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. Author manuscript; available in PMC: 2016 May 2.
Published in final edited form as: J Clin Investig Dermatol. 2015 Dec 15;3(2):10.13188/2373-1044.1000019. doi: 10.13188/2373-1044.1000019

Table 4.

Comparison of seborrheic dermatitis and dandruff.

Seborrheic Dermatitis Dandruff References
Epidemiology Up to 40% of infants within 3 months of age, 1–3% of the general adult population. 50% of adult population. [13,22,23]
Location Scalp, retro-auricular area, face (nasolabial folds, upper lip, eyelids, eyebrows), upper chest. Scalp. [2,7,15]
Presentation Erythematous patches, with large, oily or dry scales. White to yellow flakes dispersed on the scalp and hair; without erythema. [2,3,26]
Histology Acanthosis, hyperkeratosis, spongiosis, parakeratosis, Malassezia yeasts. [3,23,38]
Vasodilation and perivascular and perifollicular inflammatory infiltration; “shoulder parakeratosis”. Subtle neutrophil infiltration or no inflammatory infiltration.
Treatment Antifungal shampoos and topical. [2,8,26,47,97]
Topical corticosteroids, immune modulators, phototherapy, systemic treatment.
Predisposing Factors and causes Sebaceous gland activity, fungal colonization, and individual susceptibility (epidermal barrier integrity, host immune response, genetic factors, neurogenic factors and stress, nutrition, etc.). [2,3,9,15,26,44,66]