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Suffering with seborrheic dermatitis, severe acne, white heads. No improvement with various treatments. Effective measures?

Hi Mr Prasad i suffer from Seborrheic Dermatitis , from nearly 6-7 years , my facial , back skin is very oily and i get lot pf pimples filled with puss. i get white heads all over the body , i also have backne , i have read a lot lot about this but couldn t fine a but I couldn t find ant solution to reduce my oil glands .. I have been on antibiotics like doxol LB and clindamycin for external application . my diet is normal and around 3 lt of water everyday . I have visited many doctor and I have been told that this a hormonal problems and has no solution except for taking few preventive measures i have also tried alternative medications like natural therapies but nothing helped Please advise me some measure for which I can reduce the oil production and can reduce pimples in face and back
Asked On : Fri, 14 Dec 2012
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Dermatologist 's  Response
Hi Vartika,

Seborrheic dermatitis and acne can co exist in a single person and sometimes seborrheic dermatitis manifests as acneiform eruptions. It could have a hormonal association, so it would be advisable to get your hormone profile and ultrasound scan done for PCOD. Having said this, just wanted to assure you that these can be treated effectively. Simply taking doxycycline and clindamycin addresses acne issue only. I would suggest you to take oral isotretinoin as its a sebosupressive agent. It will not only improve acne, seb dermatitis but also excessive oiliness. It is a safe and most effective treatment option available for acne. But before prescribing isotretinoin in a female patient,a proper counselling and checklist is required. I would advise you to visit a dermatologist near by as once a proper skin analysis has been done, a perfect combination of oral and topical regimen can be prescribed to treat your skin condition effectively. All I can assure is that your skin condition is easily manageable. Take care
Answered: Thu, 20 Dec 2012
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