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Seborrheic Dermatitis

Seborrheic dermatitis is a chronic, red, scaling condition that affects the scalp, forehead, ears, eyebrows, and cheeks of affected individuals. It is believed to be a hypersensitivity reaction to yeast present as part of the normal skin flora and does not represent an infection by dramatically foreign organisms. It is often asymptomatic, but may itchy or burning. It is not contagious.

Treatment of seborrheic dermatitis may consist of topical antifungal shampoos and creams, topical steroids and anti-inflammatory agents, and oral antifungals. It is considered a benign condition and should be treated conservatively rather than pursued with aggressive therapy with substantial side effects.

Your treatment may include:

Nizoral Shampoo 2% 2-3 times per week, leave on for 3 minutes in the shower

Topical steroid creams, shampoos, or solutions applied once or twice daily to the affected area

Topical ketoconazole cream or gel (Xolegel®) twice daily

Tar or salicylic acid shampoos (Neutrogena T-gel or T-Sal, or Salex shampoo) daily


Don Mehrabi MD, FAAD
Dermatologist, Certified by the American Board of Dermatology
Los Angeles, California

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