Seborrheic eczema – also known as seborrheic dermatitis – is a non-contagious, chronic inflammatory skin condition that primarily affects the face or scalp. Like neurodermatitis, it belongs to the atopic group of diseases. But what exactly is seborrheic eczema? How is it recognized, what are its causes, and what really helps?
Typical Symptoms of Seborrheic Eczema
Seborrheic eczema manifests as yellowish to reddish, greasy, shiny skin flakes. The rash preferentially appears on areas of the skin with many sebaceous glands, such as:
- the hairy scalp and hairline
- on and between the eyebrows
- on the cheeks
- in the beard area in men
- around the nostrils and corners of the mouth
- on the sternum and upper back
- and in skin folds such as armpits, groin, and under the breasts
In darker skin, affected areas often appear light rather than reddish. It is also typical for the eczema to itch little or only slightly – in contrast to neurodermatitis, which is accompanied by severe itching and usually appears on other parts of the body.
Causes: Why does seborrheic eczema develop?
Similar to neurodermatitis, a combination of several factors is suspected. Some examples include:
- Increased sebum production (seborrhea)
- Skin germs like fungi or bacteria
- Stress
- Family predisposition
- Hormonal influences
- Neurological diseases
- Weakened immune system
Many sufferers also observe that their skin condition improves in summer, while it flares up again in winter or under psychological stress.
Frequency and Course - who is affected?
Between 3 and 10 out of 100 people are affected by the skin condition, with men more frequently than women. The disease often first begins in young adulthood or after the age of 50. The course is usually chronic, with irregular phases of strong and weaker manifestation.
Special case: Seborrheic eczema in infants
In babies, seborrheic eczema often appears in the first few months of life. Thick, yellowish flakes on the head are typical – also known as cradle cap and not to be confused with milk crust. It can spread to the face, neck, skin folds, and diaper area, but it is harmless and does not require treatment. It usually heals without consequences by the first birthday.
Treatment – what helps with seborrheic eczema?
A permanent cure for seborrheic eczema is not yet known. The good news is that the symptoms can usually be well controlled with appropriate skincare.
It is best to use cosmetics without fragrances, dyes, and preservatives: for example, our med shampoo for seborrheic eczema on the scalp or our med washing gel for seborrheic eczema on the face. Also, avoid heavily covering make-up to not additionally burden the pores, and ensure intensive moisturizing care, for example with our med base cream.
In many cases, the rash improves by spending time in the sun. Good sun protection is important here to avoid further irritating the skin. To avoid additionally burdening the already sensitive skin in these areas, we recommend our med sun care with hypoallergenic formulation.
In cases of severe eczema or recurrent inflammatory flare-ups, it is advisable to consult a doctor or dermatologist.
O U R E X P E R T
Dr. med Michaela Hagemann I boep founder, doctor & mother of 3
