Hello. Thanks for writing to us at healthcaremagic
I will keep a possibility of seborrheic
dermatitis. The area behind the ear being one of the commonly affected sites.
Seborrheic dermatitis classically presents as red, scaly patches on scalp, area behind ear; it may also involve the face like sides of nose, eyebrows and glabella area.
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.
However, since seborrheic dermatitis is a recurrent condition and because steroids can be used for ever 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 have been using contains pimecrolimus and it would be more useful as a maintenance cream rather than for treating a flare up of seborrheic dermatitis.
Regards