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So, I have seborrheic dermatitis, which I've been trying to get rid of for at least a good ten years now. This post finally convinced me to ask this question.

Now, for a little history.

I went no 'poo back in January, and with no 'poo, went the seb derm shampoo that I was using (Head and shoulders one in the dark blue bottle). It was preventing the flaky out breaks, and my scalp/beard wasn't scratchy, but I was still shedding a lot of hair, something that I'm attributing to irritated hair follicles from the seb derm. Within a couple weeks of discontinuing it, my seb derm came back, although this time it seems to be affecting my beard and eyebrows more than before.

First I was trying white distilled vinegar rinses at 1 part vinegar to 4 parts water. All that really did was to cause a build-up of what I thought were oils in my hair, that smelled like cured meat when it was wet. Kind of interesting. I then started doing a baking soda then vinegar rinse, which took care of the residue, although the seb derm remained unchanged.

I was poking around with google and managed to read about people curing their seb derm with tea tree oil, and also coconut oil. So I got some tea tree oil, and mixed a couple drops with probably a tablespoon or so of extra virgin olive oil, I applied it topically, let it sit for an hour, rinsed with warm water, baking soda solution, and then vinegar solution. It seems to initially knock down the severity of the seb derm patches, and reduced the itch considerably, but didn't really cause it to disappear fully. I was doing these applications roughly once a week, or sometimes twice a week.

I had someone else massage coconut oil into my scalp once, and it caused a lot of hair-shed. It actually kind of freaked me out a bit, and over the course of the next week, my hair shed was higher than normal. That pretty much scared me away from using coconut oil like that.

Right now I'm in a pretty strong flare up in my beard, which I'm combating with a 1 to 1 mix of tea tree oil and olive oil. As I'm applying this, it doesn't seem to be working. Is this a reaction of my skin to tea tree oil?

The Questions:

Has anyone else successfully dealt with their seb derm? Reduced the rate of hair shed associated with seb derm? What am I doing wrong with tea tree oil (Use a lower concentration on my skin/scalp?)? Anyone know of any good literature regarding seb derm?

I recently reintroduced dairy (a good amount of heavy cream, some cheese, a swig or two of Kefir a day) into my diet, and roughly a week and a half or so after that I've had this more intense beard outbreak. I'm kind of hoping it's not related.

Update 1-12-13

So, I'm still dealing with seb derm, and I've kind of admitted defeat and have gone back to Head and Shoulder's (blue bottle, clinical strength, selenium sulfide). It pretty much took care of the copious amounts of scales on my scalp, although I still have patches around my nose and eyebrows once in a while. I'm shampooing with that every other day, and alternate in "Grandpa's Pine Tar Shampoo" just for fun.

Although for what I did in the past year, was use a baking soda and white vinegar rinse. I added tea tree oil to this primarily for adding a scent to it, as I still think it had no therapeutic value for me. For my washing regime, I would wash my hair twice a week, Tue/Fri, where I would wet my hair, shake up 5g (1tsp?) baking soda in water, massage that into my hair, focusing on the scalp, and then rinse it out. I would then rinse with a dilute white vinegar solution, where I added some vinegar to a half pint bottle, and filled it with water. I would do a final rinse with water to make sure there wasn't that much residual vinegar.

This really didn't work, as I always waited until my hair was dry, then went through with a fine comb to loosen flakes from my scalp and brush them out. What was kind of annoying was that this was right at my hairline on my forehead, so readily visible.

As a note on diet: I eat high-fat lacto-paleo. Typical day is 2lbs of ground beef cooked in a good amount of lard/butter, with 1/2 pint frozen berries and heavy cream, assorted frozen vegetables (broccoli/stir-fry mix). Taking cod liver oil, fish oil, and calcium as supplements.

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Coconut oil also caused my hair to shed. Looking forward for good answers. – ROB May 29 2011 at 22:50
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What works for me is zero sugar and keeping my blood sugars normalized. But that's me. Sunlight also helps. – Dave S. May 30 2011 at 1:39
ROB, what have you tried so far? Dave, I'm doing keto now, so my blood sugars should be pretty normalized. I've been paleo since September 2010. – Bristlebeard May 30 2011 at 1:48
I have tried Coconut Oil and apple cider vinegar. I saw better results with the ACV, but not the results I wanted. I have yet to find a solution that works 100%. – ROB May 30 2011 at 2:06
I was thinking about trying some of the unpasteurized ACV, thinking that the bacteria cultures present would keep some of the yeast in check. I might pick up a bottle when I go to the grocery store next. If it doesn't work, I guess I just got another salad dressing. – Bristlebeard May 30 2011 at 3:17
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18 Answers

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My adult son has flaky skin which, if I recall correctly, is seborrheic dermatitis (he went to the doc a few years ago and can't remember what the doctor called it).

