Aa
Aa
A
A
A
Close
Avatar universal

Sebhoerric Dermatitis?

I have been seeing a dermatologist for some time now regarding a rash that appeared on my face last July (2011). It started around the nasal labial folds on my face and was itchy and unsightly. I used various creams on it including Hydrocortisone, Daktacort, Nizoral, Betnovate C, Eumovate and Protopic with varying degrees of success (I am guilty of using anti fungal creams for days instead of weeks as I see no improvement). After using Protopic on it I developed an infection and subsequently had to take Lymecycline for 4 1/2 months which cleared the rash.

It was initially described as seborrheic dermatitis with a bit of rosacea, then eczema. After stopping the Antibiotics the rash has come back and now appeared on my chest quite suddenly. The rash on my face however is different from my initial break out and has appeared across my cheek area instead of the naso labial folds which seem to have calmed down now. The dermatologist says it looks like SD BUT is not a typical manifestation of it. Yes I have an itchy scalp occasionally but no flakes, the rash on my face and chest is not flaky or scaly or even itchy but still I have this diagnosis. I don't want to second guess my dermatologist but I think a second opinion is now necessary and I don't want to upset anyone by asking at my GP's as the dermatologist works from there and will no doubt see my request.

I have attached a photo of my face, it is looking calmer as i have been using Betnovate C which is the only cream that seems to help but have been told not to use it long term on my face.

I wake up with red raised bumps on my face that appear to be getting worse. I'm absolutely against taking anything in tablet form as the fear of side effects is huge. My dermatologist suggested I take Terbinafine for approx 12 weeks but I desperately wish to avoid it. Is this truly Sebhoerric Dermatitis?

Many thanks
Bedhead
3 Responses
Sort by: Helpful Oldest Newest
Avatar universal
It is not unsual for Seborrheic dermatitis(as it looks) to respond slow to nizoral creme.It is ideal to continue for sometime,as recommended.ok?
Helpful - 0
Avatar universal
Hi Tschock

Yes we've talked about allergies and i've been told its not that but I may ask to be referred if it continues. I've been told stress is a big factor and unfortunately stress is my "normal" state....

I'm firstly going to try and stick to the Nizoral cream for a few weeks and see if that makes an improvement (instead of thrashing about and sticking lots of creams on in short bursts).

Thank you for your advice and thank you for responding :) I appreciate your suggestions and will take a look at the Alternative Therapies forum

Many thanks

bedhead
Helpful - 0
209987 tn?1451935465
It very well could be...and you could be having an allergic reaction to the medication...which would make it worse.
Don't be afraid to talk to the dermatologist again...telling him/her that said medication just isn't working. Come right out and ask if it's possible that it's an allergic reaction.
It wouldn't hurt to ask  your doctor to send you to an allergist as well.

I'm like you ...I'm paranoid of most pills too.

Have you tried Apple Cider Vinegar? You can blot it on the affected area.
Using the "juice" from either the peel or fruit of the Calamondin is also said to help many skin issues. These look like tiny little oranges but taste worse than lemons. lol
The Alternative Therapies forum may be of great help as well.
Helpful - 0
Have an Answer?

You are reading content posted in the Dermatology Community

Top Dermatology Answerers
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Learn to identify and prevent bites from summer’s most common pests.
Doctors argue for legislation to curb this dangerous teen trend in the latest Missouri Medicine report.
10 ways to keep your skin healthy all winter long
How to get rid of lumpy fat on your arms, hips, thighs and bottom
Diet “do’s” and “don’ts” for healthy, radiant skin.
Images of rashes caused by common skin conditions