What is the best treatment of seborrhea in the infant?

• A. Mineral oil to loosen crusts prior to washing affected areas with a nonperfumed baby shampoo
• B. Topical antibiotics
• C. Oral antibiotics in severe cases
• D. Oral steroids for severe cases

Answer: (A)

Seborrheic dermatitis in infants, or cradle cap, is a common, benign scalp condition that is best treated with gentle cleansing and softening of the crusts. Using mineral oil helps loosen the greasy scales, making them easier to remove. After letting the oil sit briefly, wash the scalp with a nonperfumed, mild baby shampoo to rinse away the loosened scales. This approach reduces irritation and avoids unnecessary medications. Topical or oral antibiotics and steroids aren’t needed for routine cradle cap, as there isn’t an infection driving the condition. If crusts persist or worsen, or if there are signs of infection, a pediatrician can provide further guidance.