Cradle cap
    Symptoms and causes

    April 30, 2025

    Overview

    Cradle cap causes crusty or oily scaly patches on a baby's scalp. The condition isn't painful or itchy. But it can cause thick white or yellow scales that aren't easy to remove.

    Cradle cap usually clears up on its own in weeks or a few months. Home care measures include washing your baby's scalp daily with a mild shampoo. This can help you loosen and remove the scales. Don't scratch cradle cap.

    If cradle cap doesn't stop or seems serious, your baby's doctor or other health care professional may suggest a medicated shampoo, lotion or other treatment.

    Cradle cap on white skin

    Cradle cap on white skin

    On white skin, cradle cap is characterized by scaly patches on a baby's scalp. You may notice thick, yellow patches of skin. The patches may be crusty or greasy.

    Cradle cap on Black skin

    Cradle cap on Black skin

    On Black or brown skin, cradle cap appears as patchy scaling or thick crusts on the scalp and greasy skin covered with flaky white or yellow scales. Cradle cap usually doesn't bother the infant.

    Symptoms

    Common symptoms of cradle cap include:

    • Patchy scaling or thick crusts on the scalp.
    • Oily or dry skin covered with flaky white or yellow scales.
    • Skin flakes.
    • Mild inflammation.

    Similar scales also may be present on the ears, eyelids, nose and groin.

    Cradle cap is common in newborns. It usually isn't itchy.

    Cradle cap is the common term for infantile seborrheic dermatitis. It's sometimes confused with another skin condition, atopic dermatitis. A major difference between these conditions is that atopic dermatitis can be very itchy.

    When to see a doctor

    See your baby's doctor or other health care professional if:

    • You've tried treating cradle cap at home without success.
    • The patches spread to your baby's face or body.

    Causes

    The cause of cradle cap isn't known. One factor may be hormones that pass from the mother to the baby before birth. These hormones can cause oil glands and hair follicles to make too much oil. This oil is called sebum.

    Another factor may be a fungus called malassezia (mal-uh-SEE-zhuh) that grows in the sebum along with bacteria. Antifungal treatments often help control symptoms. This supports the idea that malassezia is a cause. An example of an antifungal treatment is ketoconazole.

    Cradle cap isn't contagious, and it's not caused by poor hygiene.

    Risk factors

    Cradle cap is very common in babies. There are no known risk factors for it.

    Prevention

    Shampooing your baby's hair every few days can help prevent cradle cap. Use a baby shampoo unless your baby's doctor or other health care professional suggests a stronger product.

    1. AskMayoExpert. Seborrheic dermatitis. Mayo Clinic; 2023.
    2. Patient education. Caring for your newborn. Mayo Clinic; 2019.
    3. Sasseville D. Cradle cap and seborrheic dermatitis in infants. https://www.uptodate.com/contents/search. Accessed June 6, 2023.
    4. Kelly AP, et al. Pediatrics. In: Taylor and Kelly's Dermatology for Skin of Color. 2nd ed. McGraw-Hill; 2016.

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