Do I have dandruff or seborrheic dermatitis and how can I treat it?

By: Dr. Calvin Williams

12/15/2023

Seborrheic dermatitis and dandruff are both common skin conditions that can affect the scalp, causing itchy, flaky, and inflamed skin. While they share some similarities, there are some key differences between these two conditions.

Seborrheic Dermatitis

Seborrheic dermatitis is a chronic inflammatory skin condition that affects areas of the body that have a lot of sebaceous glands, such as the scalp, face, and chest. It is characterized by red, scaly patches that may be itchy and can sometimes cause a burning sensation. The exact cause of seborrheic dermatitis is not fully understood, but it is thought to be related to the overgrowth of a yeast called Malassezia on the skin. Other factors that may contribute to seborrheic dermatitis include stress, changes in weather, and certain medical conditions such as Parkinson's disease and HIV.

Symptoms of seborrheic dermatitis on the scalp can include:

  • Red, scaly patches on the scalp
  • Flaking or shedding of skin
  • Itching and burning sensations
  • Greasy or oily skin
  • Hair loss (in severe cases, typically the result of scratching)

Treatment for seborrheic dermatitis typically involves the use of medicated shampoos or topical creams that contain antifungal agents or corticosteroids. Lifestyle changes, such as managing stress levels and avoiding harsh hair products, may also help to reduce symptoms.

Dandruff

Dandruff is a common scalp condition that is characterized by small, white flakes of dead skin that are shed from the scalp. It is not a serious condition and does not usually cause any discomfort or inflammation. Dandruff can be caused by a number of factors, including dry skin, oily skin, and sensitivity to hair products. It is also thought to be related to the overgrowth of Malassezia on the scalp.

Symptoms of dandruff on the scalp can include:

  • White flakes of dead skin on the scalp and hair
  • Itching and mild irritation of the scalp
  • Mild redness or inflammation of the scalp

Treatment for dandruff typically involves the use of medicated shampoos that contain antifungal agents or other active ingredients such as salicylic acid or coal tar. In some cases, mild cases of dandruff can be managed with over-the-counter shampoos that contain zinc pyrithione or selenium sulfide.

Conclusion

Seborrheic dermatitis and dandruff are both common scalp conditions that can cause itching, flaking, and inflammation. While they share some similarities, seborrheic dermatitis is a more severe and chronic condition that requires medical treatment. Dandruff, on the other hand, is a milder condition that can usually be managed with over-the-counter treatments. If you are experiencing symptoms of either condition, it is important to speak with your healthcare provider to determine the best course of treatment. If you are suffering from dandruff or seborrheic dermatitis give Essential Dermatology Group of Bedford, TX a call today.



* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.