Seborrheic dermatitis in a child on the head
Seborrheic dermatitis – crusts on the head of babies – is experienced by most parents. Why is this disease dangerous? How to get rid of it? What shampoos are suitable for the treatment of seborrheic dermatitis in newborns? Find out with an expert

Seborrheic dermatitis on the head in babies is also called milk crusts. But these scales have nothing in common with milk. Noticing the crusts on the head of their child, parents may be upset: “What is wrong with my baby?”. In fact, there is nothing special about seborrheic dermatitis – this is one of the common problems of babies in the first months of life.

“Milk crusts” appear in most newborns. In many babies, they pass on their own, without consequences and treatment. You can just wait a while, or you can help them disappear faster.

What is seborrheic dermatitis

Seborrheic dermatitis is a benign process. It manifests itself in the form of white or yellowish scales, oily crusts on areas of the skin where there are many sebaceous glands, including the scalp, ears, face. On the head, seborrheic dermatitis most often affects the frontal region. 

Hair with seborrheic dermatitis does not fall out, the head does not itch. Itching may appear during an exacerbation, when the crusts go beyond the hairline, affect the skin behind the ears, on the neck. (one)

What is seborrheic dermatitis in a child

The sebaceous glands have two peaks of activity:

firstfalls on the age of 3 months and lasts about a year
secondbegins in adolescence, during puberty

Based on this, children’s seborrheic dermatitis and the adult form of the disease are distinguished.

Children’s seborrheic dermatitis can manifest itself in a limited form on the scalp (“seborrheic cap”) and widespread, when crusts appear on the face, sternum and other parts of the body.

Photo of seborrheic dermatitis in a child

Causes of seborrheic dermatitis in a child

There are three main causes of seborrhea in a child.

Increased activity of the sebaceous glands

The main cause of seborrheic dermatitis in children. The fact is that maternal hormones circulate in the blood of a child in the first weeks of life. Because of this, the child’s sebaceous glands (by the way, they are quite large in the scalp) work too intensively. Sebum is secreted by these glands in large quantities, not much less than in adults. The activity of the sebaceous glands may also be associated with increased production of adrenocorticosteroids (hormones produced by the adrenal glands).

Mushrooms

In children, they can rarely be the cause of seborrheic dermatitis, unlike adults, but some experts admit this possibility. These fungi destroy the protective barrier of the skin, release fatty acids that stimulate inflammation. (2)

Lipid metabolism disorder

It changes the chemical composition of lipids on the surface of the skin, provokes skin inflammation.

Treatment of seborrheic dermatitis in a child

Treatment of seborrheic dermatitis is prescribed by a dermatologist. For newborns, topical therapy is usually used with the use of special shampoos, skin softening baby oils and creams. In severe cases, antifungal ointments and corticosteroids may be prescribed.

An important role is played by proper skin care and the use of products recommended by the doctor after examining the child. 

A special shampoo for seborrheic dermatitis should be approved for use from the first days of a child’s life. Use them as usual. But without fanaticism! Daily use of such a shampoo can lead to the opposite effect: the sebaceous glands will begin to work even more actively. The effect is noticeable in someone after the first applications, and in someone after a few weeks, especially if the child has a lot of crusts on his head and there are layers. 

Oil products and creams against crusts are applied under a cap half an hour before bathing, and washed off with shampoo during water procedures. After bathing, the crusts are combed out with a soft brush. 

It is strongly not recommended to forcibly rip off and tear off the crusts – this can injure the delicate growth zone of the baby’s hairs and contribute to the spread of infection!

Modern treatments

To soften and painlessly remove seborrheic crusts on the child’s head, special creams with a keratolytic effect are used. The composition of special shampoos may include products that eliminate the symptoms of seborrheic dermatitis and normalize the functioning of the sebaceous glands: 

  • antifungals (ketoconazole, ciclopirox, etc.),
  • antimicrobial (sulfur),
  • antiseptics (salicylic acid),
  • anti-inflammatory and regenerating (zinc).

An obligatory part of the treatment of seborrheic dermatitis is the restoration of the water-lipid barrier of the skin. Children’s dermatological creams are applied to the affected areas, which have the properties of healing wounds, reducing sebum production, etc.

The doctor prescribes pharmaceutical preparations for complicated course. (3)

Shampoos for seborrheic dermatitis in a child

We have selected the top 5 best shampoos for seborrheic dermatitis in children.

1. BABE Laboratorios Shampoo for children from seborrheic crusts

Gradually removes milk crusts and prevents the appearance of new ones. Contains marigold extract, salicylic acid and active ingredients that inhibit the growth of Malasseiza fungus. Does not contain synthetic chemicals. Does not cause negative skin reactions.

Manufacturer countrySpain
Volume200 ml
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2. Baby Balance Shampoo Foam with Oils to Soften Milk Crusts

Moisturizes, cleanses and softens the skin. Contains vitamins A, C, E, panthenol, extracts of chamomile, lavender, calendula, prebiotic and natural biolipid to restore the scalp and prevent the recurrence of crusts.

