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Seborrhic dermatitis, using Dexona and scalp lotion, sunburn spots. Possible to treat face?

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Practicing since : 2001
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my name is XXXXXXX sekhar, i am facing problem of seboric deermatities since 12 years,, i am using dexona and scalp lotion and visited so many doctors but my problem was not rectified.. my face is becom ugly with sunburing spots.. i want to change my face and body without allergy is it possible? i am also test cd4 test that results also negative.. my body details are age: 28 , blood group: o -ve, fasting blood sugar: 78 , Hb: 13 mg,...
Posted Wed, 3 Oct 2012 in Skin Hair and Nails
Answered by Dr. Michelle Gibson James 3 hours later

Seborrheic dermatitis is an inflammatory skin disorder that can affect the scalp, head and torso (upper chest and back).It is associated with scaly, itchy,flaky,red skin.
It results from an inflammatory reaction to a yeast called Malassezia and is associated with over production of sebum (this overproduction is called seborrhea) which is an oily waxy substance made by the sebacous glands.

Hygiene plays a key role in controlling seborrhoeic dermatitis, frequent cleansing removes oils and will improve the seborrhoea.
Outdoor recreation especially during the summer will also result in an improvement because the sun rays inhibit the yeast.

Treatment involves the use of topical medications, systemic therapies or phototherapy.
Topical medication in antifungal creams,gels or shampoos. The most commonly used antifungal cream is ketoconazole products however there is another shampoo called ciclopirox which has both anti-inflammatory and antifungal properties, it can be combined with salicyclic acid or coal tar to increase effectiveness.The salicyclic acid or coal tar will remove any excess scale.
The ciplopirox creams are also effective for the face and the higher strengths are more effective than the lower ones.

Topical corticosteroids can be used in the initial stages but not for a long time because they are significant side effects, they are used initially to limit inflammation.

Lithium creams can be used, they are also effective in controlling sylmptoms.

In addition to these topical therapies to improve the seborrhoeic dermatitis and the skin, your doctors may suggest trying phototherapy , because, as stated earlier sunrays inhibit the yeast that is associated with the condition.

Medication can also be taken by mouth, you are on oral steroid- dexona. Oral steroids is not usually recommened because of the side effects of long term steroid use.
Some persons use oral antifungal medications which is beneficial in alot of persons.

In severe cases , isotretinoin can be used, this reduces the size of the sebaceous gland and therefore reduces sebum production. It must be prescribed by a doctor.
In some instances doctors may also try different combinations of drugs to help improve the skin.

In summary, hygiene to remove the sebum, topical antifungals , limited use of topical steroids (can use a high strength for a short time to reduce inflammation), oral antifungals, phototherapy and isotretinoin in severe cases.

i hope this information helps, feel free to ask any other questions
Above answer was peer-reviewed by
Follow-up: Seborrhic dermatitis, using Dexona and scalp lotion, sunburn spots. Possible to treat face? 11 hours later
your answer is excelent..i have two small questions
1. can i use lomela cream on face for to improve skin tone because due to seborric dermatites my face color is changed is very black so that i asked this question.if any good cream is there please suggest me for skin glowing..
2. is there any laser treatment for seborrihec dermatities for in new technology..
3. due to long years of seborrihec dermaties my hair is fallen so much so that please suggest how to contorling hair fallen...
thank you
Answered by Dr. Michelle Gibson James 7 hours later

Lomela contains hydroquinone,tretinoin and mometasone.Hydroquinone is commonly used to reduced the appearance of freckles,scars and any form of skin discoloration.Because it is a powerful agent it is important to use it strictly according to the instructions.Hydroquinone may not be safe in persons with asthma and it may interfere with other skin products like benzoyl peroxide or salicylic acid.Some persons may have a mild irritation of the skin when using it.
The tretinoin would reduce the appearance of any fine lines and wrinkles, it would also reduce roughness of the face and improve skin color, it should be used with a sun screen.Some persons may also have a stinging feeling with this medication and redness,dryness,itching or scaling may affect some people.
Mometasone is a steroid cream used to reduce inflammation.

The combination of creams may be effective in the short term in improving your skin, because of the steroid component you should be careful with longterm use.You may want to consult with your dermatologist before use.

In terms of laser treatment, it is now being offered as a method of treatment to reduce scarring in some persons, it is done by dermatologists in their office.

Hair loss can occur in this condition, it is unclear if it is permanent,in most cases it is reversible. There are various options available:(1) antifungal shampoos which were mentioned earlier (2) dandruff shampoos- though these usually contain the antifungals (3) MSM supplements (methysulfonylmethane) repair damged follicles and strengthen the hair- use according to the label (4)daily biotin supplements which strengthen and protect the hair against further loss (5) diet or multivitamin with folic acid, vitamin B6 and vitamin B12 (6)tar shampoos which clear the sebum

i hope this works for you, feel free to ask any other questions
Above answer was peer-reviewed by
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