Skip to main content

Seborrhoeic Dermatitis, Scalp Psoriasis and Hair

  • Chapter
Hair and Hair Diseases

Abstract

Seborrhoeic dermatitis was first described by P. G. Unna more than 100 years ago. Its localization on the scalp has often been referred to synonymously with dandruff, and there is little evidence to refuse the concept that it corresponds clinically to severe dandruff. Nevertheless, the lower incidence of seborrhoeic scalp dermatitis, the presence of erythema as a sign of inflammation, considerably more scaling, and the frequent correlation with eczematous lesions of scalp skin or else where on the body are, however, features of seborrhoeic dermatitis which distinguish it from dandruff. Of course, none of these features alone is clearly diagnostic, and seborrhoeic dermatitis as an entity has remained controversial. Whatever the cause, transient alopecia may occur in seborrhoeic scalp dermatitis, particularly in infants (Agache 1986).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Agache PG (1986) Eczematous dermatitis of the scalp. In: Zviak C (ed) The science of hair care. Dekker, New York, pp 513–521

    Google Scholar 

  • Bauer FW (1986) Cell kinetics. In: Mier PG, van de Kerhof PCM (eds) Textbook psoriasis. Churchill Livingstone, Edinburgh, pp 100–112

    Google Scholar 

  • Bettley RF, Marten RH (1956) Unilateral seborrhoeic dermatitis following a nerve lesions. Arch Dermatol 73:110–115

    Article  CAS  Google Scholar 

  • Binet O, Dompmartin-Pernot D, Ar on-Brunetiere R (1981) An objective approach of the diagnosis of diffuse alopecia: the trichogram. In: Orfanos CE, Montagna W, Stüttgen G (eds) Hair research. Status and future aspects. Springer, Berlin Heidelberg New York, pp 277–282

    Google Scholar 

  • Bradfleld RB, Bailey MA (1969) Hair root response to protein malnutrition. Adv Biol Skin 9:109–112

    Google Scholar 

  • Braun-Falco O, Heilgemeir GP, Lincke-Plewig H (1979) Histologische Differenzierung von Psoriasis vulgaris und seborrhoischem Ekzem des Kapillitium. Hautarzt 478–483

    Google Scholar 

  • Burton JL, Shuster S (1970) Effect of L-dopa on seborrhea of parkinsonism. Lancet II:19–20

    Article  Google Scholar 

  • Carr MM, Pryce DM, Ive FA (1987) Treatment of seborrhoeic dermatitis with ketokonazole. Br J Dermatol 116:223–216

    Article  Google Scholar 

  • Church R (1967) Disorders of the hair and scalp. Br Med J 14:95–97

    Article  Google Scholar 

  • Civatte A (1924) Psoriasis and seborrhoeic eczema; pathologic anatomy and diagnostic histology of the two dermatoses. Br J Dermatol Syphilol 36:461

    Article  Google Scholar 

  • Cunliffe WJ, Dodman BA (1974) A comparison of tar liquid and cetermide shampoo in the management of psoriasis of the scalp. Br J Clin Pract 28:314–315

    PubMed  CAS  Google Scholar 

  • Dahl KB, Reymann F (1977) Photochemotherapy of erythrodermic seborrhoeic dermatitis. Arch Dermatol 113:1295–1296

    Article  PubMed  CAS  Google Scholar 

  • Duvic M, Rios A, Brewton GW (1987) Remission of AIDS-associated psoriasis with zidovudine. Lancet II:627

    Article  Google Scholar 

  • Eckert F, Stolz W (1988) Zur Histologie und Ultrastruktur des seborrhoischen Ekzems. Aktuel Dermatol 14:395–398

    Google Scholar 

  • Eisenmann HT, Mikhail GR (1969) Pustular psoriasis of the scalp. Arch Dermatol 100:598–600

    Article  Google Scholar 

  • Eisenstat BA, Wormser GP (1984) Seborrhoeic dermatitis and butterfly rash in AIDS. N Engl J Med 311:189

    PubMed  CAS  Google Scholar 

  • Farber EM, Abel EA, Charuworm A (1983) Recent advances in the treatment of psoriasis. J Am Acad Dermatol 8:311–321

    Article  PubMed  CAS  Google Scholar 

  • Greene CA, Farr PM, Schuster S (1987) The response of seborrhoeic dermatitis to ketokonazole. Br J Dermatol 166:217–221

    Article  Google Scholar 

  • Johnson TM, Duvic M, Rapini RP, Rios A (1985) AIDS exacerbates psoriasis. N Engl J Med 313:1415

    PubMed  CAS  Google Scholar 

  • Kligman AM, McGinley KJ, Leyden J J (1979) Kopfschuppen. Ihre Ursachen und Behandlung. In: Orfanos CE (ed) Haar und Haarkrankheiten. Fischer, Stuttgart, pp 663–680

    Google Scholar 

  • Kragballe K, Voorhees JJ (1985) Arachidonic acid and leukotrienes in pathogenesis and treatment. In: Roenigk HH, Maibach H (eds) Psoriasis. Dekker, New York, pp 255–263

    Google Scholar 

  • Jung EG (1988) Die Lokalbehandlung des seborrhoischen Ekzems mit Ketokonazol. Aktuel Dermatol 14:420–423

