Display options
Share it on

J Clin Investig Dermatol. 2015 Dec;3(2). doi: 10.13188/2373-1044.1000019. Epub 2015 Dec 15.

Seborrheic Dermatitis and Dandruff: A Comprehensive Review.

Journal of clinical and investigative dermatology

Luis J Borda, Tongyu C Wikramanayake

Affiliations

  1. Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, 1600 NW 10th Avenue, RMSB 2023A, Miami, Florida 33136, USA.

PMID: 27148560 PMCID: PMC4852869 DOI: 10.13188/2373-1044.1000019

Abstract

Seborrheic Dermatitis (SD) and dandruff are of a continuous spectrum of the same disease that affects the seborrheic areas of the body. Dandruff is restricted to the scalp, and involves itchy, flaking skin without visible inflammation. SD can affect the scalp as well as other seborrheic areas, and involves itchy and flaking or scaling skin, inflammation and pruritus. Various intrinsic and environmental factors, such as sebaceous secretions, skin surface fungal colonization, individual susceptibility, and interactions between these factors, all contribute to the pathogenesis of SD and dandruff. In this review, we summarize the current knowledge on SD and dandruff, including epidemiology, burden of disease, clinical presentations and diagnosis, treatment, genetic studies in humans and animal models, and predisposing factors. Genetic and biochemical studies and investigations in animal models provide further insight on the pathophysiology and strategies for better treatment.

Keywords: Dandruff; Epidermal barrier; Malassezia; Sebaceous gland; Seborrheic dermatitis

