Seborrheic dermatitis Treatment

Seborrheic dermatitis
Treatment
Skin care plays an essential role in controlling seborrheic dermatitis. Frequent washing with soap is recommended, since removing the fat from the affected regions. Exposure to ultraviolet rays from the sun is also beneficial, although to avoid sunburn. Pharmaceutical preparations for the treatment of seborrheic dermatitis include antifungal agents (selenium sulfide, pyrithione zinc, azole derivatives, topical terbinafine), which reduce fungal colonization and P. ovale anti-inflammatory agents (topical steroids). In severe cases, keratolytic agents (salicylic acid or tar containing products) can be used to remove dense crust, in combination with application of topical steroids. Other solutions to remove crusts consist of some oils (olive, etc..) Overnight to dissolve the crusts, followed by using a shampoo that contains tar. In cases refractory to treatment, the solution consists in the administration of agents that suppress the activity of sebaceous glands (isotretinoin).
Scalp Treatment Many cases of seborrheic dermatitis can be treated effectively with daily or once every two days of anti-dandruff shampoo containing selenium sulfide 2.5% or 1 to 2% zinc pyrithione. You can also use a shampoo containing ketoconazole. Shampoo should be applied to the scalp and leave on for 5 -10 minutes before washing. After the disease is controlled, frequency of use of medical shampoos may be reduced to two times per week, or in case of necessity. Terbinafine 1% solution is also effective in the treatment of seborrheic dermatitis affecting the scalp. If the scalp is covered with thick scales, they can be removed by applying a hot oil scalp and wash after a few hours with a shampoo that contains tar. An alternative is to apply during the night of a product containing keratolytic tar, scalp and then cover with plastic wrap, followed by shampooing in the morning. In case of inflammation, treatment consists of applying fluocinolone acetonide on the whole scalp, previously soaked, covered overnight with plastic wrap, then shampoo the morning. Treatment may be repeated every evening until the disappearance of inflammation, and then performed 3 times a week, or in case of necessity. Solutions, lotions or ointments with corticosteroids can be used two times daily for 1-3 weeks instead of the application of fluocinolone acetonide. Treatment can be discontinued with the disappearance of pruritus and erythema. Next, use anti-dandruff shampoos. Patients should be advised to uilizeze moderately strong topical steroids, as excess can lead to skin atrophy and telangiectasia.
Face Treatment Affected portions of the face can be washed frequently with shampoos effective against seborrheic dermatitis. Ketoconazole 2% cream may be applied 1 to 2 times daily on affected areas. Often, 1% hydrocortisone cream can be added to stop the redness and itching.
Skin care body Seborrheic dermatitis affecting the trunk can be treated by frequent washing with soaps or shampoos containing zinc-containing tar. In addition, ketoconazole 2% cream and / or creams, lotions or corticosteroid solutions applied 1-2 times a day is proving to be effective. Benzoyl peroxide is also effective in controlling seborrheic dermatitis of the trunk. These agents may excessively dry skin, so that patients can apply a moisturizer after the treatment.
Treatment in severe cases
Seborrheic dermatitis Treatment Patients with severe seborrheic dermatitis does not respond to conventional topical treatments may be candidates for isotretinoin therapy. Isotretinoin may result in a 90% reduction in size of sebaceous glands, which corresponds to a reduction in sebum production. Isotretinoin also possesses anti-inflammatory properties. Treatment with daily doses of isotretinoin may result in severe seborrheic dermatitis improved after four weeks. Then, establish a maintenance treatment with lower doses over many years. Treatment with isotretinoin is indicated for a small number of patients because of adverse effects on their shows. Isotretinoin is a teratogenic agent (may cause fetal malformations), and among its side effects include: hyperlipidemia, neutropenia (low white blood cells), anemia and hepatitis, Cheilitis, xerosis, conjunctivitis and urethritis. Long-term use was associated with diffuse idiopathic skeletal development hiperostozei (HSID).