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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Might Be The Non-itchy Red Bumps At The Back Of Ear?

I once had seborrhea icc dermatitis and extreme dandruff. Few days back I again had a lot of dandruff on my scalp that got cleared off with oil and le,on massage. However I developed a non itchy red bumps at the back of my left ear. So far the skin is not flaky but a little rough at the top back of the ear and rash more at the bottom of the ear
Thu, 11 Dec 2014
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Dermatologist 's  Response
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
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What Might Be The Non-itchy Red Bumps At The Back Of Ear?

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