References

  1. J Invest Dermatol. 1975 Jun;64(6):401-5 - PubMed
  2. Int J Dermatol. 2011 Jan;50(1):102-13 - PubMed
  3. Eur J Dermatol. 2002 Nov-Dec;12(6):549-52 - PubMed
  4. Br J Dermatol. 2001 Apr;144(4):854-7 - PubMed
  5. J Investig Dermatol Symp Proc. 2005 Dec;10(3):194-7 - PubMed
  6. J Investig Dermatol Symp Proc. 2005 Dec;10(3):295-7 - PubMed
  7. Cochrane Database Syst Rev. 2015 May 02;(5):CD008138 - PubMed
  8. Clin Dermatol. 2010 Jan-Feb;28(1):52-6 - PubMed
  9. Arch Dermatol Res. 1996 Aug;288(9):532-6 - PubMed
  10. Photodermatol. 1989 Apr;6(2):80-4 - PubMed
  11. Tissue Antigens. 1976 Jul;8(1):29-33 - PubMed
  12. N Engl J Med. 2009 Jan 22;360(4):387-96 - PubMed
  13. Clin Genet. 1996 Nov;50(5):317-20 - PubMed
  14. Clin Exp Dermatol. 1991 Sep;16(5):331-8 - PubMed
  15. Br J Dermatol. 1984 Aug;111(2):235-42 - PubMed
  16. Clin Transplant. 2013 Sep-Oct;27(5):742-8 - PubMed
  17. Ann Dermatol. 2015 Oct;27(5):523-30 - PubMed
  18. Indian J Dermatol. 2011 Sep-Oct;56(5):515-6 - PubMed
  19. Case Rep Dermatol. 2014 Nov 29;6(3):279-82 - PubMed
  20. Clin Exp Dermatol. 1999 Sep;24(5):402-6 - PubMed
  21. An Bras Dermatol. 2011 Nov-Dec;86(6):1061-71; quiz 1072-4 - PubMed
  22. Br J Dermatol. 2001 Mar;144(3):549-56 - PubMed
  23. Am J Clin Dermatol. 2009;10(2):103-18 - PubMed
  24. J Invest Dermatol. 2005 Jan;124(1):151-9 - PubMed
  25. Lancet. 1970 Jul 4;2(7662):19-20 - PubMed
  26. J Am Acad Dermatol. 1990 Jul;23(1):82-6 - PubMed
  27. Dermatologica. 1982 May;164(5):322-6 - PubMed
  28. Vet Dermatol. 2004 Feb;15(1):53-6 - PubMed
  29. Int J Dermatol. 2007 Oct;46 Suppl 2:14-8 - PubMed
  30. J Am Acad Dermatol. 1985 Dec;13(6):947-51 - PubMed
  31. J Invest Dermatol. 2014 Jul;134(7):1817-27 - PubMed
  32. Int J Cosmet Sci. 2012 Aug;34(4):298-306 - PubMed
  33. J Eur Acad Dermatol Venereol. 2005 Mar;19(2):172-5 - PubMed
  34. J Clin Aesthet Dermatol. 2009 Feb;2(2):32-6 - PubMed
  35. Indian J Med Res. 2014 Mar;139(3):431-7 - PubMed
  36. Dermatol Clin. 2003 Jul;21(3):401-12 - PubMed
  37. Clin Dermatol. 2009 Nov-Dec;27(6 Suppl):S48-53 - PubMed
  38. Int J Immunopathol Pharmacol. 2005 Oct-Dec;18(4):745-53 - PubMed
  39. Int J Dermatol. 2013 Jul;52(7):784-90 - PubMed
  40. Vet Dermatol. 2007 Oct;18(5):348-52 - PubMed
  41. J Am Acad Dermatol. 1993 Dec;29(6):1008-12 - PubMed
  42. Actas Dermosifiliogr. 2007 Sep;98(7):476-82 - PubMed
  43. Lancet. 2014 Nov 22;384(9957):1878-88 - PubMed
  44. Br J Dermatol. 1986 Jun;114(6):695-700 - PubMed
  45. Lab Anim Sci. 1984 Apr;34(2):185-7 - PubMed
  46. J Am Acad Dermatol. 2001 Dec;45(6):897-903 - PubMed
  47. J Dermatolog Treat. 2007;18(2):88-96 - PubMed
  48. Int J Mol Sci. 2013 Apr 17;14(4):8456-66 - PubMed
  49. Am J Clin Dermatol. 2010;11(1):51-4 - PubMed
  50. Arch Dermatol Res. 2008 Jun;300(5):215-23 - PubMed
  51. Skin Pharmacol. 1994;7(1-2):33-40 - PubMed
  52. Dermatol Ther. 2004;17 Suppl 1:6-15 - PubMed
  53. J Invest Dermatol. 2007 Sep;127(9):2138-46 - PubMed
  54. Ann Dermatol Venereol. 2007 Nov;134(11):833-7 - PubMed
  55. Vet Med Small Anim Clin. 1971 Jul;66(7):655-6 - PubMed
  56. J Am Acad Dermatol. 2002 Aug;47(2):245-50 - PubMed
  57. Nat Genet. 2006 Jul;38(7):749-51 - PubMed
  58. J Invest Dermatol. 2004 Nov;123(5):864-71 - PubMed
  59. Semin Cell Dev Biol. 2012 Oct;23(8):928-36 - PubMed
  60. Am Fam Physician. 2015 Feb 1;91(3):185-90 - PubMed
  61. Br J Dermatol. 2011 Oct;165 Suppl 2:2-8 - PubMed
  62. Clin Microbiol Rev. 2012 Jan;25(1):106-41 - PubMed
  63. J Eur Acad Dermatol Venereol. 2010 May;24(5):561-4 - PubMed
  64. Dermatology. 2002;204(4):344-7 - PubMed
