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Dandruff and Seborrheic Dermatitis

Overview:

Dandruff

Dandruff (also known as Pityriasis capitis) is a common condition caused by an excessive shedding of the dead skin cells (keratinocytes) of the scalp. The epidermis is the outermost layer, consisting of skin cells. These cells are continually being shed & renewed approximately every month, however cell turnover is much more frequent in people with  dandruff.

Common causes of dandruff & seborrheic dermatitis include;

  • Malassezia globosa (formerly known as Pityrosporum ovale). This is a naturally occurring fungus found on humans & animals. [1]

  • Sebum production. [1]

  •  Individual susceptibility. [1]

  • Exposure to heat & cold.

  •  Allergic reaction to certain hair products such as shampoo, hairspray etc.

Dandruff symptoms?

The main symptom of dandruff is flaking. Other symptoms of dandruff include;

  • Itching

  •  Redness

The latter two symptoms are symptoms of a more severe form of dandruff  known as Seborrheic dermatitis. Other parts of the body such as the chest, folds of the nose & eyebrows may also be affected with seborrheic dermatitis. 

Dandruff treatment?

Treatment for dandruff and seborrheic dermatitis may involve the following;

  • Anti-seborrheic shampoos - These contain an ingredient to remove excess sebum & reduce irritation. The active ingredients in these shampoos may vary from brand to brand but most will contain one of the following; salicylic acid, tar, sulfur and propylene glycol. After the shampoo has been applied & lathered up, leave on the hair for approximately 10 minutes before rinsing off.

  • Anti-fungal shampoos containing the anti-fungal agent containing ketoconazole.

  • Topical corticosteroids to relieve inflammation & itching.

 

References:

[1] Malassezia globosia

 

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