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Suggest Treatment For Dandruff And Rashes When Diagnosed With Seborrheic Dermatitis
Question: I have had seborrheic dermatitis for 9 years now and have always suffered with bad dandruff and facial slin rashes. However i have also suffered from painful scalp acne on the back of my head and on the top for the past four years. It is now always bad. The zits are painful and it now looks like a red rash. I dont know whether its scarring or part of the seb derm. Do you have any advice. I saw a derm last year and was prescribed hibiscrub and antibiotics which havent helped. I have attached pictures my scalp taken today.
Brief Answer:
Seborrheic dermatitis; ketoconazole shampoo+topical steroid lotions
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have noted down your concern. I have also reviewed the Images
I can see blotchy red patches/ areas on the back of scalp with a few lesions of folliculitis.
This is seborrheic dermatitis along with bacterial folliculitis.
If I was the treating doctor I would suggest that you use a ketoconazole based shampoo, daily or every alternate days. Nizoral is an OTC ketoconazole shampoo and you may try it. Lather it well on to wet scalp and allow it to act for 5-7 minutes before rinsing it off.
Seborrheic dermatitis is a steroid responsive dermatosis and it responds remarkably well to topical steroid lotions, foams, gels etc. Red, itchy, scaly patches such as these are an indication for starting topical steroids.
Therefore I suggest that you use either mometasone furoate 0.1% lotion Or fluocinolone acetonide 0.05% lotion, once or twice daily at scalp skin. Topical steroid lotion can be continued for 2-3 weeks and thereafter stopped once the condition has abated.
Topical vitamin D analogues e.g calcipotriol or calcitriol lotion/ solution can also be used as an alternative to topical steroids lotions.
Since seborrheic dermatitis may relapse therefore it is advisable to continue with a ketoconazole shampoo, indefinitely.
Minor relapses can be managed with topical vitamin D lotions/ solutions and only moderate to severe relapses necessitates topical steroids.
A course of an Oral antibiotic e.g either Amoxicillin Or cloxacillin, thrice daily for a week would help resolve folliculitis.
These are prescription medications and I suggest that you talk to a doctor for the needful and use these under supervision of a dermatologist.
Regards
Seborrheic dermatitis; ketoconazole shampoo+topical steroid lotions
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have noted down your concern. I have also reviewed the Images
I can see blotchy red patches/ areas on the back of scalp with a few lesions of folliculitis.
This is seborrheic dermatitis along with bacterial folliculitis.
If I was the treating doctor I would suggest that you use a ketoconazole based shampoo, daily or every alternate days. Nizoral is an OTC ketoconazole shampoo and you may try it. Lather it well on to wet scalp and allow it to act for 5-7 minutes before rinsing it off.
Seborrheic dermatitis is a steroid responsive dermatosis and it responds remarkably well to topical steroid lotions, foams, gels etc. Red, itchy, scaly patches such as these are an indication for starting topical steroids.
Therefore I suggest that you use either mometasone furoate 0.1% lotion Or fluocinolone acetonide 0.05% lotion, once or twice daily at scalp skin. Topical steroid lotion can be continued for 2-3 weeks and thereafter stopped once the condition has abated.
Topical vitamin D analogues e.g calcipotriol or calcitriol lotion/ solution can also be used as an alternative to topical steroids lotions.
Since seborrheic dermatitis may relapse therefore it is advisable to continue with a ketoconazole shampoo, indefinitely.
Minor relapses can be managed with topical vitamin D lotions/ solutions and only moderate to severe relapses necessitates topical steroids.
A course of an Oral antibiotic e.g either Amoxicillin Or cloxacillin, thrice daily for a week would help resolve folliculitis.
These are prescription medications and I suggest that you talk to a doctor for the needful and use these under supervision of a dermatologist.
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you very much fir your help
Brief Answer:
You are welcome
Detailed Answer:
Thank you for writing to us
Regards
You are welcome
Detailed Answer:
Thank you for writing to us
Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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