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How to diagnose seborrhoea?

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تم إضافة السؤال من قبل Mohammad Yousif Qurah , ICU resident , Ajyad Emergency Hospital
تاريخ النشر: 2015/06/11
khaled alloubani
من قبل khaled alloubani , Family Physician Doctor , Al Rabia Medical Center

The diagnosis of seborrheic dermatitis is usually made on clinical grounds, based on a history of waxing and waning severity and by the distribution of involvement upon examination.

A skin biopsy may be needed in persons with exfoliative erythroderma, and a fungal culture can be used to rule out tinea capitis, though tinea capitis is rare in adults. Dermatopathologic findings of seborrheic dermatitis are nonspecific and typically include the following:

  • Hyperkeratosis
  • Acanthosis
  • Accentuated rete ridges
  • Focal spongiosis
  • Parakeratosis                                                                                                                                                                                                                                                                                             - Psoriasis is distinguished by regular acanthosis, thinned rete ridges, exocytosis, parakeratosis, and an absence of spongiosis. Neutrophils may be seen in both diseases.

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