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.
Other areas that may be involved are face (hair line of the scalp, 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.
I don't give oral steroids for seborrheic dermatitis since it is a localized skin condition and treating it with systemic steroids is not appropriate.
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
The cream that you previously used (Elidel) contains pimecrolimus and it would be more useful as a maintenance cream rather than for treating a flare up of seborrheic dermatitis.
These are prescription products and therefore I suggest that you talk to your
dermatologist for the needful.
Regards