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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Rash?

Was wondering what might be causing a rash that is very similar to the malar-rash: flaky itchy/burning brows and cheeks, the rash seems to be at the top of my scalp as well and has trailed to the upper lip. The rash is slightly raised and almost always leaves it feeling tender.
Fri, 27 Feb 2015
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Dermatologist 's  Response
Hello,
Thank you for posting on HCM.
From your history, it looks like you have got seborrheic dermatitis.

Sebaceous hyperplasia is enlarged and swollen sebaceous glands which produces excessive sebum and this in turn can lead to dermatitis of skin called Seborrheic dermatitis.
Excess sebum production promotes fungal growth and these in turn eventually contributes to seborrheic dermatitis.

I would suggest you a course of oral antifungal drug like fluconazole for few weeks. Fluconazole 150mg tablet should be taken once a week for atleast 6 weeks.

Apply a cream containing mometasone and terbinafine twice a day and a salicylic acid 1% based gel in evening over affected areas gently.
Use ketoconazole based shampoo on regular basis for hairwash.

I am sure you will be fine with this treatment.
Let me know if you require any more assistance from my side.

Wish you best of health.
Thank you
Dr Hardik Pitroda
M.D Dermatology


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How To Treat Rash?

Hello, Thank you for posting on HCM. From your history, it looks like you have got seborrheic dermatitis. Sebaceous hyperplasia is enlarged and swollen sebaceous glands which produces excessive sebum and this in turn can lead to dermatitis of skin called Seborrheic dermatitis. Excess sebum production promotes fungal growth and these in turn eventually contributes to seborrheic dermatitis. I would suggest you a course of oral antifungal drug like fluconazole for few weeks. Fluconazole 150mg tablet should be taken once a week for atleast 6 weeks. Apply a cream containing mometasone and terbinafine twice a day and a salicylic acid 1% based gel in evening over affected areas gently. Use ketoconazole based shampoo on regular basis for hairwash. I am sure you will be fine with this treatment. Let me know if you require any more assistance from my side. Wish you best of health. Thank you Dr Hardik Pitroda M.D Dermatology