HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Itchy Red Rashes On The Scalp

hello. i have been fighting an itchy red rash off and on for about a month (at least). When it breaks out it is the same exact locations - one large place along hairline of scalp on forehead, upper lip is red and flaky, both jawlines are red, bumpy and itch, and one final place on chest. I have been to a doctor and he put me on a steriod pack. It helped, but as soon as I took my last pill it came back. Went to a dermatologist...did not know what it was - RX was Eledil. That did not help. The only change in product has been the addition of Rhodan and Fields gel capsule at night, I have stopped that. As of a week - i have been getting light headed. Not sure if it is related? Overall - I am very healthy, Suggesstions?
Mon, 15 Dec 2014
Report Abuse
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.
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
I find this answer helpful

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Itchy Red Rashes On The Scalp

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