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Can Seborrheic Dermatitis Be Generalized Or Systemic?

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Posted on Sat, 31 May 2014
Question: Can Seborrheic Dermatitis be generalized or systemic. I am affected on scalp,forehead,face,around eyes,and on arms. Is there any safe drug that can taken orally to compliment my topical cremes of selinium, zinc, and coal tar. Also I have triamcinolone as a topical steroid. It has been four days now and I have seen no improvement
doctor
Answered by Dr. Shafi Ullah Khan (5 hours later)
Brief Answer:
will resolve, continue treatment, topical better

Detailed Answer:
Thank you for asking!
Seborrheic dermatitis is a papulosquamous disorder patterned on the sebum-rich areas of the scalp, face, and trunk. In addition to sebum, this dermatitis is linked to Malassezia, immunologic abnormalities, and activation of complement. Its severity ranges from mild dandruff to exfoliative erythroderma.Seborrheic dermatitis may affect any hair-bearing area, and the chest is frequently involved.
Here is what doctors recommend about its management.
Early treatment of flares is encouraged. Behavior modification techniques in reducing excoriations are especially helpful with scalp involvement.

Pharmacologic agents that may be used include the following:

Topical corticosteroids (discouraged except for short-term use)
For skin involvement, ketoconazole, naftifine, or ciclopirox creams and gels ; alternatively, calcineurin inhibitors (ie, pimecrolimus, tacrolimus), sulfur or sulfonamide combinations, or propylene glycol
For acute flares, class IV or lower corticosteroid creams, lotions, or solutions
For severe or unresponsive lesions, systemic ketoconazole or fluconazole
Metronidazole gel for face will help.
Eye need gentle cleaning of eyelashes with baby shampoo and cotton applicators.
Treatment of dandruff may involve the following:

More frequent shampooing or longer lathering
Discontinuance of hair spray or hair pomades
Use of shampoos containing salicylic acid, tar, selenium, sulfur, or zinc ; selenium sulfide (2.5%), ketoconazole, and ciclopirox shampoos may help by reducing Malassezia yeast scalp reservoirs
Overnight application of tar, bath oil, or Baker’s P&S solution; Derma-Smoothe F/S oil is especially helpful for widespread plaques.
Wait for it. It will resolve. Oral medicines is not advised unless flares are too much. usually above mentioned maneuvers are sufficient.COnsult your dermatologist if the problem persists.
I hope it helps. Don't forget to close the discussion please.
Take care
S Khan
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Can Seborrheic Dermatitis Be Generalized Or Systemic?

Brief Answer: will resolve, continue treatment, topical better Detailed Answer: Thank you for asking! Seborrheic dermatitis is a papulosquamous disorder patterned on the sebum-rich areas of the scalp, face, and trunk. In addition to sebum, this dermatitis is linked to Malassezia, immunologic abnormalities, and activation of complement. Its severity ranges from mild dandruff to exfoliative erythroderma.Seborrheic dermatitis may affect any hair-bearing area, and the chest is frequently involved. Here is what doctors recommend about its management. Early treatment of flares is encouraged. Behavior modification techniques in reducing excoriations are especially helpful with scalp involvement. Pharmacologic agents that may be used include the following: Topical corticosteroids (discouraged except for short-term use) For skin involvement, ketoconazole, naftifine, or ciclopirox creams and gels ; alternatively, calcineurin inhibitors (ie, pimecrolimus, tacrolimus), sulfur or sulfonamide combinations, or propylene glycol For acute flares, class IV or lower corticosteroid creams, lotions, or solutions For severe or unresponsive lesions, systemic ketoconazole or fluconazole Metronidazole gel for face will help. Eye need gentle cleaning of eyelashes with baby shampoo and cotton applicators. Treatment of dandruff may involve the following: More frequent shampooing or longer lathering Discontinuance of hair spray or hair pomades Use of shampoos containing salicylic acid, tar, selenium, sulfur, or zinc ; selenium sulfide (2.5%), ketoconazole, and ciclopirox shampoos may help by reducing Malassezia yeast scalp reservoirs Overnight application of tar, bath oil, or Baker’s P&S solution; Derma-Smoothe F/S oil is especially helpful for widespread plaques. Wait for it. It will resolve. Oral medicines is not advised unless flares are too much. usually above mentioned maneuvers are sufficient.COnsult your dermatologist if the problem persists. I hope it helps. Don't forget to close the discussion please. Take care S Khan