Kristine Pardilla
N675 Acute and Episodic Conditions
Samuel Merritt University Management of Infantile Seborrheic Dermatitis
A range of changes in skin of the infant is very common during the first four weeks after delivery and can cause parents to be alarmed. Even though majority of the rashes are temporary and benign, some needed careful evaluation to determine if there is underlying systemic diseases (O’Connor, McLaughlin & Ham, 2008). One of the benign rashes in the pediatric population, particularly newborn, is seborrheic dermatitis. About 10% of infants younger than one month is affected with seborrheic dermatitis (Sachdeva, 2002).
Seborrheic Dermatitis in Infants
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Correct diagnosis prompts proper treatment management and thus reassures the child’s caregiver. Seborrheic Dermatitis. Seborrheic dermatitis presents usually during the first month but can present up to 12 months, responds to interventions and self limited, uncommon to have pruritus and usually affects the areas of scalp, face, ears, neck and diaper area (O’Connor, McLaughlin & Ham, 2008). Family history is not a predisposing factor (Fleischer, 2008).
Atopic Dermatitis. One of the differential diagnoses to consider when diagnosing seborrheic dermatitis is atopic dermatitis as the appearance of the eruptions are similar. The distinguishing factors include the age of onset, the duration, presence of pruritus and distribution. Atopic dermatitis usually presents after 3 months of age, positively reacts to treatment but often relapses, pruritus is always present and affected areas can include the scalp, face, trunk, extremities and diaper area (O’Connor, McLaughlin & Ham,