Cradle Cap
Cradle Cap
Definition and cause
Cradle cap is a relatively common, oily, scaling, skin condition of the scalp.  It also occurs in areas where the skin is normally oily and may spread to the forehead, ears, eyebrows, etc.  The cause is unknown.
Symptoms
Cradle cap usually causes a scaling, red rash, covered with oily, yellowish scales, especially prominent over the scalp.  It usually begins on the scalp, and the lesions may spread to the forehead, ears, eyebrows, nose, back of the neck, and to the diaper area in infants.  In infants, it is usually short-
lived and doesn't keep recurring.  It causes no itching.
Complications
Secondary bacterial infections can result, usually Strep or Staph.  Yeast infections can occur, especially in warm, moist areas.  Another condition that can occur is a skin rash resulting from reaction to medicated shampoo or lotion.
Treatment of mild cases
Remove heavy scales and crusts with warm water and soap.  Comb hair with a fine tooth comb, soft baby brush, or a toothbrush, after each treatment.  Vigorous rubbing to remove the scales from the scalp will not injure the infant.  Avoid scratching the scales with fingernails, though, because this can lead to secondary infection.  Shampoo every other day until scales are gone, then twice a week.
Use any non-prescription dandruff shampoo containing selenium sulfide (such as Selsun Blue) or zinc pyritione (such as Head and Shoulders) every day or two.  After the scales are gone, regular shampoo may be used with intermittent use of dandruff shampoo.  The frequency will vary depending upon the child.  If redness or irritation of the scalp are apparent, discontinue the shampoo.  Be sure to keep the shampoo from getting in the eyes.
Treatment of moderate to severe cases
Prevention
Wash infant's scalp with soap and water.
Do not use oil or vasoline except when removing scales.  After applying oil, wash off with shampoo and water.  Oil left on the hair worsens cradle cap.
The child should be seen by a doctor if a secondary bacterial infection occurs. 

If there is no response to treatment after 1 month, or if the condition continues to increase in severity at the end of the first week, medical help is needed.
When a doctor is needed:
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