There are four common patterns that are visible in patients with seborrhoeic eczema –
Scalp and facial region – the skin becomes greasy, red, and scaly.
Seborrhoeic eczema impresses the central facial region and the forehead, on the sides of the nostrils down to the outer ends of the lips, the ends of the scalp, eyebrows, and also behind the ears.
The scalp region can become very scaly because of dandruff.
The front of the chest develops a red scalier patch over the breast bone.
The back of the trunk raises numerous red raised dots throughout the back and between the shoulder blades.
Skin folds especially in the groins, under the breasts among women and in the armpits develop a damp inflamed skin reaction.
Seborrhoeic eczema varies in intensity.
A mild case of seborrhoeic eczema would involve a bit of dandruff and flaky skin over the face.
In severe cases of seborrhoeic eczema, the affected skin becomes very itchy; the scalp becomes itchy, greasy and, if very reddened, there is much scaling of the skin on the scalp.
A yeast known as Pityrosporum is believed to be behind the formation of seborrhoeic eczema.
Anti-yeast treatment can hence be quite effective, although there would be a requirement of repeated dosage on a periodical level.
Medicated shampoos that comprise anti-yeast medication may keep the mild activity of seborrhoeic eczema under control.
If the individual experiences a lot of scaling, then additional treatments like sulfur and salicylic acid followed by containing selenium or coal tar preparations may be needed.
Sometimes doctors can also prescribe a blend of antifungal medications with mild steroids such as one percent hydrocortisone as a usual regime for recurrent occurrences.
The preparations are used for roughly two weeks at a time.
Washing the face and the body especially the affected regions twice a week in the shower with the medicated lotions or shampoos can help to prevent a relapse.