Seborrhea
A 27-year-old woman asks about slightly itchy and scaly “white spots” on her face. She has rather severe dandruff, which requires shampooing every other day for control.
A 27-year-old woman asks about slightly itchy and scaly “white spots” on her face. She has rather severe dandruff, which requires shampooing every other day for control.
Key point: Seborrhea usually presents as a scaling erythema on the face, behind the ears, in the scalp, and occasionally on the body. However, the morphology in this patient is a rather distinct appearance of seborrhea on skin of color. Involvement of the face may or may not be concurrent with scalp involvement.
Treatment: Use of an antifungal azole cream, particularly ketoconazole, is the first therapeutic option. Low-potency corticosteroid preparations may also be useful. If scalp disease is present, control via ketoconazole, selenium sulfide, or low-potency corticosteroid-containing shampoos is indicated.
Note: A potassium hydroxide preparation of the scale is a good idea, since tinea versicolor can exactly mimic seborrhea on the face, especially in African American patients.
Lebrikizumab Demonstrates Efficacy, Safety in Patients With Skin of Color With AD
June 11th 2025RAD 2025. Lebrikizumab improved skin clearance, itch, and pigmentation in patients with skin of color and atopic dermatitis, with strong safety data through 24 weeks, according to late-breaking data.
