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Clinical Challenge #1 : Diagnosis is .... ?

A 7-month-old Hispanic female child presents for evaluation of a scaling dermatitis of several weeks in duration that is affecting her scalp and face. She appears to be in good health otherwise and has no palpable lymph nodes or hepatosplenomegaly. Family history is negative for psoriasis and atopic dermatitis.


Diagnosis is:

  1. Infantile seborrheic dermatitis

  2. Xerotic eczema

  3. Infantile psoriasis

  4. Histiocytosis

Write your answer with explanation.

Answer with explanation will be posted on next Monday.

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Dr. Ateendra Jha
Dr. Ateendra Jha
Jul 20, 2020

Answer Clinical Challenge #1 : Infantile seborrheic dermatitis (ISD)


Infantile seborrheic dermatitis (ISD) is most commonly seen on the scalp and is also referred to as “cradle cap.” It affects a significant proportion of newborns, although most have minimal involvement. Contributing factors include hyperseborrhea, Malassezia furfur, and inflammation. Children who develop ISD have a higher risk of developing atopic dermatitis.


Differential diagnosis includes an exfoliative erythroderma, eczema, and sebopsoriasis. This is a benign self-limiting condition that usually resolves within 8 weeks. Daily shampooing and application of olive or mineral oil may help speed recovery. More severe cases respond to either hydrocortisone or ketoconazole creams.


Reference for more information :

  • De Belilovsky C, Chadoutaud B, Msika P. Kerato-regulating care for infantile…

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I think it may be infantile sebborhic dermatitis which we can usually seen in infants..


Treatment may be like olive oil or mineral oil, topical antifungals like ketoconazole , terbinafine, topical corticosteroids..

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Dr. Safiya Banu
Dr. Safiya Banu
Jul 19, 2020

Based on the findings provided i. e scaling dermatitis for several weeks which have affected scalp and face of a 7 months old female child,the possible diagnosis would be Infantile seborrheic dermatitis.


Treatment options to this patient would be, topical anti fungal cream or medicated shampoo with Ketoconazole(1-2%). Other than medications applying mineral oil, olive oil or petroleum jelly to scalp loosen the flakes before an hour of giving bath would also be helpful non-pharmacologically.

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Aruna  Pothukuchi
Aruna Pothukuchi
Jul 19, 2020

Treatment options of ISD include topical steroids, local antifungals and anti sebborhic shampoos.

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Dr. Ateendra Jha
Dr. Ateendra Jha
Jul 18, 2020

@Ms. Aruna @Dr. Keerthana @Dr. Shwetha


Ok so if I take it as right answer.

( Other readers remember I m saying if it's right answer. I am confirming it as right ans. )


What's your comment on treatment options for this condition?


Further responders please respond on treatment suggestions also. 😊

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