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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Red, Scaly, Itchy Splotches On Face?

PLEASE HELP!!!!!! I have been experiencing red, scaly, itchy splotches on both sides of my face near the ear/hairline. It is now discoloring those sides of my face. The flakiness and itching burns and I cannot stop scratching!! This has been going on for a little less than a month now. Please help!!
Thu, 8 Jan 2015
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

I will keep a possibility of seborrheic dermatitis.
Seborrheic dermatitis classically presents with red and scaly patches on the scalp and at hair line over forehead and behind ear.
Other areas that may be involved are face (sides of nose, upper lip, chin) and chest. The patches on face are usually dull red in color, itchy and scaly.
Seborrheic dermatitis is a steroid responsive dermatosis. I usually treat my patients of facial seborrheic dermatitis with a moderately potent topical steroid e.g fluticasone propionate 0.05% cream, twice daily.
This usually brings about remarkable improvement in my patients in about 2 weeks.
Seborrheic dermatitis is a recurrent condition and because topical steroids cannot be used forever on face therefore once significant improvement has been achieved topical steroids may be discontinued.
Subsequent treatment with a topical immunomodulator like pimecrolimus is sufficient to maintain the improvement
These are prescription products and therefore I suggest that you talk to your dermatologist for the needful.

Regards
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What Causes Red, Scaly, Itchy Splotches On Face?

Hello. Thanks for writing to us at healthcaremagic I will keep a possibility of seborrheic dermatitis. Seborrheic dermatitis classically presents with red and scaly patches on the scalp and at hair line over forehead and behind ear. Other areas that may be involved are face (sides of nose, upper lip, chin) and chest. The patches on face are usually dull red in color, itchy and scaly. Seborrheic dermatitis is a steroid responsive dermatosis. I usually treat my patients of facial seborrheic dermatitis with a moderately potent topical steroid e.g fluticasone propionate 0.05% cream, twice daily. This usually brings about remarkable improvement in my patients in about 2 weeks. Seborrheic dermatitis is a recurrent condition and because topical steroids cannot be used forever on face therefore once significant improvement has been achieved topical steroids may be discontinued. Subsequent treatment with a topical immunomodulator like pimecrolimus is sufficient to maintain the improvement These are prescription products and therefore I suggest that you talk to your dermatologist for the needful. Regards