Seborrheic Dermatitis

I found this post on the rosacea list. Interesting info.

There are several new
prescription-based cleansers and topicals specifically designed for
seborrheic dermatitis.

There are several goals to these treatments:

1. Remove superficial crusting and flakes
2. Clear pores of hardened sebum, follicular hyperkeratinization,
and cellular debris
3. Treat yeast and bacteria within the pore
4. Decrease erythema (facial redness) caused by seborrheic
dermatitis
5. Decrease extremely sensitive skin that is a common byproduct of

seborrheic dermatitis

The Treatments Include:

(1) Ovace Facial Cleanser (10% Sodium Sulfacetamide, No Sulfur) –
This has received a tremendous amount of good press in the Journal
of the American Academy of Dermatology as being highly effective and
very gentle. Lather and leave on face for 5 to 10 minutes. Then
rinse.

(2) 2% Ketoconazole Foaming Gel (Currently available in Europe and
over the Internet). This new cleanser was the result of positive
reports stemming from topical Ketoconazole creams. The main
drawback to the cream was irritation in a significant percentage of
patients that caused them to discontinue treatment; Thus a gentler
cleanser was developed with the same active ingredient. Lather and
leave on face for 5 to 10 minutes. Then rinse. BTW, I highly
discourage the use of the ketoconazole shampoo or suds from the
shampoo on the facial skin as this was not designed for sensitive
facial skin.

(3) Plexion SCT (Short Contact Therapy; 10% Sodium Sulfacetamide &
5% Sulfur). This is extremely new with very little track record.
It is basically a silica-based cream that you place on your face for
10 minutes (until it dries like a facial mask). Then you wash it
away. It is to be used once or twice a week at nighttime. It was
developed for moderate to severe seborrheic dermatitis and moderate
to severe papulopustular rosacea. It is not to be used on ultra-
sensitive skin or frequent/intense facial flushers. The description
in the Journal of the American Academy of Dermatology
states, "Exclusive mode of application – Apply, allow to dry and
rinse away impurities. Unique silica base designed to help lift
sebum, bacteria, free fatty acids, debris and chemotactic agents
from the follicle".

(4) Ciclopiroxolamine 1% Cleanser (Potent Anti-Fungal): The active
ingredient in this new prescription treatment is one of the most
potent anti-fungals on the market; it has been found to be more
effective than clotrimazole, econazole, ketoconazole, miconazole,
tioconazole, fluconazole and itraconazole. This cleanser is
relatively gentle and extremely effective – most only need to use it
2 to 3 times a week to maintain clearance of seb. derm symptoms.

(5) Ciclopiroxolamine 1% Cream (Potent Anti-Fungal in Cream Form).
Same active ingredient as in the cleanser above, but in overnight
cream form for those with more stubborn cases of seborrheic
dermatitis. May be used in conjunction with cleanser to help
penetration of active ingredient deep down into pores and sebaceous
gland lobules.

Hope this helps.

Geoffrey

—————————————-
Dr. Geoffrey Nase
Ph.D. Microvascular Physiologist
www.drnase.com

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