To treat it I spread raw honey on all the relevant spots. We left it on for 5 minutes (not sure that it's part of the treatment protocol, but he spent the 5 minutes making jokes at the expense of his mother :) ) then washed it off.

It immediately looked better. A few hours later, even better - almost no sign of it. He doesn't do this regularly, but we have repeated it when he comes to visit me and it helps. Don't know if it could cure it once and for all because he hasn't tried using it on any regular basis, but it definitely helps.

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Probably salicylates in honey. I noticed same effect with coconut oil, which is also full of them. But it's only a surface touch up to reduce the symptoms. Doesn't really do much. – Kirill May 30 2011 at 4:57
There is no "cure" for seborrheic dermatitis. One must prevent outbreaks, but alas even with prevention there are times outbreaks do occur. Stress is a big factor in outbreaks, together with hygiene, diet, and health. – Uggla May 30 2011 at 12:14
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IIRC Robb Wolf said this type of stuff is sort of a low level skin cancer or at least operates on a similar mechanism. Don't know if that's precisely what I have but dumping grains and legumes back in Feb2010(Paleo + Dairy) yielded no results for me. So I finally removed dairy this past Feb and did notice a pretty large(but not total, plus I have other skin symptoms) reduction of 'lesions' within a month or so. Since IgG antibodies usually subside in 3-6 months, I'll remain hopeful until August.

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Do you have any sources for information on Seb derm, as in journal articles or sources for higher understanding of it? – Bristlebeard Jun 1 2011 at 2:52
Nope. Might wanna ask Robb for those. I just don't think its even fully understood. When you go searching for information on diseases, especially autoimmune, there's a TON of 'cause unknown' scenarios. Makes one think. – Kirill Jun 21 2011 at 2:56
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I posted what I am using in that other post you mentioned. I have seborrheic dermatitis pretty darn bad but I have been clear from it for a few years thanks to what I use now, I have added pictures of my face now so that people could see the results.

It was a number of different things that cured me. And I was so bad that I would bleed from my sores.

Everyone has a method that works for them. The method I posted works PERFECT for me.

As you can see below I do not have it at the moment and have not had an outbreak for a very long time.

alt text

Good luck!

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What I do for my face is wash with black soap, dry with napkins (no towels), tone with witchhazel, and then use coconut oil. For my dandruff I use Dr. Bronner's tea tree, on both body and hair. – Uggla May 30 2011 at 8:23
Also with this condition it is important you wash daily or at least everyother day to keep bacteria at a low. Have you heard of oil pulling? I also feel this helps with my overall health and skin. – Uggla May 30 2011 at 8:39
And granted I do not have a beard so I can not help with that issue sorry, I still think beards rule! :) – Uggla May 30 2011 at 8:47
I was thinking about shaving for summer, but I decided to keep it to cover up my seb derm, although I really didn't need much convincing to keep my beard. For the witch hazel, does toning help with reducing the flakes? Or, what does toning do? And for Oil pulling, do I just swish some olive oil around in my mouth for 20 min, and then spit it out? – Bristlebeard May 30 2011 at 16:23
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Looks like I have a project for tomorrow morning, cool. – Bristlebeard May 31 2011 at 2:03
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What worked great for me is a product called ZNP Bar. It's 2% zinc pyrithione which is stronger than the stuff on the shelves but it's easily ordered by the pharmacy if they don't stock it. I had a terrible problem but this worked wonders and I used it for years. I've stopped using it now and the dermatitis hasn't come back so far. I'm thinking that my diet (high saturated fat including lard, tallow and coconut oil) might have something to do with it but not sure. I still have one ZNP bar left in case it comes back. I should add that the the dermatitis I had was confined to my scalp.

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Was the ZNP bar a soap bar? How was it applied. I've heard some people talk about "zinc drops", but I've never encountered them before. – Bristlebeard Jun 6 2011 at 13:37
It is a bar and you can just use it in the shower. I used it to wash may hair since the seborrheic dermatitis was just on my scalp (severely). It worked fine shampooing with it everyday. It's easily found online if your pharmacy doesn't have it and won't order it. – Richard N Jun 6 2011 at 22:09
Hi Richard I am just interested if you have any update on your skin condition? I too experience seborrheic dermatitis (SD). It comes and goes but it's currently flared up and I have been reading of the potential link between saturated fat in the diet and SD because it provides a medium for yeast to grow. I hope this is not the case as I include saturated fat in my daily diet (cream instead of milk, butter instead of margarine, occasional eggs and coconut milk/cream). Part of the Paleo approach certainly encourages one to consume saturated fat so I hope there is no link. – Alchemy Mar 28 2012 at 7:20
Alchemy- I have not needed to go back to the ZNP Bar and just use Dr. Bronner's liquid baby's soap on my scalp. I'm assuming it has to do with my diet...plenty of saturated fat, no vegetable or seed oils, no sugar or flour etc – Richard N Mar 28 2012 at 13:27
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In looking around the internet, this site seems to have some good comments from users of their product. But you never know about positive comments on sites that sell products.

http://www.skin-remedies.com/seborrheic-dermatitis.html

Good luck with your search.

