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Comparison of scalp interleukin-17 levels in hijab-wearing women with and without seborrheic dermatitis and the correlation with disease severity

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Published: 11 December 2025
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Seborrheic dermatitis (SD) is linked with Malassezia colonization, which increases in hijab-wearing women. The growing number of hijab wearers in Indonesia makes this issue relevant. Interleukin (IL)-17 plays a role in inflammation and antifungal immunity, including against Malassezia. However, studies on the role of IL-17 in SD, particularly in hijab-wearing women, are currently lacking. Our study purpose was to evaluate differences in IL-17 levels between hijab-wearing women with SD and without SD, and their correlation with SD severity. This cross-sectional study included 66 hijab-wearing participants aged 18-59 years, with 34 in the SD group and 32 in the non-SD group. IL-17 expression was assessed using Enzyme-Linked Immunosorbent Assay (ELISA) on scalp skin samples obtained through tape stripping (Sebutape®). The SD group had significantly lower IL-17 levels (0.064 [0.006-0.354] pg/μg protein) compared to the non-SD group (0.105 [0.030-0.531] pg/μg protein) (p=0.002), with a strong negative correlation between IL-17 levels and SD severity scores (r=–0.728, p=0.000). The result suggests a potential protective role of IL-17 against SD.

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1. Jackson JM, Alexis A, Zirwas M, et al. Unmet needs for patients with seborrheic dermatitis. J Am Acad Dermatol 2022:1-8.
2. Dermatology and Venereology Department, Faculty of Medicine, Universitas Indonesia–Cipto Mangunkusumo Hospital (FKUI-RSCM). General Dermatology Outpatient Visits 2022–2023. Jakarta: Department of Dermatology & Venereology FKUI-RSCM; 2024.
3. Xuan M, Lu C, He Z. Clinical characteristics and quality of life in seborrheic dermatitis patients: a cross-sectional study in China. Health Qual Life Outcomes 2020;18:308-16.
4. Szepietowski JC, Reich A, Wesołowska-Szepietowska E, et al. Quality of life in patients suffering from seborrheic dermatitis: Influence of age, gender and education level. Mycoses 2009;52:357-63.
5. Araya M, Kulthanan K, Jiamton S. Clinical characteristics and quality of life of seborrheic dermatitis patients in a tropical country. Indian J Dermatol 2015;60:519-25.
6. Widaty S, Surachmiati L, Legiawati L, et al. Scalp microbiome of healthy women wearing hijab compared to those not wearing hijab: A cross-sectional study. Sci Rep 2023;13:1-9.
7. Etnawati K, Siswati, AS, Pudjiati SR, et al. The role of Malassezia sp, sebum level and Trans Epidermal Water Loss (TEWL) toward the dandruff severity between hijab and non hijab wearing subjects. J Med Sci 2018;50:351-6.
8. Adalsteinsson JA, Kaushik S, Muzumdar S, et al. An update on the microbiology, immunology and genetics of seborrheic dermatitis. Exp Dermatol 2020;29:481-89.
9. Wikramanayake TC, Borda LJ, Miteva M, et al. Seborrheic dermatitis-Looking beyond Malassezia. Exp Dermatol 2019;28:991-1001.
10. Sparber F, De Gregorio C, Steckholzer S, et al. The skin commensal yeast Malassezia triggers a type 17 response that coordinates anti-fungal immunity and exacerbates skin inflammation. Cell Host Microbe 2019;25:389-403.
11. Jia Q, Hu J, Wang X, et al. Malassezia globosa induces differentiation of pathogenic Th17 cells by inducing IL-23 secretion by keratinocytes. Mycopathologia 2024;189:85.
12. Alam HS, Ward JM, Davis LS. Generalized tinea versicolor following initiation of ixekizumab therapy. JAAD Case Rep 2021;18:54-6.
