cradle-cap_4x3.jpg
cradlecap250.jpg
Dandruff-In-Babies.jpg

 'Cradle Cap'

Seborrhoeic dermatitis in infants

How to manage infant 'Cradle Cap' seborrhoeic dermatitis?

If the scalp is affected (the most common presentation) the parents can try simple measures:

  • Regular washing of the scalp with a baby shampoo, followed by gentle brushing with a soft brush to loosen scales and improve the condition of the skin.

  • Softening the scales with baby oil first, followed by gentle brushing, then washing off with baby shampoo.

  • Soaking the crusts overnight with white petroleum jelly or a slightly warmed vegetable or olive oil, and shampooing in the morning.

  • If these methods do not achieve softening, a greasy emollient or soap substitute, such as emulsifying ointment, can be used, which helps to remove the scales more easily.

 

If the above simple measures are not effective:

 

  • Book an appointment with the GP or attend your Local Child Health Clinic where the Cradle Cap can be reviewed by a Prescriber Heath Visitor. 

  • NICE advice : a topical imidazole cream (clotrimazole, econazole, or miconazole). The frequency of application and duration of treatment depends on the prescribed topical treatment: 

  • Clotrimazole 1% cream: apply 2–3 times daily.

  • Econazole 1% cream: apply twice daily.

  • Miconazole 2% cream: apply twice daily.

  • Treat until symptoms resolve. If symptoms persist longer than 4 weeks with treatment, seek specialist advice

National Health Service (NHS 2021) https://www.nhs.uk/conditions/cradle-cap

https://ihv.org.uk/wp-content/uploads/2015/10/22-PT_Cradle-Cap_V4.pdf

Institute for Excellence in Health and Care (NICE) 1.3.2020 Guidelines : Seborrhoeic dermatitis - infants https://cks.nice.org.uk/seborrhoeic-dermatitis. 

The recommendations to use clotrimazole, econazole, or miconazole cream are based on the British National Formulary [BNF 66, 2013] and the manufacturers' Summaries of Product Characteristics [ABPI Medicines Compendium, 2012aABPI Medicines Compendium, 2012bABPI Medicines Compendium, 2013c