What Is Cradle Cap?

The scales may look white or yellow and sit over slightly red skin. Similar changes can occur around the eyebrows, behind the ears, or in body folds. Cradle cap is not caused by poor hygiene and is not contagious.

Cradle cap often looks more dramatic than it feels. The scale can form a patch or cover much of the scalp, while the baby remains comfortable. Marked itch, broken skin, persistent weeping, or widespread inflammation is less typical and may point to eczema, infection, or another rash.

Hair can become caught in loosened scale and may come away temporarily during care. Avoid scratching, forceful combing, or pulling attached flakes, because this can damage the delicate scalp.

Wash the scalp gently with a mild baby shampoo and use a soft brush to lift only scales that release easily. An emollient may help soften stubborn scale, but use a baby-safe product and wash it out as directed rather than leaving heavy oil on the scalp.

If home care does not settle the condition, a clinician may recommend a short course of a suitable treatment, such as an antifungal preparation, after checking the diagnosis. Products intended for adults can contain ingredients or strengths that are unsuitable for an infant.

Arrange a medical review when the rash is spreading, very red, swollen, cracked, bleeding, weeping, unpleasant-smelling, or apparently itchy or painful. Seek prompt care if the baby has a fever, seems unusually sleepy, feeds poorly, or develops rapidly worsening skin changes.

A clinician should also assess persistent scale that does not improve with gentle care, especially when the face, nappy area, or multiple body folds are involved.

Ask whether the rash is cradle cap or another form of dermatitis, which products are safe for your baby's age and skin, how often to wash the scalp, and what signs would suggest infection. Mention any family history of eczema and any product used before the rash changed.