13:33, 13 March 2015 (UTC)


 * FYI, the place where this is covered is WP:ENGVAR. This link is useful to know because in an edit summary you can just link WP:ENGVAR and anyone who needs more info can get it there. Cheers, Quercus solaris (talk) 15:53, 14 March 2015 (UTC)

Added a new external link
I have added a link to the article on Seborrheic dermatitis the on American Academy of Dermatology web site. The AAD article adds information not available in the Wikipedia article - particularly with images of symptoms - and the page carries no advertising.I hope this is OK - and that the formatting of the link is OK,

TheoA (talk) 09:07, 17 July 2017 (UTC)
 * Sure that sounds reasonable. Doc James  (talk · contribs · email) 11:02, 17 July 2017 (UTC)

Doc James Thank you for the confirmation. Do you think it would be a good thing if AAD were added as a medical resource web site in WikiData? If you think so, I will start to explore the way of getting this to happen. TheoA (talk) 08:51, 18 July 2017 (UTC)
 * Yes would be good to get a number of more sources into WD IMO. You have experience with bots? Doc James  (talk · contribs · email) 09:07, 18 July 2017 (UTC)

The ‘Related Articles’ link labelled this a type of mushroom.
This is not a type of mushroom, but I am not sure where to edit. Offending page: https://en.m.wikipedia.org/wiki/Cradle_cap Jerodzewert (talk) 01:41, 5 June 2018 (UTC)

boogsley (talk) 18:50, 25 June 2018 (UTC)
 * Noticed it says the same thing ("Type of mushroom") when previewing it in the search bar; at least from the main wikipedia page (both the website and from mobile app). Will be interested in how this gets fixed, since I don't see/know how to do that.

Wiki Education assignment: WikiProject Medicine Fall 2023 UCF COM
— Assignment last updated by 12Birds (talk) 20:15, 26 October 2023 (UTC)

Work plan:

Lead/Summary: clean up language to be suitable for 6th grade level. Add in more context.

Sign & Symptoms: Requires better description of rash as well as various manifestations. Will flesh out details.

Causes: Would like to add detail to climate and other causes. Will double check the malassezia portion to make sure it is accurate.

Diagnosis: Will add this section since it is absent but highly relevant.

Management: Will review for reading level and style. Will add in any other treatments I come across that have yet to be mentioned.

Epidemiology: Will add details about any groups that have been omitted.

12Birds (talk) 20:24, 26 October 2023 (UTC)

Antiandrogen section deleted: seems to rely on irrelevant sources
The sources given in the anti-androgen section, as far as I was able to tell, largely did not regard seborrheic dermatitis, but other conditions with variable relation to seborrheic dermatitis, such as seborrhea or PCOS. I could not find a reference to seborrheic dermatitis in Clinical applications of antiandrogens, the Clinical Nanomedicine Handbook, Androgen receptor antagonists (antiandrogens): structure-activity relationships, and a few others that I do not remember. Perhaps it could have been that OCR failed me.

I have removed the entire section and replaced it with a piece in "Other treatments" that cites a different source that is about a specific antiandrogen possibly having an effect against seborrheic dermatitis.

I do not think it is particularly unlikely that antiandrogens may help the condition, as another of its treatments, accutane, seems to help by reducing sebum production, as might an antiandrogen. I too would have an suspicion that antiandrogens might help the condition. However, the antiandrogen section seemed poorly sourced and speculative, on top of it being very bold in its claims and conflating the condition with seborrhea. I can not find much other reference to antiandrogens affecting the condition, other than a small number of anecdotes on Reddit.

If someone wishes to go through about a dozen sources that might require money to access, certainly verify the citations of the previous section, because I did remove a small chunk of the article in doing this. NeedsCorrection (talk) 03:39, 8 June 2024 (UTC)