Discuss the treatment approaches to seborrheic dermatitis. - Like all forms of dermatitis, seborrheic dermatitis can be controlled, not cured.
- Wash hair and scalp daily with anti-Malassezia shampoos containing ketoconazole (best combination of price and effectiveness), selenium sulfide, or zinc pyrithione.
- For scalp with moderate scale, use shampoos containing keratolytics, such as tar, salicylic acid, or sulfur to debride scale.
- For extremely thick scalp scale, massage Baker’s P&S Liquid or Derma-Smoothe F/S oil into the scalp at bedtime and remove by shampooing in the morning.
- Apply a corticosteroid scalp solution or foams, after shampooing, to reduce inflammation.
- For blepharitis, use warm water compresses, gentle cleansing with diluted nonirritating shampoo (such as baby shampoo), and topical sodium sulfacetamide ointment.
- Treat the face and trunk with mild steroid lotions or creams such as 1% hydrocortisone or desonide 0.05%, pimecrolimus, or antiyeast products such as ketoconazole or ciclopirox.
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