Cradle Cap (Seborrheic Dermatitis) in Infants

Cradle cap is the common term for seborrheic dermatitis (seb-eh-REE-ik dur-muh-TYE-tis) of the scalp in infants. Seborrheic dermatitis, also called seborrhea (seb-eh-REE-uh), can show up: Babies can develop seborrheic dermatitis when they're between 2 weeks and 12 months old. It usually starts with cradle cap. A baby with cradle cap will have slightly red scaly or crusty yellow patches on the scalp. It may also start on the face or diaper area and spread to other parts of the body. Seborrheic dermatitis might look uncomfortable or irritating to the skin. But it usually isn't itchy and doesn't seem to bother infants. The exact cause of cradle cap isn't known. It's likely due to a combination of things. Too much skin oil (sebum) in the oil glands and hair follicles and a type of yeast found on the skin called Malassezia may play roles in the development of seborrheic dermatitis. Health care professionals can diagnose cradle cap and seborrheic dermatitis by the way the skin looks and where the rash is. Babies with seborrheic dermatitis are usually well and the condition should get better on its own or with treatment. Cradle cap and seborrheic dermatitis in infants usually clears up on its own in weeks or months. In the meantime, you may want to loosen and remove the scales on your baby's scalp: If regular shampooing doesn't help, your doctor may recommend a mild steroid cream or antifungal shampoo. For seborrhea on other parts of the body, your doctor may recommend a mild steroid or antifungal cream. Do not use over-the-counter steroid or antifungal creams or anti-seborrhea shampoos without checking first with the doctor. Sometimes seborrheic dermatitis in the diaper area or skin folds can get infected. Talk to your doctor if the rash gets worse or there are any signs of infection (the skin looks red, starts to drain fluid, or feels warm). Cradle cap and seborrheic dermatitis in infants usually get better by 12 months of age. Seborrhea may come back around puberty as dandruff.