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I have seborrheic dermatitis around the nose for about 10 yearr. Now I am using Propolis. You can buy it on a drug store. The propolis from a drug store has a lot of alcohol in it and I wonder if that is whats helping. If you can find 100% propolis from someone who has bees that might be better, I never tried it buy I would, If I could find it. Anyways, this propolis worked better than any other cream I have ever used (hydrocortizone, nizoral, La Roche-Posay, apple cider vinegar and tens of other tries and fail). Wish you all luck. And I believe that the alcohol is what is helping because at the area that I have dermatitis the skin is oily and the alcohol is what dries it out. (or perhaps is the propolis itself, not sure) I don't stop using it. I use it every day, at the beginning even 3-4 times a day. You will notice that it will dry the skin out. But don't worry about that at the beginning. I wish this helps a lot of you because I have experimented a lot, to try to find something that works. Best, Albanian - Guy

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I'm trying a hair tonic right now that's alcohol based, and it seems to help to. I've noticed that it primarily dries my skin out too, but it makes my face pretty dry and flaky, so I tend to use it just on my scalp and beard. The primary ingredients in it are piroctone olamine, and salycylic acid, with both being antifungals. I"ve had luck earlier with a salycylic acid shampoo, so that's one reason why I'm using it. I'll see if I can find some propolis here, otherwise I keep bees, so I can just scrape some off of my hives at home. – Bristlebeard Nov 18 2011 at 9:47
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I have the condition more then 30 years. Around nose, eyebrows, scalp,chest, ears... (so far)

Usually when it flares up it can be bacterial as well as fungal infection When it flares up what really works for me is combination of antifungal cream (tiokonazol) and tropical steroid (prednisolone) application for 3-4 days.

Meantime regular use of E45 cream as emollient. Keeping the skin clean with soap free washes.

Recently using just olive oil fells better. does not cure. still comes up. I am on gluten free diet, does not seem to solve the problem.

I will try vitaminC+Zink tables. (keeping fingers cross)

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7 months ago, I started the Paleo diet at the same time as I stopped using shampoo. I also have seborrheic dermatitis. When I started, my scalp was over producing oils (always looked greasy the next day of washing) and it was flaky. My hair was so dry from using salycilic acid and all those other chemical-based products that my dermatologist prescribed. I was also losing clumps of hair. I first started with the baking soda and the apple cider vinegar for washing and rinsing once a week. My oil production normalized after a few weeks but my scalp felt very itchy all the time. So I started using essential oils directly on my scalp but with my hair still being oily (although less than at the beginning), it needed cleaning more often. My next try was Dr. Bronner's tree tea oil shampoo and a combination of Dr. Bronner's hair conditioner with apple cider vinegar. Both diluted. These 2 worked fantastic. I stopped losing hair. My hair is not dry at all. I still have a few itchy spots so I now use the Primitive Soap Company's pine bar of soap. It also has natural antifungal and antimicrobial properties but it is less drying and harsh than the tree tea oil. I also use it for my face. I only wash my hair once a week. I occasionally use a yolk, apple cider vinegar and lemon juice mix to wash my hair too. I will admit that my scalp is not perfect but it feels great after 20 years struggling with this problem. Just like I have taken on not allowing anything artificial in my diet, I don't use any chemicals on my body even for cosmetic reasons. Something that I learned is that you have to reestablish the natural balance in your scalp and that takes time (many many months). You will have to try many things until you find the right one but you will be in control and won't have to depend on artificial products the rest of your life. I don't think the coconut oil will make you lose your hair. Mineral deficiencies and not finding the right cleaner for you scalp will do that. I think the suggestions to alkalize your scalp with applying acv and honey directly sound like a great idea. I will try that too! But so far I've seen great improvements. Never using petroleum-based paraben sulfated shampoo again!

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Thanks so much! Honey seems to be working, finally... My face is 90% back to normal. I will keep doing the masks often to keep it under control...

I do not use any chemicals on my body whatsoever, so Cetaphil is not an option for me. I appreciate your answer, though.