    Google Scholar 

  • Lassus A (1976) Local treatment of psoriasis of the scalp with clobetasol propionate and betamethasone-17,21-dipropionate: a double blind comparison. Curr Med Res Opin 4:365–367

    Article  PubMed  CAS  Google Scholar 

  • Lazarus GS, Yost FJ, Thomas CA (1977) Polymorphonuclear leukocytes: possible mechanism of accumulation in psoriasis. Science 198:1162–1163

    Article  PubMed  CAS  Google Scholar 

  • Mathes BM, Douglass SS (1985) Seborrhoeic dermatitis in patients with AIDS. J Am Acad Dermatol 13:947–951

    Article  PubMed  CAS  Google Scholar 

  • Matsunaga J, Maibach HI (1985) Scalp and hair. In: Roenigk HH, Maibach HI (eds) Psoriasis. Dekker, New York, pp 95–100

    Google Scholar 

  • McGinley KJ, Leyden JJ, Marples RR, Kligman AM (1975) Quantitative microbiology of the scalp in non-dandruff, dandruff and seborrhoeic dermatitis. J Invest Dermatol 64:401–405

    Article  PubMed  CAS  Google Scholar 

  • Miller NE, Nilson UR (1970) A familial deficiency of the phagocytosis-enhancing activity of serum related to a dysfunction of the fifth component of complement (C5). N Engl J Med 282:354–357

    Google Scholar 

  • Orfanos CE, Steigleder GK (1976) Psoriasis-Therapie mit Cignolin. Das Kölner CSV-Behand-lungsschema. Z Hautkr 51:473–480

    Google Scholar 

  • Orfanos CE, Mahrle G, Christenhusz R (1970) Verhornungsstörungen am Haar bei Psoriasis. Eine Studie im Rasterelektronenmikroskop. Arch Klin Exp Dermatol 236:107–114

    Google Scholar 

  • Orfanos CE, Schaumburg-Lever G, Mahrle G, Lever WF (1973) Alterations of cell surfaces as a pathogenetic factor in psoriasis. Arch Dermatol 107:38–46

    Article  PubMed  CAS  Google Scholar 

  • Orfanos CE, Mahrle G, Runne U (1976) Verteilungsstörung oberflächlicher Glycoconjugate der psoriatischen Zellmembran. Cytochemischer Nachweis mit Hilfe der Alcianblau-Lanthan- Methode. Arch Dermatol Forsch 256:39–51

    Google Scholar 

  • Pinkus H, Mehregan AJ (1966) The primary histologic lesions of seborrhoeic dermatitis and psoriasis. J Invest Dermatol 46:109–116

    PubMed  CAS  Google Scholar 

  • Pochi PE, Strauss JS, Mescon H (1962) Sebum production and fractional 17-ketosteroid excretion in parkinsonism. J Invest Dermatol 38:45–51

    PubMed  CAS  Google Scholar 

  • Shahrad P, Marks R (1976) Hair follicle kinetics in psoriasis. Br J Dermatol 94:7–12

    Article  PubMed  CAS  Google Scholar 

  • Shuster S (1972) Psoriatic alopecia. Br J Dermatol 87:74–77

    Article  Google Scholar 

  • Skinner RB, Zanolli MD, Noah PW, Rosenberg EW (1986) Seborrhoeic dermatitis and AIDS. J Am Acad Dermatol 14:147–148

    Article  PubMed  Google Scholar 

  • Stadler R, Schaumburg-Lever G, Orfanos CE (1986) Histology. In: Mier PG, van de Kerkhof PCM (eds) Textbook of psoriasis. Churchill Livingstone, Edinburgh, pp 40–53

    Google Scholar 

  • Stankler L, Ewen SB (1981) Follicular psoriasis. Br J Dermatol 104:153–154

    Article  PubMed  CAS  Google Scholar 

  • Steck WD (1976) Scalp psoriasis: improved treatment with a shampoo machine. Cutis 17:123–125

    PubMed  CAS  Google Scholar 

  • Tagami H, Ofuji S (1977) Characterization of a leukotactic factor derived from psoriatic scales. Br J Dermatol 97:509–518

    Article  PubMed  CAS  Google Scholar 

  • Unna PG (1887) Das seborrhoische Ekzem. Monatsh Prakt Dermatol 6:827–846

    Google Scholar 

  • Van Lint J, De Doncker P, Woestenborghs R (1988) Chronic use of 2% ketokonazole shampoo in patient with seborrhoeic dermatitis and dandruff. Curr Ther Res 43:43–47

    Google Scholar 

  • Wishner AJ, Teplitz ED, Goodman DS (1987) Pityrosporum, ketokonazol and seborrhoeic dermatitis. J Am Acad Dermatol 17:140–141

    Article  PubMed  CAS  Google Scholar 

  • Wölbling RH, Fuchs J, Schäfer V, Milbradt R (1987) Zur Dithranol-Therapie der seborrhoischen Dermatitis. Aktuel Dermatol 13:301–305

    Google Scholar 

  • Wyatt E, Bottoms E, Comaish S (1972) Abnormal hair shafts in psoriasis on scanning electron microscopy. Br J Dermatol 87:368–373

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Orfanos, C.E., Frost, P. (1990). Seborrhoeic Dermatitis, Scalp Psoriasis and Hair. In: Orfanos, C.E., Happle, R. (eds) Hair and Hair Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74612-3_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74612-3_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74614-7

  • Online ISBN: 978-3-642-74612-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics