What is the treatment of resistant seborrheic dermatitis?

Hello,

Welcome to icliniq.com.

I understand your concern.

According to the image attached (attachment removed to protect the patient's identity), red rashes with white flakes on the sides of the nose (nasal alar creases) and medial eyebrows are noticed. It is a hallmark of seborrheic dermatitis. Seborrheic dermatitis is a chronic recurrent inflammatory skin condition in sebum-rich sites. In a chronic variant, the psoriasiform variant is noticed. If frequently relapses, apply two percent Miconazole cream at night for one to four weeks. I suggest you follow a few instructions mentioned below.

1. Avoid high-potent steroid use.

2. Apply Desonide (aluminum acetate basic) cream in the evening for 10 days (to reduce redness).

3. Apply Olesoft cream (liquid paraffin) or physiogel hypoallergic lotion (Capric triglyceride) three times daily for 10 days.

4. Wash face with Sebamed face wash (Cocotrimonium methosulfate) twice daily for 10 days.

5. Avoid stress as it aggravates it.

6. Make yourself stress-free, as stress contributes significantly to seborrheic dermatitis.

7. Take a tablet of Zinfate (Zinc sulfate monohydrate) 110 mg once a day after dinner for 30 days.

8. Is there any scalp involvement?

9. Is there any truncal involvement?

10. Are there any dandruff issues?

11. Are there any similar complaints in the family?

12. Is there any itching or burning at present?

13. Is there any autoimmune disorder in the family?

I hope this information will help you.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

It appears to be seborrheic capitis, reactive hyperplasia of the scalp's epidermis due to possible triggers of anxiety, stress, excitement, prolonged sun exposure, and excess use of cosmetics or chemicals.

1. Minimize known triggers.

2. Avoid exposure to extreme weather conditions.

3. Use sunscreen of SPF (sun protection factor) 15 or above meticulously.

4. Take capsule Antoxid-HC (beta carotene) once daily for 30 days.

5. Seborrheic capitis is a cyclic problem that tends to decrease with two to three months of treatment.

6. Take tablet Fluconazole 150 mg once a week for four weeks can be taken (after a routine blood workup) if all counts are normal.

7. Wash the scalp with Salisia KT (salicylic acid) shampoo on alternate days for ten days, thrice weekly, and then twice weekly (maintenance therapy).

8. Reduce your stress.

9. Practice wet wrap therapy.

10. Do not rub the lesions.

11. Gently pat dry the scales after a good head wash.

12. Take a tablet of Loratadine (lactose monohydrate) 10 mg daily after breakfast for 10 days.

13. Avoid harsh soaps.

14. Use mild soap like soapex soap (sodium tallowate) or Psorcare soap for bath.

15. Increase your intake of vitamin A, zinc, biotin, and omega-3 fatty acids.

16. Eat tomatoes, lemon, gooseberries, guava, and nuts (good sources of antioxidants).

17. Avoid alcohol and gluten.

I hope this information will help you.

Thanks.