Infantile seborrhoeic dermatitis presents as erythematous patches with greasy scales in the scalp, face, and intertriginous zones.
- Risk factors
- Infants aged 2 weeks – 12 months
- Male infants
- Family history of atopic disease
- Natural history
- Onset within the first 3 months of life
- Peaks at 3 – 8 weeks of age
- Spontaneous resolution within 6 – 12 months without long-term sequelae
- Complete resolution by 12 months in 85-90% or patients
- Signs and symptoms
- Crusted flaky scalp
- May develop in the first few weeks of life
- Erythematous rash with coarse yellow scales
- Crusted flaky scalp
- Treatment
- Reassure that it does not affect the baby and resolves in a few weeks
- Topical emollient on the scalp (softens crusted areas before washing off in the morning)
- Topical imidazole, if it does not resolve
