When the rather common condition presents in less typical ways it may be mistaken for another condition or produce troublesome sequela. In order to provide patients efficient relief of symptoms, clinicians must be aware of these presentations and maintain suspicion for seborrheic dermatitis when appropriate, suggests Boni E. Elewski, … Classic seborrheic dermatitis of the face and/or scalp rarely challenges the diagnostic skills of dermatologists, but the condition has a more diverse clinical presentation. New Treatment for Seborrheic Dermatitis. A Clinical Investigation. FRANKLIN I. BALL, M.D., Hollywood, Calif. Seborrheic dermatitis is one of those af- …

Clinical Presentations Most patients are familiar with seborrheic dermatitis as “dandruff,” though the greasy scale also commonly affects the face—particularly the eyebrows and nasolabial folds—and ears. It can also develop at the axilla, groin, and mid- chest. Signaling either a heightened immune reaction to normal levels of Malassezia yeast or a response to excess yeast, seborrheic dermatitis is not considered an infection. The presentation tends to be seasonal, spiking in the spring and fall, and may be exacerbated by patient stress. The condition is very common in individuals with neurological impairment, such as those with Parkinson’s disease, Alzheimer’s disease, or those who have had a stroke. Because the condition is also common in individuals who are HIV-positive (it sometimes precedes a diagnosis of HIV status), the highly visible condition can be associated with a social stigma. Any cases of non-specific intertrigo warrant suspicion for SD, Dr. Elewski says, reminding that seborrheic dermatitis may develop in any fat fold, as well as the armpit and groin. It is also

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