This disease is a constant nightmare. I got humiliated on a job interview the other day because of my SD. The guy said he would never hire me with this face. I went back home crying.

I wrote my last message out of desperation. I feel much better now even though I still don't have a job.

This world is too cruel sometimes.

I recommend the honey masks and the coconut oil treatment (although I've been using tea tree oil instead since I didn't have the other one).

Good luck to all of you.

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for me selenium-disulfide is what really works (selsun brand in most countries - there's also a 2.5% version which is prescription in the US, but not in Canada and Europe). don't see why that should be worse than any of the alternatives, never gave me any problems. cutting starch/grains and fixing the gut with probiotics also helped. based on that i'd guess that seb.derm. is partially caused by an auto-immune reaction related to funghi or bacteria, not necessarily just at the site of inflammation.

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also vitamin k cream seems to help healing – Enki Jun 2 2011 at 14:22
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Anyone tried GSE for sub derm? If it's a bacterial problem I've heard that GSE is great.

In general my sub derm has been great with no-poo, though with travelling I've had to do bs/acv washes more and it doesn't seem to like that. It doesn't like it after regular shampoo (drying I suppose) but it doesn't like going too long without washing either (more bacterial growth). I put the acv directly on my affected area.

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What's GSE? And for Seb Derm, from the research I've been reading, is essentially caused by a yeast feeding on the sebum excreted from your sebum glands. The yeast releases oleic acid after breaking down sebum, and that's what causes the flaky irritation and itch. – Bristlebeard Sep 17 2011 at 19:26
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I have scalp psoriasis and have just found this http://www.proz92.com/psoriasis/testimonials/ it's a bit pricey but actually seems to be working! It claims to CURE the psoriasis (and other skin conditions) not just treat the symptoms, so far so good, I shall keep you informed. Check the website out though, this seems like the real deal. Good luck.

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My daughter had it a few years back, I treated it using a good quality apple cider vinegar, such as Bragg's. I used cotton wool balls soaked in the vinegar, then went over her whole scalp with it till every part had been soaked in it. Left it on for a hour or so then shampooed it out. I did this 3 to 4 times a week for about two to three weeks. Totally cleared it up, great to take internally also. Helps to alkalise the body.

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You know what also alkalizes the body? Breathing :) – Dean Apr 15 2012 at 10:07
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I also have seb derm on my forehead, eyebrows & scalp. It comes and goes. I live in a wetter climate (PacNW) but visit relatives in dry climates (AZ & NV). I noticed on extended trips to visits to said relatives my seb derm will clear up. I've been able to extend the clearing once coming home by applying isopropyl alcohol.

There's an element to seb derm outbeaks that includes microbial infection or irritation. The drying effect of iso alcohol kills the germs and any microscopic parasites like mites. Then I can add back a suitable lotion or emolient (eg, coconut oil) to keep my skin supple.

Another tactic I've had good results with is applying packing tape to larger areas (forehead) or scotch tape to smaller areas (nose folds) to remove excess flakes. I've found this method entirely gentle, effective and cheap! After cleansing in this way, follow with the alcohol and later the lotion. Avoid scraping, scratching or scrubbing the skin as that will just increase redness and irritation.

As for seb derm in hairy areas like scalp and eyebrows, I'd say gently loosen the flakes with a comb (outright removal will be too abrasive) follow with a wash and then the isopropyl alcohol.

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Cleanser and moisturizer with salycilic acid. Alpha Hydroxy and AVEDA Acne relief lotion are what I use.

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I am doing the raw honey mask treatment with no results yet, after two weeks. I've suffered this disease for 20 years. It disappeared for quite some time (about two years) and then came back even stronger. I'm exhausted. I've tried it all.

I have been losing too much hair. It's the first time that I can't get rid of the SD on my face and it's been two months of constant flare-up.

I am closer than ever to putting an end to my life.

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Nothing works well on my scalp, but for sd on the face try this- it worked for me. Do these steps EXACTLY!!!!! 1. splash face 8-10 times with warm water. 2. Use cetaphil BAR soap (not the liquid) for SENSITIVE skin and a washcloth and rub gently all over face. 3. Rinse off soap with warm water, then rinse 8-10 times with cool water. 4. Leave face 100% wet and put ONE drop of jojoba oil in your hands and rub them together and then smooth over your face. 5. LET FACE AIR DRY Drink a minimum of 8 glasses of tap water (not bottled) a day. Good luck!

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My SD flares up when I eat saturated fats. The link is so clear now. I have a severe case of it, and can only control it with diet. When I eliminate dairy and animal fats, the SD goes away. Completely. Topicals have controlled the symptoms to some extent, but the diet is the cause of the problem, and the cure to the problem in my case.

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