Foam shampoo is hypoallergenic, does not contain soap, parabens, silicones, dyes. 

Manufacturer countryOur Country
Volume250 ml
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3. Sanosan Baby Bath & Shampoo

Cleanses the skin and hair, helps soften the crusts. Contains organic olive oil extract & milk protein to soften, repair & hydrate skin. Does not contain soap. Does not cause tears. 

Clinically tested. Suitable for daily use. 

Manufacturer countryGermany
Volume200 ml
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4. Mustela Baby Crust Scrub Shampoo

Cleanses hair and skin, gently softens and removes dry crusts. Does not cause tears if it gets into the eyes. 

For 99% it consists of components of natural origin. Contains salicylic acid. Does not cause allergic reactions. 

The safety of Mustela Foam Shampoo has been confirmed by dermatologists and pediatricians.

Manufacturer countryFrance
Volume150 ml
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5. “La Cree” Shampoo-foam for children

Softens and removes seborrheic crusts. Normalizes the work of the sebaceous glands. Helps moisturize the skin. Contains salicylic acid, panthenol, olive oil, wheat proteins. The composition contains jojoba oil and violet extract, which help relieve irritation and improve the protective properties of the skin. 

Does not contain dyes, parabens and fragrances, silicones and sulfates.

Manufacturer countryOur Country
Volume150 ml
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Prevention of seborrheic dermatitis in a child at home

Proper skin care of a child is the main condition in the prevention of the appearance of seborrheic dermatitis. 

In protecting the child from seborrheic dermatitis also play an important role:

  • maintaining the optimum temperature in the house,
  • the use of special shampoos and bathing products,
  • strengthening immunity through walks in the fresh air, good sleep, proper and regular nutrition. 

Popular questions and answers

Dermatologist Maria Zhuravleva answered questions that often arise in connection with seborrheic dermatitis in a child.

Is it true that seborrheic dermatitis in a child can affect the quality of his hair, make it weak and brittle?

Gneiss, or “milk crusts” is a benign self-permanent process, it does not affect the quality and growth of the baby’s hair in the future. Moreover, during the first years of life there is a smooth change of “children’s” hair to adults. Therefore, it is not worth judging by baby hair about what they will be like in adulthood.

Can seborrheic dermatitis spread from the head to the whole body?

Yes, seborrheic dermatitis can occur wherever there are sebaceous glands. Therefore, a common form of seborrheic dermatitis is isolated.

How is seborrheic dermatitis different from atopic dermatitis?

The answer to this question is not as simple as it seems. These two conditions in babies can be so similar that a number of authors attribute seborrheic dermatitis to a more benign atopic course.

However, there are a number of differences that can help us decide who is who.

● Age

Children’s seborrheic dermatitis develops between the ages of a few weeks and up to 3 months. During this period, the most active production of sebum in the baby occurs. After three months, it begins to gradually decline, finally calms down by the year and remains low until puberty. Atopic dermatitis, as a rule, manifests a little later, starting from 3-4 months and after a year it does not disappear.

● Quick

Itching is included in the “greater criteria” for atopic dermatitis. Without it, this diagnosis is very doubtful. But with seborrheic dermatitis, itching may not be. At all. Or its intensity does not correspond to the picture on the skin: there are a lot of rashes, but the baby does not itch much, is easily distracted, sleep does not suffer.

● Localization

Favorite places of seborrheic dermatitis are the scalp, forehead and eyebrows (“newborn’s cap”), skin folds (behind the ears, armpits), torso, diaper area, elbows and popliteal fossae. Atopic dermatitis in babies up to a year, in addition to the trunk, is localized on extensorsurfaces (i.e. elbows and knees), diaper areas and folds remain clean.

Is there a diagnosis adjustment: first seborrheic, and then atopic?

Yes, this happens too. 

The first option: it may happen that atopic dermatitis develops already against the background of an existing seborrheic dermatitis. This does not mean that one “turned” into the other. The human body is not a traffic light, no one goes anywhere here. Just one disease develops in parallel and separately, against the background of an already existing process.

The second option: for the diagnosis of “atopic dermatitis” there were initially few data (mild form of the disease, mild itching, few rashes). But over time, when it would be time for the manifestations of seborrheic dermatitis to “pack their bags”, the rashes suddenly decided to stay longer and stopped masking.

Sources of

  1. Seborrheic dermatitis in children. Clinical recommendations of the Union of Pediatricians of Our Country. URL: https://www.pediatr-Our Country.ru/information/klin-rek/deystvuyushchie-klinicheskie-rekomendatsii/Sebor%20dermatitis%20children%20SPR.v1%207.02.17.pdf
  2. The most common dermatitis in children: features of diagnosis and therapy D. Sh. Macharadze. “The attending physician” Medical scientific and practical portal. URL: https://www.lvrach.ru/2007/07/4535463
  3. Clinical guidelines for the management of children with seborrheic dermatitis. E.I. Pilgui, N.N. Murashkin. Scientific Center for Children’s Health of the Ministry of Health of Our Country.

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