Seborrhea - inflammatory skin disease associated with an increase in the quantity and quality change of sebum.
Seborrhea is manifested by thickening of the stratum corneum, greasy luster and skin peeling. Seborrhea affects those areas of the scalp and trunk, which most developed sebaceous glands - scalp, forehead, nasolabial triangle, the area of the ears, the front chest area and interscapular region. If it affects the scalp is observed thinning and thinning hair.
Causes
As possible factors contributing to the occurrence of seborrhea considering genetic and metabolic causes and the impact of the environment.
Currently leading role Pitirosporum pathogen (yeast-like fungi) in the development of seborrheic dermatitis of the scalp and dandruff is confirmed by numerous clinical and laboratory research. These yeast fungi are a permanent resident of healthy skin in more than 90% of the population. Mushrooms are concentrated around the sebaceous glands and use their secret for growth and development.
Under adverse conditions is a violation of the protective function of the skin and sebaceous glands. In particular, the body loses the ability to control the growth of fungi pitirosporovyh, and their number is significantly increased. The microflora of the scalp normally contains 30-50% pitirosporumov, dandruff it is about 75% of them.
Among the factors contributing to the activation of the fungus, the leading place belongs to the change in the composition of sebum, which significantly violates the protective role of the skin. Among the causes of these changes, most dermatologists say neurogenic, hormonal, immune.
It is well known that seborrhea is significantly exacerbated by nervous stress. Patients with a variety of nervous system diseases are highly susceptible to morbidity seborrhea, in its various manifestations. Patients with cranial nerve palsy, paralysis of the body, Parkinson's disease etc. They have a high susceptibility to morbidity seborrhea.
As evidence of immunodeficiency with seborrhea, it provides data on morbidity among patients with severe immunodeficiency states that if healthy people seborrhea occurs in 8% of cases, the HIV-infected it is observed in 36%, and in patients with AIDS - 80% cases.
Hormonal imbalance also underlies the development of seborrhea. Sebum and hair growth are under the direct control of the male sex hormones. Against the backdrop of genetic predisposition and hormonal changes in immune status determine changes in the secretion of sebum and violation of protective properties of the skin, which leads to the spread of fungi and increasing the number of lesions and the development of inflammation of the skin with impaired immune response, sebum.
symptoms of seborrhea
Typical symptoms of seborrhea - scaling and inflammation of the skin accompanied by itching. Classic version of seborrhea is symmetrical involvement in the process of the skin of the scalp, hair growth boundaries, eyebrows, eyelashes and mustache beard area.
On the scalp there are small white scales. This current version of seborrhea is characterized by the absence of changes in the skin and is considered as dry seborrhea. Many patients in the presence of dandruff (mild form of seborrhea) complain of itching.
If patients rarely wash the head, the process progresses, it captures new areas of the skin, and peeling becomes more abundant. Inflammatory changes at a flow this embodiment can be expressed significantly. More severe seborrhea is characterized by red patches and plaques on the skin covered with scales, and in some cases, scales, crusts and bloody crusts. The process may be involved skin of the forehead, BTE regions, ear passages, patients may complain of a sense of constant discomfort in the affected areas of the skin or severe pruritus. If untreated, the plaque may appear on the smooth skin of the face, back, chest, and in some cases complicated by a bacterial infection.
seborrhea treatment
To treatment should be treated differentially, depending on the symptoms.
Modern methods of treatment of seborrhea are based on data supporting its fungal origin. That specific antifungal treatment in preference to anti-hormonal therapy.
If it affects the scalp prescribe shampoos containing ketoconazole, zinc and tar. They are used at least 2 times a week to eliminate manifestations of seborrhea, but not less than one month. In future, these funds should be used by patients as a prophylactic means at least 1 time in 2 weeks.
In milder forms of seborrhea flow with the arrangement of rashes on the skin smooth used ointment, cream or antifungal drug solution was applied 1-2 times a week for a month. In severe disease characterized by the presence of lesions that developed inflammatory and dense laminating flakes before application of antifungal drugs must use exfoliating agents (salicylic acid, tar preparations, etc.) to soften or flakes using oils followed using shampoo ketoconazole.
In this therapy inefficiency added topically hormonal ointments, and in severe cases, topical therapy is attached to the intake antifungals for one Time: ketoconazole - 200 mg / day terbinafine - 250 mg / day, fluconazole - 100 mg / day, etc. Perhaps the appointment of isotretinoin inside (as well as for the treatment of other serious forms of seborrhea). Treatment continued for four weeks. In the combined therapy include vitamins, proivoallergicheskie drugs, sedatives, drugs for the normalization of the gastrointestinal tract.
It should be noted that it is ketoconazole was the most widely used in the treatment of seborrhea.
In the last decade, a zinc-based shampoos (Head and shoulders, Friderm zinc and others.) Are widely used agents for treatment of dandruff. Application shampoos containing tar and exfoliating agents, does not give rapid and sustained effects, especially when long proceeding process, since the removal of the manifestations of seborrhea do not always result in the rapid elimination become pathogenic flora. And if you cancel or change the shampoo process occurs again.
Keto Plus is a combination drug that contain the zinc and ketoconazole.
This article is based on information of breast cancer - Independent publications practitioners
