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What Would Cause Severe Dermatitis On The Face, Scalp And In One Leg Of An Infant?

Posted on Wed, 8 Nov 2023

Question: Severe dermatitis on face scalp and in one leg of my child of 4 month

Answered by Dr. Dr. Kakkar (42 minutes later)

Brief Answer:
Kindly upload images

Detailed Answer:
Hello. Thank you.
I am Dr kakkar (Dermatologist and Venereologist). I have noted your concern.
The child seems to have seborrheic dermatitis. I request you to kindly upload a few images of the affected skin areas in "Reports Section" so that I am able to confirm and guide you better.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (1 hour later)

My daughter is 4 month old I am attaching image

I attached the images pls comments

Answered by Dr. Dr. Kakkar (24 minutes later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Thank you.
I have viewed the images. I will keep a possibility of Seborrheic dermatitis.
I suggest you to use a mildly potent topical steroid e.g Desonide 0.05 %cream(Desowen cream), twice daily for 2 weeks.
You may use cetrimide 5% solution (Cetrilak mild 5% solution) for shampoo. Ketoconazole shampoo should not be used in an infant.
These are prescription medication and I advice you to kindly talk to your local practitioner for a prescription of the same.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (34 minutes later)

Desowen cream any side effects in infants because of steroid
How to use shampoo cetrimide 5% and it's frequency of use

Pls also suggest me common brand name for above drugs

Answered by Dr. Dr. Kakkar (44 minutes later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Thank you.
Desonide 0.05 % cream / lotion (Desowen cream or Atonide Gel) is a very mild topical steroid and is safe for use in infants as recommended. It is to be use twice daily on affected skin for 10-14 days.. It is a prescription medication and should not be used without supervision or longer than recommended.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (4 minutes later)

Pls comment on my question

Answered by Dr. Dr. Kakkar (3 minutes later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Hi.

Cetrilak mild 5% shampoo is to be used every alternate days.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (10 minutes later)

Dear doctor what is procedure for shampoo uses

Sir any moisturizer for infants which make the skin not dry .How long shampoo will be used

Answered by Dr. Dr. Kakkar (4 hours later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Hi.

You may use Johnsons baby moisturizer. Shampoo can be used for 2 weeks.

Regards.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Kakkar (14 days later)

Doctor
I am attaching the images of my daughter skin as follow up one's we are using its get relief by not fully.pls suggest for further intervention

Answered by Dr. Dr. Kakkar (12 hours later)

Brief Answer:
Regarding seborrheic dermatitis

Detailed Answer:
Thank you.
I suggest you to use Fluticasone Propionate 0.05 % cream (Flutivate cream), twice daily, for 2 weeks. It is a prescription product and I advice you to kindly talk to your local practitioner for a prescription of the same.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Kakkar (13 hours later)

Sir initially u recommend ed DESONIDE 0.05% should I stop that one I used it for 10 to 14 days.my baby is 4 month only

Answered by Dr. Dr. Kakkar (16 hours later)

Brief Answer:
Regarding seborrheic dermatitis

Detailed Answer:
Hi.
Yes, stop Desonide. Start with Fluticasone Propionate 0.05 %cream.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Kakkar (17 days later)

Sir initially u recommend ed desonide and then Fluticasone Propionate 0.05 %cream.
but again after the application of 2 weeks with Fluticasone Propionate 0.05 its looking better but after 3 4 days back again same problem arises i am enclosing the image of same .pl give your expert opinion as soon as possible.
regards

Answered by Dr. Dr. Kakkar (5 hours later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Hi. Thank you.
Seborrheic dermatitis can relapse. You may use a moisturizer regularly e.g Atogla lotion, twice daily. Over that I suggest you to use Pimecrolimus 1%cream (picon cream or elidel cream), twice daily for the patches. It is not a steroid cream and can be used longer if required. Though it is slower acting than steroids creams which I had suggested earlier.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (2 hours later)

Dear doctor picon cream mentioned can be used above 2 years my daughter is 5 months old.little worry for me.pls advice.

Answered by Dr. Dr. Kakkar (21 hours later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Hi.
Pimecrolimus 1% cream can be safely used in infants above 3 months of age.

Regards

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. Yogesh D