![]() Combination therapy has been recommended.ĭandruff responds to more frequent shampooing or a longer period of lathering. Systemic fluconazole may help if seborrheic dermatitis is severe or unresponsive. Tea tree oil has been reported to benefit the condition. Class IV or lower corticosteroid creams, lotions, or solutions can be used for acute flares. ![]() sulfur or sulfonamide combinations, or propylene glycol. Alternatives include calcineurin inhibitors (ie, pimecrolimus, tacrolimus), Ketoconazole, naftifine, or ciclopirox creams and gels are effective therapies. Although the levels of Malassezia yeast does not correlate with the severity of seborrheic dermatitis, antifungal therapies are first-line therapies. Topical steroids have been associated with the development of telangiectasias and thinning of the skin. Low-potency topical corticosteroids, such as hydrocortisone, desonide, and mometasone furoate, have shown to be efficacious on the face. Behavior modification techniques in reducing excoriations are especially helpful with scalp involvement. ![]()
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