Treatment is often topical and may consist of over-the-counter (OTC) or prescription lotions or shampoos.

Flaking

At its mildest, this condition may just cause very small, thin flakes.

When more severe, the flakes can be thicker, and are often yellowish or greasy as well.

Dandruff flakes on a man’s shoulder close up

AndreyPopov / Getty Images

Itching

Seborrheic dermatitis may or may not be itchy.

When it does itch, it can be mild or intense.

Some people say the itchbothers them the most at night, and some may wake up scratching.

Seborrheic dermatitis on the scalp

DermNet /CC BY-NC-ND

Irritated, itchy skin may also be red, even if you haven’t scratched it.

DermNet /CC BY-NC-ND

Causes

Seborrheic dermatitis has many possible causes and triggers.

The first one many people turn to is OTC dandruff shampoos.

Your practitioner can tell you the best treatment regimen for you.

In some moderate to severe cases, healthcare providers prescribe shampoo containingtopical steroids, which are powerful anti-inflammatories.

However, it usually improves considerably with treatment and can be well-controlled for the long term.

A Word From Verywell

The visible flakes and itching from seborrheic dermatitis can be annoying and embarrassing.

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National Institutes of Health, U.S. National Library of Medicine: MedlinePlus.Ketoconazole topical.

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