Saturday 13 February 2016

Prevention and Treatment of Seborrhoeic Dermatitis

A clean scalp is essential to preventing a flare-up of seborrhoeic dermatitis. Daily use of an over-the-counter or prescription anti-fungal shampoo containing ketoconazole or zinc pyrithione is recommended. Both natural and artificial UV radiation curbs the growth of Malassezia yeast.
A number of medications are able to control seborrheic dermatitis including: antifungals, topical corticosteroids, and keratolytics such as topical urea.


The topical antifungal medications ketoconazole and ciclopirox have the best evidence. It is unclear if other antifungals are equally effective as this has not been studied.


Antihistamines are used primarily to reduce itching, if present. However, research studies suggest that some antihistamines have anti-inflammatory properties.


Other medications include:


*. Coal tar can be very effective but, although no significant increased risk of cancer in human treatment with coal tar shampoos has been found, Since coal tar is carcinogenicin animals, and heavy human occupational exposures do increase cancer risks, You are advised to be Cautioned

*. Pimecrolimus

*. Isotretinoin [As a last resort in refractory disease, sebosuppressive agent isotretinoin may be used to reduce sebaceous gland activity]. However, isotretinoin has potentially serious side effects and few patients with seborrhea are appropriate candidates for therapy.
Some recommend photodynamic therapy using UV-Aand UV-Blaser or red and blue LED light to inhibit the growth of Malassezia fungus and reduce seborrhoeic inflammation.

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