Seborrheic Dermatitis: Symptoms, Treatments, and Care Tips - Dermatology

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Seborrheic dermatitis


Hello, Doctor: On January 25th, I visited a dermatologist due to redness, itching, and peeling around my nostrils and cheeks.
The doctor diagnosed me with seborrheic dermatitis and prescribed oral medication along with a topical cream (Fucidin).
After taking the medication, my condition improved, and I stopped using the cream.
However, today I suddenly feel that the area around my nostrils is very dry.

1.
Is this a symptom of seborrheic dermatitis?
2.
Can I continue using the Fucidin cream?
3.
Does this cream contain steroids, and how long can it be used before side effects occur?
4.
I have acne and have been using retinoids (tretinoin), but I paused their use after developing seborrheic dermatitis.
Once the seborrheic dermatitis is under control, can I resume using the retinoids?

Amy, 20~29 year old female. Ask Date: 2024/02/20

Dr. Wu Yuxin reply Dermatology


Your questions must be assessed in person to recommend treatment based on the condition of the skin.

Reply Date: 2024/02/20

More Info


Seborrheic dermatitis is a common skin condition that primarily affects areas of the body with a high density of sebaceous (oil) glands, such as the face, scalp, and upper back. It is characterized by symptoms such as redness, itching, and flaking or peeling skin. The condition can be exacerbated by various factors, including stress, hormonal changes, and environmental conditions.

Symptoms of Seborrheic Dermatitis
The symptoms you described—redness, itching, and peeling around the nose and cheeks—are indeed consistent with seborrheic dermatitis. This condition can present as dry, flaky patches or greasy scales, and it often appears in areas where the skin is oily. In some cases, it can also lead to a more severe inflammatory response, resulting in crusty lesions.


Treatment Options
1. Topical Treatments: The treatment for seborrheic dermatitis often includes topical corticosteroids, antifungal creams, or medicated shampoos containing ingredients like ketoconazole, selenium sulfide, or zinc pyrithione. These treatments help reduce inflammation and control the overgrowth of yeast that can contribute to the condition.

2. Oral Medications: In more severe cases, oral medications such as antifungal agents or corticosteroids may be prescribed. It’s important to follow your dermatologist's recommendations regarding the duration and dosage of these medications.

3. Moisturizers: Keeping the affected areas moisturized is crucial. If your skin feels dry, using a gentle, non-irritating moisturizer can help alleviate discomfort.

Care Tips
1. Using Topical Treatments: If your dermatologist prescribed a topical medication like "Fudacil" (膚達爽), it is essential to follow their guidance on its use. If you experience dryness, it may be beneficial to continue using the medication as directed, but you should consult your doctor before making any changes to your treatment regimen.

2. Corticosteroid Use: Regarding the use of corticosteroids, it’s important to use them as prescribed. Prolonged use can lead to side effects such as skin thinning, stretch marks, or rebound flare-ups. Typically, dermatologists recommend using topical steroids for short periods, especially for sensitive areas like the face.

3. Resuming Other Treatments: If you have been using topical retinoids (like tretinoin or AHA) for acne, it’s advisable to wait until your seborrheic dermatitis is under control before resuming their use. Retinoids can sometimes irritate the skin further, especially if it is already inflamed or sensitive.

4. Avoiding Triggers: Identifying and avoiding potential triggers, such as certain skincare products, stress, or dietary factors, can help manage your symptoms.
5. Regular Follow-ups: Regular follow-ups with your dermatologist are crucial to monitor your condition and adjust your treatment plan as necessary. If you notice any worsening of symptoms or new areas of concern, it’s important to seek medical advice promptly.


Conclusion
Seborrheic dermatitis can be a chronic condition that requires ongoing management. While it can be effectively treated, it may require a combination of therapies tailored to your specific symptoms and skin type. Always consult your dermatologist before making any changes to your treatment plan, especially when dealing with multiple skin conditions like acne and seborrheic dermatitis. By working closely with your healthcare provider, you can find a regimen that helps control your symptoms and improves your skin's overall health.

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