Seborrheic dermatitis is a rash that appears in patches of redness and scaling around the eyebrows, eyelids, mouth, nose, trunk, and behind the ears. If it happens on your scalp, it is called dandruff in adults and cradle cap in infants.
Age, stress, fatigue, weather extremes, oily skin, infrequent shampooing, and alcohol-based lotions aggravate this harmless but bothersome condition.
Other common causes of a rash include:
Eczema (atopic dermatitis) -- tends to happen in people with allergies or asthma. The rash is generally red, itchy, and scaly.
Psoriasis -- tends to occur as red, scaly, itchy patches over joints and along the scalp. Fingernails may also be affected.
Impetigo -- common in children, this infection is from bacteria that live in the top layers of the skin. It appears as red sores that turn into blisters, ooze, then crust over.
Shingles -- a painful blistered skin condition caused by the same virus as chickenpox. The virus can lie dormant in your body for many years and re-emerge as shingles.
Most simple rashes will improve with gentle skin care and by avoiding irritating substances. Follow these general guidelines:
Avoid scrubbing your skin.
Use as little soap as possible. Use gentle cleansers instead.
Avoid applying cosmetic lotions or ointments directly on the rash.
Use warm (not hot) water for cleaning. Pat dry, don't rub.
Stop using any recently added cosmetics or lotions.
Leave the affected area exposed to the air as much as possible.
Try calamine medicated lotion for poison ivy, oak, or sumac, as well as for other types of contact dermatitis.
Hydrocortisone cream (1%) is available without a prescription and may soothe many rashes. If you have eczema, apply moisturizers over your skin. Try oatmeal bath products, available at drugstores, to relieve symptoms of eczema, psoriasis, or shingles.
When to Contact a Medical Professional
Call 911 if:
You are short of breath, your throat is tight, or your face is swollen
Your child has a purple rash that looks like a bruise
Call your health care provider if:
You have joint pain, fever, or a sore throat
You have streaks of redness, swelling, or very tender areas as these may indicate an infection
You are taking a new medication -- do NOT change or stop any of your medications without talking to your doctor
You may have a tick bite
Home treatment doesn't work, or your symptoms get worse
What to Expect at Your Office Visit
Your health care provider will perform a physical examination and ask questions about your medical history and symptoms. Questions may include:
When did the rash begin?
What parts of your body are affected?
Does anything make the rash better? Worse?
Have you used any new soaps, detergents, lotions, or cosmetics recently?
Have you been in any wooded areas recently?
Have you had any change in your medications?
Have you noticed a tick or insect bite?
Have you eaten anything unusual?
Do you have any other symptoms, like itching or scaling?
What medical problems do you have, such as asthma or allergies?
Have you recently traveled out of the area where you live?
Richard J. Moskowitz, MD, dermatologist in private practice, Mineola, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.