Conditions

Seborrhoeic dermatitis

Seborrheic dermatitis is a common, chronic inflammatory skin condition that affects the oilier areas of the skin — most often the scalp, face, and chest. It causes redness, flaking, and scaling that can range from mild and barely noticeable to persistent and uncomfortable, and while it can't be cured outright, it's very manageable with the right treatment. Understanding what causes it, who it affects, and how it's treated is the first step toward keeping it under control.

What is dandruff?

Dandruff or Seborrheic dermatitis causes red, greasy-looking, scaly patches in areas of the skin with a higher concentration of oil glands — typically the scalp, eyebrows, sides of the nose, ears, and chest. On the scalp, it can range from mild flaking to more visible, thicker scale. It's a chronic condition that tends to wax and wane over time, often flaring in colder months and settling in warmer weather.

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What treatments are available for seborrheic dermatitis and dandruff?

Treatment aims to reduce yeast overgrowth and calm inflammation, and is usually tailored to the areas affected:

  • Antifungal shampoos, creams, or washes — such as those containing ketoconazole, selenium sulfide, or zinc pyrithione, often the first-line treatment for both scalp and facial involvement
  • Topical corticosteroids — used for short periods to settle more inflamed flares
  • Topical calcineurin inhibitors — a non-steroid option, useful for facial involvement or longer-term use
  • Regular, gentle cleansing — of the scalp and affected areas, since a build-up of oil and scale can worsen symptoms
  • oral medications - such as antifungals or isotretinoin to dry up the oily component.

Because seborrheic dermatitis is a chronic condition, many people need to continue using a maintenance treatment, such as an antifungal shampoo a couple of times a week, even once symptoms have settled, to keep flares at bay.

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Specialists for this treatment
SS
Dr Sarah Smithson
Dermatologist
PM
Dr Priska McDonald
Dermatologist
MO
Dr Millie Osti
Dermatologist
RD
Dr Rachael Davenport
Dermatologist
Common questions

Frequently asked questions

Who does seborrheic dermatitis affect?
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Certain groups are more likely to develop seborrheic dermatitis:

  • Infants — commonly seen as cradle cap in the first few months of life
  • Adults aged 30 to 60, and particularly men — adult seborrheic dermatitis is more common and often more persistent in men
  • People with oily skin
  • People with neurological conditions, such as Parkinson's disease, or who have had a stroke
  • People who are immunosuppressed, including those with HIV, who tend to develop more extensive disease
  • People experiencing high stress or significant fatigue

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Does seborrheic dermatitis go away on its own?
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In adults, seborrheic dermatitis is a chronic condition that tends to follow a relapsing-remitting course rather than resolving permanently on its own — it typically improves with treatment and can flare again, particularly with cold weather, stress, or illness. This is different from cradle cap in infants, which usually does resolve without ongoing treatment. With appropriate, and often ongoing, management, most adults are able to keep symptoms well controlled.

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Can babies get seborrheic dermatitis (cradle cap)?
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Yes — seborrheic dermatitis is very common in infants, where it's known as cradle cap. It typically appears as greasy, yellowish scale on the scalp in the first few months of life, and can also affect the eyebrows, ears, and skin folds. Unlike the adult form, cradle cap is usually a temporary condition that resolves on its own within the first six to twelve months, and it doesn't bother most babies even though it can look uncomfortable. Gentle washing and soft brushing are often all that's needed, though your GP or dermatologist can advise on treatment if it's more extensive or persistent.

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When should I see a dermatologist?
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We recommend seeing a dermatologist if:

  • Your symptoms aren't improving with over-the-counter antifungal shampoos or washes
  • The affected areas are spreading, thickening, or becoming more uncomfortable
  • Your scalp or facial flaking is affecting your confidence or daily life
  • You have a condition, such as a weakened immune system, that may make your seborrheic dermatitis harder to manage
  • You're unsure whether what you're seeing is seborrheic dermatitis, psoriasis, or another scalp or facial condition — accurate diagnosis is the essential first step, since treatments differ

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