13. Saeki H, Nakagawa H, Nakajo K, et al. Japanese Ixekizumab Study Group. Efficacy and safety of ixekizumab treatment for Japanese patients with moderate to severe plaque psoriasis, erythrodermic psoriasis and generalized pustular psoriasis: Results from a 52-week, open-label, phase 3 study (UNCOVER-J). J Dermatol 2017;44:355-62.
14. Zhang F, Li Y, Ren W, et al. Establishment of clinical evaluation criteria for scalp seborrheic dermatitis. J Cosmet Dermatol 2023;22:3042-46.
15. Perkins MA, Cardin CW, Osterhues MA, et al. A non-invasive tape absorption method for recovery of inflammatory mediators to differentiate normal from compromised scalp conditions. Skin Res Technol 2002;8:187-93.
16. Arikunto S. Dasar-dasar Evaluasi Pendidikan [In Bahasa Indonesia]. Jakarta: Rineka Cipta; 2010, p. 173.
17. Aman AMA, Soewondo P, Soelistijo SA, et al. Panduan Pengelolaan Dislipidemia di Indonesia [In Bahasa Indonesia]. Jakarta: PB PERKENI; 2021.
18. Padovan M, Benincasa BB, Panduri S, et al. Assessing the burden of dermatological diseases on work life from a gender perspective. Sci Rep 2025;15:24014.
19. Huangfu L, Li R, Huang Y, et al. The IL-17 family in diseases: from bench to bedside. Signal Transduct Target Ther 2023;8:402.
20. Ungar B, Manson M, Kim M, et al. Tape-strip profiling identifies unique immune and lipid dysregulation in patients with seborrheic dermatitis. J Am Acad Dermatol 2025;92:1277-87.
21. Sparber F, LeibundGut-Landmann S. Host responses to Malassezia spp. in the Mammalian Skin. Front Immunol 2017;8:1614.
22. Ruchti F, Tuor M, Mathew L, et al. γδ T cells respond directly and selectively to the skin commensal yeast Malassezia for IL-17-dependent fungal control. PLoS Pathog 2024;20:e1011668.
23. Miyachi H, Wakabayashi S, Sugihira T, et al. Keratinocyte IL-36 Receptor/MyD88 signaling mediates Malassezia-Induced IL-17-dependent skin inflammation. J Infect Dis 2021;223:1753-65.
24. Thomas DS, Ingham E, Bojar RA, et al. In vitro modulation of human keratinocyte pro- and anti-inflammatory cytokine production by the capsule of Malassezia species. FEMS Immunol Med Microbiol 2008;54:203-14.
25. Chen CY, Lee YH, Chang SH, et al. Oleic acid-loaded nanostructured lipid carrier inhibits neutrophil activities in the presence of albumin and alleviates skin inflammation. Int J Nanomedicine 2019;14:6539e53.
26. Pompura SL, Wagner A, Kitz A, et al. Oleic acid restores suppressive defects in tissue-resident FOXP3 Tregs from patients with multiple sclerosis. J Clin Invest 2021;131:e138519.
27. El Mahi Y, Varin A, Vetter M, et al. Resolved psoriasis with abundant Oleic acid in stratum corneum exhibits lower T-cell-driven IL-17 signature. J Invest Dermatol 2023;143:2145-52.e6.
28. Basso P, Dang EV, Urisman A, et al. Deep tissue infection by an invasive human fungal pathogen requires lipid-based suppression of the IL-17 response. Cell Host Microbe 9;30:1589-1601.e5.
29. Fujishige A, Seko N. Safety and effectiveness of secukinumab in Japanese patients with generalized pustular psoriasis: A post-marketing surveillance. J Dermatol 2025;52:773-86.
30. Cheng Y, Cong J, Xu J, et al. Research progress on the exacerbation of lipid metabolism by Malassezia and its impact on the skin barrier function. Cosmetics 2025;12:67-77.

Supporting Agencies

This research was funded by the Directorate of Research and Development, Universitas Indonesia, under Hibah PUTI 2024 (Grant No. NKB-73/UN2.RST/HKP.05.00/2024).

How to Cite



1.
Pratama AI, Legiawati L, Fitri EM, Syougie S, Menaldi SLSW. Comparison of scalp interleukin-17 levels in hijab-wearing women with and without seborrheic dermatitis and the correlation with disease severity. Dermatol Reports [Internet]. 2025 Dec. 11 [cited 2026 May 26];. Available from: https://journals.pagepress.net/dr/article/view/10623