Cradle cap is a yellowish, fat, oily, and crusty skin rash that occurs on the scalp of a newborn. It usually does not itch and does not interfere with the baby. Cradle cap most often starts in the first three months but can occur in the following years. Similar symptoms in older children are more likely to be dandruff rather than cradle caps. The rash often protrudes around the ears, eyebrows or eyelids. It may appear in other locations as well, where it is called seborrheic dermatitis rather than a cradle cap. Some countries use the term pityriasis capitis for the cradle cap. This is very common, with about half of all infants exposed. Most of them have mild abnormalities. A severe seat holder is rare.
Not recommended for scratching.
Video Cradle cap
Signs and symptoms
Cradle cap is seborrhoeic dermatitis that affects infants. It appears on the scalp as an oily, scaly patch that looks thick, crusty, yellow, white or brown. The affected area usually does not itch and does not interfere with the child. Other affected areas may include eyelids, ears, around the nose, and in the groin. Hair loss can also occur.
Maps Cradle cap
Cause
Cradle cap is not caused by bacterial infection, allergies or poor hygiene. Cradle caps are also not contagious. Doctors do not agree on what causes cradle cap, but the two most common hypotheses are fungal infection and overactive sebaceous glands. Cradle cap is an inflammatory condition.
A common cause of cradle cap appears to be a common manifestation of biotin insufficiency. This may be due, in part, to the effect of biotin on the biosynthesis of fatty acids. Maybe it has something to do with the overactive sebaceous glands in the newborn's skin, because the mother's hormones are still in the baby's circulation. The glands release an oily substance that keeps old skin cells attached to the scalp instead of falling off when they are dry. There may be a relationship with leather yeast ( Pityrosporum ovale , new name Malassezia furfur ). Seborrhoeic dermatitis is an adult cradle cap version.
Alerts
If the condition thickens, turns red and irritation, begins to spread, appears on other body parts, or if the infant develops canker sores (fungal mouth infections), fungal ear infections (ear infections that do not respond to antibiotics) or persistent diaper rashes Medical intervention is recommended.
Severe cradle cap cases, especially with cracked or bleeding skin, can provide a place for bacteria to grow. If the cradle cap is caused by a fungal infection that has deteriorated significantly over several days or weeks to allow bacterial growth (impetigo, most often), a combination of antibiotic and antifungal treatment may be necessary. Since it is difficult for a layman to distinguish the difference between a sebaceous gland support holder, a mushroom cradle holder, or one of these combinations with a bacterial infection, medical advice should be sought if conditions appear to worsen.
Cradle caps are sometimes associated with immune disorders. If the baby does not develop and has other problems (eg diarrhea), the doctor should be consulted.
Prognosis
Guarantees that this condition will be clear when the baby is very common. However, this condition sometimes continues into infancy, and is rarer in childhood. It tends to recur in adolescence and continues into adulthood. In a study in Australia, about 15 percent of previously diagnosed children still had eczema 10 years later. Occasionally, the cradle cap turns into atopic dermatitis. Rarely, it turns out misdiagnosed psoriasis.
Treatment
To help with a cradle cap, parents can gently massage their baby's scalp with their fingers or a soft brush to loosen the scales. They may want to shampoo baby hair more often (no more than once a day), and after shampooing gently brush baby scalp with a soft brush or terrycloth towel. Oil recovery can be used by rubbing a small amount of pure plant oil (coconut oil, pure olive oil, almond oil) on baby's scalp and leaving it for 15 minutes. After 15 minutes, gently comb the flakes with a good comb or toothbrush. Be sure to wash all the oil in order not to make the cradle cover worse.
In cases associated with fungal infections, such as Tinea capitis, doctors may recommend the application of clotrimazole treatment (commonly prescribed for athlete or athlete athlete) or miconazole (commonly prescribed for vaginal candidiasis).
Doctors may recommend treatment with mild dandruff shampoo such as Selsun Blue although treatment may cause additional scalp irritation. A doctor may prescribe an antifungal soap such as ketoconazole (2%) shampoo, which can work in a single treatment and show less irritation than over-the-counter shampoo such as selenium disulfide shampoo.
For adults: see article on seborrheic dermatitis (adult version of cradle cap).
Scalp, behind the ears, eyebrow
If the cradle cover is not severe, it can be combed gently after bathing. The softened scales can be brushed with a soft brush, comb or cloth, but if not done very gently, this can aggravate the condition and cause temporary hair loss. Applying petroleum jelly (eg, Vaseline) freely overnight is another popular treatment. The softened scales fall at night, or can be brushed in the morning.
There is widespread disagreement about the role of shampoo. Some sources warn against frequent shampooing, others recommend it. Light baby shampoos are often recommended, but the proper label denotation "light" in this context is not clear enough. Baby shampoos often contain detergent surfaces, perfumes, quaternium-15 and other eczemagenic irritants. No studies were conducted on non-prescription shampoo.
In some harsh cases some doctors may recommend keratolytic shampoo (dandruff) (eg sulfur, selenium, zinc pyrithione or salicylic acid) while others warn against the use of shampoo containing the drug in newborns due to systemic uptake. Dandruff shampoo often contains sodium dodecyl sulfate, a popular skin irritant.
Steroid and tar preparations have also been used but may have drawbacks. Immunomodulators (tacrolimus/Protopic, pimecrolimus/Elidel) have not been approved for infants under two years.
Shampoos and ketoconazole creams are now proven to be the most effective medical treatments for moderate to serious carrier caps. Research shows that these anti-fungal drugs are not absorbed into the bloodstream.
Eyelid
The usual medical advice is to use baby shampoo, diluted with warm water, on cotton to clean the eyelids. There is no agreement on dilution, which ranges from as high as 1: 1 to as low as a few drops of shampoo per half cup of water.
References
External links
- DermNet dermatitis/cradle-cap
Source of the article : Wikipedia
0 Comments