They propose girls with SD may use hair oils less frequently due to physician advice that SD is exacerbated by hair oils/ grease, and paradoxically, that infrequent hair oil use may lead to a dry scalp and SD. Interestingly, this study found no cor- relation between more frequent hair washing (more than once per week) and SD prevalence.Thus, for the prevention of SD, it appears as though natural hairstyles may prevent occurrence, although more studies are needed to fully access the effect of hair extensions on SD.
CONCLUSION
SD is a common condition that may present differently in chil- dren and adults of color. An understanding of these differences, as well as the various practical considerations that impact treatment choice can help dermatologists provide culturally competent care and may lead to better outcomes for patients. Given the chronic and relapsing nature of SD, more studies looking into preventative measures are warranted. In particu- lar, studies investigating the role of various haircare practices in skin of color patients, such as hair washing frequency, hairstyle type, hair extension use, and haircare product type are recom- mended.
DISCLOSURES
Drs. Dlova, Ogunleye, andTaylor and May Elgash have no con- flicts to disclose.
REFERENCES
1. Alexis AF, Sergay AB, Taylor SC. Common dermatologic disorders in skin of color: A comparative practice survey. Cutis. 2007;80(5):387-394. 2. Gupta A, Bluhm R. Seborrheic dermatitis. In. Vol 18. Oxford, UK2004:13-26. 3. Berk T, Scheinfeld N. Seborrheic dermatitis. P t. 2010;35(6):348-352. 4. Halder RM, Nootheti PK. Ethnic skin disorders overview. J Am Acad Dermatol. 2003;48(6):S143-S148. 5. Ogunbiyi AO, Daramola OOM, Alese OO. Prevalence of skin diseases in Ibadan, Nigeria. Internat J Dermatol. 2004;43(1):31-36. 6. Taylor S, Barbosa V, Burgess C, et al. Hair and Scalp Disorders in Adult and Pediatric Patients With Skin of Color. Cutis. 2017;100(1):31-35. 7. Gupta A, Kogan N. The multi-faceted etiology of seborrheic dermatitis and dandruff. J Am Acad Dermatol. 2006;54(3):AB152-AB152. 8. Bergbrant IM, Johansson S, Robbins D, Scheynius A, Faergemann J, So?der- stro?m T. An immunological study in patients with seborrhoeic dermatitis. Clin Exper Dermatol. 1991;16(5):331-338. 9. Nakabayashi A, Sei Y, Guillot J. Identification of Malassezia species isolated from patients with seborrhoeic dermatitis, atopic dermatitis, pityriasis versi-color and normal subjects. Medical Mycology. 2000;38(5):337-341. 10. Zaidi Z, Wahid Z, Cochinwala R, Soomro M, Quereshi A. Correlation of the density of yeast Malassezia with the clinical severity of seborrhoeic dermatitis. Journal of Pakistan Medical Association. 2002;52(11):504-506. 11. Gupta AK, Batra R, Bluhm R, Boekhout T, Dawson TL. Skin diseases associated withMalasseziaspecies. J Am Acad Dermatol. 2004;51(5):785-798. 12. Moodley N, Hoosen K, Dlova NC. Quality of life in patients with seborrhoeic dermatitis in KwaZultuNatal, South Africa. SAMJ S Afr Med J. 2016;106(6):8-10. 13. Faergemann J, Bergbrant IM, Dohse? M, Scott A, Westgate G. Seborrhoeic dermatitis and Pityrosporum ( Malassezia ) folliculitis: characterization of in- flammatory cells and mediators in the skin by immunohistochemistry. Br J Dermatol. 2001;144(3):549-556. 14. New Seborrheic Dermatitis Findings from University of Pennsylvania Described (Diffuse HIV-associated seborrheic dermatitis - a case series).(Report). AIDS Weekly. 2016:51. 15. Halder RM, Roberts CI, Nootheti PK. Cutaneous diseases in the black races. Dermatologic Clinics. 2003;21(4):679-687. 16. James W, Timothy, Elston D. Andrews' Diseases of the Skin. 11th ed: Saunders; 2011 17. McLaurin CI. Annular facial dermatoses in blacks. Cutis. 1983;32(4):369-370, 384. 18. Diane J-R, Amit GP. Dermatology Atlas for Skin of Color. Berlin, Heidelberg: Springer Berlin Heidelberg: Berlin, Heidelberg; 2014. 19. Hilton L. Common pediatric disorders in skin of color. Contemp Pediatr. 2016;33(10):30-33,46. 20. Silverberg NB. Scalp hyperkeratosis in children with skin of color: Diagnostic and therapeutic considerations. Cutis. 2015;95(4):199-204. 21. Silverberg N. Pediatric Skin of Color. New York, NY: New York, NY : Springer New York : Imprint: Springer; 2015. 22. Clark GW, Pope SM, Jaboori KA. Diagnosis and treatment of seborrheic der- matitis. Am Fam Physician. 2015;91(3):185-190. 23. Kline M, Blaney S, Giardino A. Rudolph's Pediatrics. In: Holland K, Boulos S, Kline, MW, eds. Disorders of the Epidermis. 23rd ed: McGraw-Hill Educa- tion; 2018. 24. McMichael AJ. Ethnic hair update: Past and present. J Am Acad Dermatol. 2003;48(6, Supplement):S127-S133. 25. Chappell J, Mattox A, Simonetta C, Armbrecht E, Guo M. Seborrheic derma- titis of the scalp in populations practicing less frequent hair washing: Keto- conazole 2% foam versus ketoconazole 2% shampoo. Three-year data. In. Vol 702014:AB54-AB54. 26. High WA, Pandya AG. Pilot trial of 1% pimecrolimus cream in the treatment of seborrheic dermatitis in African American adults with associated hypopig- mentation. J Am Acad Dermatol. 2006;54(6):1083-1088. 27. Roseborough IE, McMichael AJ. Hair care practices in African-American pa- tients. Semin Cutan Med Surg. 2009;28(2):103-108. 28. Halder RM. Hair and scalp disorders in blacks. Cutis. 1983;32(4):378-380. 29. Rucker Wright D, Gathers R, Kapke A, Johnson D, Joseph CL. Hair care practices and their association with scalp and hair disorders in African American girls. J Am Acad Dermatol. 2011;64(2):253-262.
AUTHOR CORRESPONDENCE
Susan C.Taylor MD susan.taylor@uphs.upenn.edu
