Paediatrics: Seborrhoeic Dermatitis: Free MSRA Podcast

⚕️ MSRA Deep Dive Podcast: Seborrhoeic Dermatitis in Children (Cradle Cap Essentials)🎧 Perfect for MSRA, GP trainees, paediatric exams, and anyone needing a fast, structured review of common childhood skin problems.🧠 Key Learning Points📌 Definition• Seborrhoeic dermatitis is a common, benign inflammatory skin disorder in infants and children, often presenting as “cradle cap” (flaky, greasy scalp).📌 Aetiology/Causes• Linked to overgrowth of Malassezia yeast, excess/altered sebum (skin oil), genetics, and sometimes an abnormal immune response.📌 Risk Factors• Infancy (esp. under 3 months)• Adolescence (hormonal changes)• Family history• Immunodeficiency, neurological conditions, HIV• Seasonality (can worsen in winter)📌 Pathophysiology• Malassezia overgrowth + excess sebum → inflammation• Increased skin cell turnover → redness, flaky scales• Symptoms are usually mild and not intensely itchy📌 Differential Diagnosis (Mnemonic: APCITN)• Atopic eczema (intensely itchy)• Psoriasis (thick, silvery scales)• Contact dermatitis (new exposure)• Impetigo (crusty, infected)• Tinea capitis (fungal, scalp)• Nappy rash, candidiasis (bright red, satellite lesions)• Irritant dermatitis, especially in folds or from dribble/soaps📌 Clinical Features• Scalp: Greasy, yellow/white scales (“cradle cap”), sometimes temporary hair loss• Face: Red, fine scaling (forehead, eyebrows, nasolabial folds, cheeks)• Folds: Behind ears, neck, armpits, groin• Mild itch, usually not distressing for infants📌 Diagnosis• Clinical—based on typical appearance, distribution, and age• Tests only if diagnosis uncertain or not improving (e.g. skin scrapings, biopsy)📌 Management• Gentle skin care with mild cleansers and regular emollients• Cradle cap routine: Soften scales (baby oil/olive oil), gentle brushing, wash with mild shampoo• Topical antifungals: Clotrimazole 1% or miconazole 2% for persistent/recurrent cases• Mild topical steroids (hydrocortisone 1%) short-term for flares, under medical supervision• Avoid triggers: Harsh soaps, overwashing, overheating• Referral: If severe, unclear diagnosis, or not responding📌 Complications• Rare: Secondary bacterial infection (e.g. impetigo from scratching), psychosocial impact in older children📌 Prognosis• Excellent—usually resolves by itself over weeks to months• May flare, but rarely causes lasting problems📚 Full Seborrhoeic Dermatitis MSRA Resources:📝 Revision Notes: https://www.passthemsra.com/topic/seborrhoeic-dermatitis-in-children-revision-notes/🧠 Flashcards: https://www.passthemsra.com/topic/seborrhoeic-dermatitis-in-children-flashcards/💬 Accordion Q&A: https://www.passthemsra.com/topic/seborrhoeic-dermatitis-in-children-accordion-qa-notes/🚀 Rapid Quiz: https://www.passthemsra.com/topic/seborrhoeic-dermatitis-in-children-rapid-quiz/🎓 Full Course: https://www.passthemsra.com/courses/paediatrics-for-the-msra/#MSRA #SeborrhoeicDermatitis #CradleCap #Paediatrics #MSRARevision #GPRevision #Dermatology #ChildHealth #MSRAFlashcards #MSRAQuiz #NICEGuidelines #PaedsDerm