Seborrhoea R23.82
Synonym(s)
Seborrhea; seborrhoic status; Sebum flow
Definition
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Due to various factors, excessive development of the fat mantle of the epidermis due to increased sebum production, with increased sebum flow, coarse-pored skin, minor acne and oily scalp hair.
Etiopathogenesis
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Important factors triggering this are, among others, hereditary disposition, hormones (stimulation of sebaceous gland function by testosterone, inhibition by estrogens), emotional factors. Excessive seborrhoea occurs in Parkinson's disease and encephalitis lethargica, among others. S.a.u. Ointment face.
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Localization
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Occurs mainly on the front of the head, nose-lip wrinkles, eyelids, nasal saddle, neck, armpits, sweat ducts.
Clinic
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Shiny oily and coarse-pored skin, minor acne, oily scalp hair, often oily scaly scalp. S.a. Alopecia androgenetica in women, Alopecia androgenetica in men.
Complication(s)(associated diseases
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Pyoderma, mycoses, seborrhoea as a causative factor in acne vulgaris, rosacea, gram-negative folliculitis, seborrhoeic eczema.
External therapy
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Rubbing with alcoholic solutions, syndets, powders.
Internal therapy
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- In women: estrogen-emphasized contraceptives or contraceptives containing chlormadinone acetate and cyproterone acetate(e.g. Eunomin, Diane 35)
- Men and women: In smaller collectives, good results could be achieved by low-dose isotretinoin therapy(e.g. isotretinoin-ratiopharm; acne normin). Initial: 2.5 mg/day, for continuation of the therapy 3 times a week 2.5 mg/day p.o. These results correspond to our own experiences!
Progression/forecast
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Minor improvement in old age.
Phytotherapy external
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For seborrheic skin several plants can be used: Mahonia, Mahoniae cortex, Arctii radix, Violae herba cum flore, Pix betulina, Soap bark, Urticae herba/folium.
Brine bath also supports the therapy.
Literature
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- Geißler S et al (2003) Very low dose isotretinoin is effective in controlling seborrhea. JDDG 1: 952-958
Incoming links (35)
Acne mechanica; Acne papulopustulosa; Adenoma sebaceum; Ammonium bituminosulfonate, light; Androgenization; Antiandrogen-oestrogen combinations; Antiseborrhoics; Arctii radix; Bald forehead; Benzoyl peroxide; ... Show allOutgoing links (20)
Acne (overview); Alopecia androgenetica in men; Alopecia androgenetica in women; Arctii radix; Brine bath; Chloromadinone acetate; Cyproterone acetate; Estrogens; Folliculitis gramnegative; Isotretinoin; ... Show allDisclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.