Child and Adult Seborrheic Dermatitis: A Narrative Review of the Current Treatment Landscape.

IF 3.5 3区 医学 Q1 DERMATOLOGY
Dermatology and Therapy Pub Date : 2025-03-01 Epub Date: 2025-02-14 DOI:10.1007/s13555-025-01351-z
Savanna I Vidal, Nikita Menta, Lawrence Green
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引用次数: 0

Abstract

Introduction: Seborrheic dermatitis (SD) is a common, chronic inflammatory skin condition affecting sebaceous gland-rich areas of the skin. The multifactorial etiology of SD involves sebocyte activity, skin microbiome dysbiosis, and immune factors. Various treatment options exist for management of SD.

Methods: A PubMed search conducted on November 1, 2024 using the terms "seborrheic dermatitis" and "treatment" (restricted to 2019-2024) yielded 389 results, from which relevant papers and additional references were included in this review.

Discussion: Topical antifungals, topical corticosteroids, and topical calcineurin inhibitors are first-line treatments for SD; however, long-term use of each of these may be limited by varying side effects. Roflumilast foam is a newly approved topical with potential to become a first-line treatment. Myriad systemic treatments exist as second- and third-line treatments for cases of moderate-to-severe and/or recalcitrant SD. Procedural interventions of varying efficacy exist.

Conclusions: The treatment of SD requires an individualized approach, utilizing a range of topical, systemic, and procedural interventions. The advent of new treatments like roflumilast foam offers novel, well-tolerated, and safer options than what has been available in the past.

儿童和成人脂溢性皮炎:当前治疗前景的叙述回顾。
简介:脂溢性皮炎(SD)是一种常见的慢性炎症性皮肤病,影响皮肤的皮脂腺丰富的区域。SD的多因素病因包括皮脂细胞活性、皮肤微生物群失调和免疫因素。治疗SD有多种选择。方法:于2024年11月1日在PubMed检索“脂溢性皮炎”和“治疗”(仅限于2019-2024年),共检索到389篇相关论文和附加参考文献。讨论:局部抗真菌药物、局部皮质类固醇和局部钙调磷酸酶抑制剂是SD的一线治疗方法;然而,长期使用这些药物可能会受到不同副作用的限制。罗氟司特泡沫是一种新批准的外用药物,有可能成为一线治疗药物。对于中度至重度和/或顽固性SD,无数的全身治疗作为二线和三线治疗存在。存在不同效果的程序性干预。结论:SD的治疗需要个性化的方法,利用一系列局部的、系统的和程序性的干预措施。像罗氟司特泡沫这样的新治疗方法的出现,提供了比过去可用的治疗方法更新颖、耐受性好、更安全的选择。
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来源期刊
Dermatology and Therapy
Dermatology and Therapy Medicine-Dermatology
CiteScore
6.00
自引率
8.80%
发文量
187
审稿时长
6 weeks
期刊介绍: Dermatology and Therapy is an international, open access, peer-reviewed, rapid publication journal (peer review in 2 weeks, published 3–4 weeks from acceptance). The journal is dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of dermatological therapies. Studies relating to diagnosis, pharmacoeconomics, public health and epidemiology, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to all clinical aspects of dermatology, such as skin pharmacology; skin development and aging; prevention, diagnosis, and management of skin disorders and melanomas; research into dermal structures and pathology; and all areas of aesthetic dermatology, including skin maintenance, dermatological surgery, and lasers. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/case series, trial protocols, and short communications. Dermatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an International and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. The journal appeals to a global audience and receives submissions from all over the world.
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