  65. J Invest Dermatol. 2007 Jun;127(6):1375-86 - PubMed
  66. Br J Dermatol. 1998 Aug;139(2):254-63 - PubMed
  67. HIV Med. 2004 Jan;5(1):50-4 - PubMed
  68. P T. 2010 Jun;35(6):348-52 - PubMed
  69. Acta Derm Venereol. 1992 Nov;72 (6):454-5 - PubMed
  70. Clin Dermatol. 2014 Jan-Feb;32(1):109-15 - PubMed
  71. J Clin Aesthet Dermatol. 2011 May;4(5):32-8 - PubMed
  72. Exp Dermatol. 1994 Jun;3(3):106-12 - PubMed
  73. Genet Couns. 2011;22(4):385-92 - PubMed
  74. J Am Acad Dermatol. 2006 Sep;55(3):490-500 - PubMed
  75. Lab Anim. 1987 Oct;21(4):299-305 - PubMed
  76. J Eur Acad Dermatol Venereol. 2008 Feb;22(2):244-5 - PubMed
  77. Clin Exp Dermatol. 2010 Jul;35(5):477-81 - PubMed
  78. J Eur Acad Dermatol Venereol. 2005 Sep;19(5):605-7 - PubMed
  79. Am Fam Physician. 2006 Jul 1;74(1):125-30 - PubMed
  80. Acta Dermatovenerol Croat. 2012;20(2):98-104 - PubMed
  81. Int J Dermatol. 1996 Apr;35(4):276-9 - PubMed
  82. Rheum Dis Clin North Am. 2015 Nov;41(4):665-75 - PubMed
  83. Acta Derm Venereol. 1990;70(5):432-4 - PubMed
  84. Int J Dermatol. 2003 Aug;42(8):632-5 - PubMed
  85. Br J Dermatol. 1999 Mar;140(3):385-91 - PubMed
  86. Dev Cell. 2015 Nov 23;35(4):444-57 - PubMed
  87. J Dermatolog Treat. 2009;20(1):4-9 - PubMed
  88. Int J Dermatol. 2005 May;44(5):355-60 - PubMed
  89. Mycoses. 2009 Jul;52(4):357-63 - PubMed
  90. J Med Vet Mycol. 1996 Jan-Feb;34(1):43-8 - PubMed
  91. Br J Dermatol. 1973 Mar;88(3):263-6 - PubMed
  92. J Eur Acad Dermatol Venereol. 2014 Jan;28(1):16-26 - PubMed
  93. Pediatr Nurs. 2009 Jan-Feb;35(1):53-7 - PubMed
  94. Dermatology. 1992;184(4):275-80 - PubMed
  95. Acta Derm Venereol. 2015 Jan;95(1):12-9 - PubMed
  96. Br J Dermatol. 1995 Mar;132(3):441-5 - PubMed
  97. Clin Dermatol. 2013 Jul-Aug;31(4):343-51 - PubMed
  98. Br J Dermatol. 2011 Oct;165 Suppl 2:9-12 - PubMed
  99. J Dermatol. 2009 Mar;36(3):131-7 - PubMed
  100. Lab Anim. 1994 Oct;28(4):340-6 - PubMed
  101. J Drugs Dermatol. 2010 Jan;9(1):41-8 - PubMed
  102. Skin Pharmacol Appl Skin Physiol. 2002 Nov-Dec;15(6):434-41 - PubMed
  103. AMA Arch Derm. 1956 Feb;73(2):110-5 - PubMed
  104. Med Hypotheses. 2003 Jun;60(6):907-11 - PubMed
  105. Vet Dermatol. 2011 Dec;22(6):497-501 - PubMed
  106. Acta Derm Venereol. 2013 Mar 27;93(2):131-7 - PubMed
  107. Br Med J (Clin Res Ed). 1983 Apr 9;286(6372):1169-70 - PubMed
  108. Acta Derm Venereol. 1983;63(4):335-9 - PubMed
  109. Arch Dermatol Res. 2002 Jul;294(5):221-30 - PubMed
  110. Int J Trichology. 2011 Jan;3(1):3-6 - PubMed
  111. Arch Dermatol. 1983 Jun;119(6):473-5 - PubMed
  112. Arch Dermatol. 2003 Mar;139(3):318-22 - PubMed
  113. J Am Acad Dermatol. 2002 Dec;47(6):852-5 - PubMed
  114. Clin Dermatol. 2014 Jan-Feb;32(1):35-46 - PubMed
  115. J Korean Med Sci. 2007 Oct;22(5):868-72 - PubMed
  116. Br J Dermatol. 2000 Nov;143(5):964-8 - PubMed
  117. Br J Dermatol. 2008 Jul;159(1):77-85 - PubMed
  118. Skin Therapy Lett. 2010 May;15(5):1-4 - PubMed
  119. J Eur Acad Dermatol Venereol. 2007 Mar;21(3):345-50 - PubMed
  120. Dermatology. 2004;208(2):89-93 - PubMed
  121. Br J Dermatol. 1990 Jan;122(1):71-6 - PubMed
  122. Indian J Dermatol Venereol Leprol. 2006 Jul-Aug;72(4):253-5 - PubMed
  123. Br J Dermatol. 1973 May;88(5):475-9 - PubMed
  124. Br J Dermatol. 2001 May;144(5):1033-7 - PubMed
  125. J Am Acad Dermatol. 2012 Jul;67(1):e11-5 - PubMed
  126. J Clin Psychiatry. 1984 Mar;45(3):125-6 - PubMed
  127. Pediatr Dermatol. 2012 Jan-Feb;29(1):84-8 - PubMed
  128. Acta Derm Venereol. 1998 Sep;78(5):355-7 - PubMed

Publication Types

Grant support