What are the treatments for Seborrheic dermatitis?
Hygiene issues play a key role in controlling seborrheic dermatitis. Frequent cleansing with soap removes oils from affected areas and improves seborrhea. Patients should be counseled that good hygiene must be a lifelong commitment. Outdoor recreation, especially during summer, will also improve seborrhea, although caution should be taken to avoid sun damage. • Washing with ZNP soap, a zinc-based product, can be recommended. • In general, washing is critical to remove any scale so that medications can reach the underlying redness. Zinc pyrithione (like Head and Shoulders) also reduces yeast colonization and prevents outbreaks of seborrheic dermatitis. • A second option has been ketoconazole (Nizoral) cream. It is an anti-yeast cream that works for some refractory cases and contains no steroid. • Pharmacologic treatment options for seborrheic dermatitis include antifungal preparations (selenium sulfide, pyrithione zinc, azole agents, sodium sulfacetamide and topical terbinafine) that de