Seborrheic dermatitis
Hello:
1.
My scalp is red and sometimes itchy.
I can see parts of my scalp on the top of my head, but the hair in other areas is still thick.
After seeing a dermatologist, the doctor diagnosed me with seborrheic dermatitis and advised me to apply medication at home.
However, after using several bottles, it has not been effective.
The doctor mentioned that I could use anti-dandruff shampoos.
Therefore, I would like to ask if I can use shampoos like Ketoconazole or those containing 0.3% salicylic acid.
If so, can I use them daily or should I use them intermittently? Additionally, are there any other precautions I should take?
2.
Can I apply vitamin C eye serum during the day? If I do, do I need to apply sunscreen afterward? Can I use regular facial sunscreen around the eye area? If not, how should I protect the skin around my eyes from sun exposure?
Hua, 20~29 year old female. Ask Date: 2005/11/05
Dr. Zheng Lizhen reply Dermatology
Hello: 1.
You can alternate using these shampoos, maintain a regular lifestyle, ensure adequate sleep, and manage stress appropriately.
2.
Sunscreen should also be applied around the eyes, but it is important to use a more delicate product.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.
Reply Date: 2005/11/05
More Info
Seborrheic dermatitis is a common skin condition that primarily affects areas of the body rich in oil glands, such as the scalp, face, and upper back. It is characterized by red, flaky, and itchy patches, and can sometimes lead to significant discomfort and self-consciousness. Understanding effective treatments and care tips is crucial for managing this condition effectively.
Treatment Options
1. Medicated Shampoos: Over-the-counter shampoos containing active ingredients like ketoconazole, selenium sulfide, coal tar, or salicylic acid can be very effective. You mentioned using shampoos like "Lotion" and "Helen Seandu," which may contain beneficial ingredients. Salicylic acid at 0.3% is a mild concentration and can help reduce scaling. It is generally safe to use these shampoos daily or every other day, depending on your scalp's sensitivity. However, if irritation occurs, consider reducing the frequency to two to three times a week.
2. Topical Treatments: In addition to medicated shampoos, topical antifungal creams or corticosteroids may be prescribed by your dermatologist. These can help reduce inflammation and control yeast overgrowth, which is often a contributing factor in seborrheic dermatitis.
3. Lifestyle Adjustments: Managing stress, maintaining a balanced diet, and ensuring adequate sleep can positively impact your skin condition. Avoiding known irritants, such as harsh soaps or skincare products with alcohol, is also advisable.
Daily Care Tips
1. Gentle Cleansing: When washing your hair, use lukewarm water and be gentle to avoid irritating the scalp. Massage the shampoo into the scalp and leave it on for a few minutes before rinsing.
2. Moisturizing: After washing, consider using a light, non-comedogenic moisturizer on your scalp and face to help maintain hydration without clogging pores.
3. Avoiding Triggers: Identify and avoid any personal triggers that may exacerbate your condition, such as certain foods, stress, or environmental factors.
Regarding Vitamin C and Sunscreen
1. Vitamin C Serum: Applying a Vitamin C eye serum during the day can be beneficial for brightening and protecting the skin around the eyes. However, it is essential to follow up with sunscreen to protect against UV damage.
2. Sunscreen Application: Regular facial sunscreens can typically be applied around the eye area, but it’s crucial to choose formulations that are specifically designed for sensitive skin or labeled as safe for the eye area. Look for mineral-based sunscreens with zinc oxide or titanium dioxide, as they are less likely to irritate.
3. Eye Area Protection: If you are concerned about applying regular sunscreen near your eyes, consider using a dedicated eye sunscreen or a physical barrier like sunglasses when outdoors.
Conclusion
Managing seborrheic dermatitis requires a multifaceted approach, including the use of medicated shampoos, topical treatments, and lifestyle modifications. Regular follow-ups with your dermatologist are essential to monitor your condition and adjust treatments as necessary. Additionally, incorporating a proper skincare routine that includes Vitamin C and appropriate sun protection can help maintain the health of your skin. If you experience persistent symptoms or side effects from treatments, do not hesitate to consult your healthcare provider for further evaluation and personalized recommendations.
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