Seborrhoeic dermatitis adults

[Willieekerslike]

I’m just posting here hoping that I might be able to get some tips from fellow sufferers. I get it really bad around my nose. The skin is red, itchy and flakes and looks unsightly. I try all sorts with no real success. The only thing that does calm it is 1% Hydrocortisone cream put on thinly but I know your not supposed to use on the face. I’ve been using Nizoral shampoo on the scalp once a week and washing the suds over my face. I’ve also started using Daktarin cream. I wash my face twice daily with cere ve and use aveeno as a moisturiser. Any dermatologists out there? Or any handy tips on what works for you I’d be very grateful. It’s worse in cold weather, lack of sleep, stress etc.

Not a dermatologist but DH had the same around his nose for years, and has used the same treatments. Gets worse with alcohol, stress etc. It actually cleared up completely when he cut out dairy. Worth a try maybe.

Ok thankyou for that. Something to try.

I’ve had it since I was a teenager - I used Daltakort ointment around my nose every night for 20+ years to no ill effect (prescribed by a consultant dermatologist). They’ve discontinued it now so I’ve been trying all sorts of creams and Roycederm seems the best (if with an intense menthol scent on first applying) Good luck!

A dermatologist told me to apply the nizerol to the affected skin and leave it for five minutes before washing it off. I did this every two days for a couple of weeks. I have continued to use anti dandruff shampoo to wash my hair every two or three days since then and it hasn’t come back. It was a few years ago.

Here are a couple of helpful links from dermatologists. It’s possible that fruit consumption helps, according to the Bice guidelines. I sympathise; I have it on my hairline myself.

https://www.bad.org.uk/pils/seborrhoeic-dermatitis

and

https://nationaleczema.org/types-of-eczema/seborrheic-dermatitis/

@SmugglersHauntdo you mean Daktacourt? That has hydrocortisone. Daktarin is similar, without the steroid.

I get it on my scalp occasionally and have tried all the things, but the only thing that clears it up reliably is coal tar shampoo (Neutrogena T gel) although it takes two or three weeks of regular use. Maybe try that instead of the Nizoral?

I found the Nizoral made mine worse as I was allergic to it. The thing that has helped me the most is the Cerave face wash for bumpy skin.

Dermatologist suggested Dercos by Vichy - quite expensive but has worked quite well.

Sometimes shampoos seem to work for a while and then become less effective - anyone else get this?

My DH suffers terribly around his nose, eyes, ears and scalp. Nizoral stopped working eventually so what we have found works best is washing his hair with polytar shampoo and also washing his face and ears with it and leaving it on for a good 5 minutes. Then absolutely slathering his face with Aveeno dermexa balm every day and he also uses the head and shoulders derma x pro scalp balm and scalp moisturiser. Touch wood that seems to keep it at bay

Hi - yes I used Daktakort Ointment every night for many many years - even though it’s a steroid cream it didn’t have any lasting side effect - but maybe that’s just me (they’ve stopped making it now anyway)

Thankyou for all your helpful suggestions. It was Daktarin cream I was using. I’m going to get some T-gel shampoo and leave it on for longer.

Run the ingredients of anything you use through https://www.sezia.co/ Someone on here mentioned that website on here and since using the checking facility, my skin has been much better.
Also, blephariris is linked to seborrheic dermatitis and so I treat that with a specialist gel a few times a week - major improvement. Has an optician mentioned you have that? Or do you sometimes seem weirdly conscious of your eyelashes and they seem somehow "heavy"? Just a thought.

Good luck getting it under control.

MooGoo scalp cream is excellent for this.

Mine was very severe, so bad on my face that my dermatologist said that it looked like I had been burned. He prescribed Protopic which pretty much kept it under control for a couple of years but it never went completely. Then at the beginning of this year, I started on Mounjaro. I haven’t used the Protopic for six months now. I appreciate that Mounjaro may not be an option for you but I’ve been blown away by the positive side effects on top of weight loss.

When I had it the dermatologist referred me for allergy testing. Turned out I was allergic to a handful of commonly-used chemicals. I needed topical treatment as well, first hydrocortisone ointment and then pimecrolimus cream, to stop the chronic inflammation and allow my skin to heal while I cut my allergens out of my life. It took about 1y, but since then my skin is vastly improved all over my body, not just on my face. If I get a reaction it’s much, much milder than before, and I generally only need a few days of hydrocortisone cream to stop the reaction and heal my skin.

Thanks for input I am listening. My skin has got worse as got older. I’m 54 now. Sometimes my skin does look burnt around the nose. I’m definately allergic to anything with Q10 in it. I find the basic aveeno cream keeps it on an even keel.

Have a look at capry oil.
my husband and son have both suffered from this and have seen a few different dermatologists tried lots of different creams and ointments with very little success. I did a google search and capry oil came up I thought it was worth a try and honestly it’s been a miracle. After three days they did see an improvement and after a week it had more or less disappeared. We have found it’s something you need to keep using but one bottle lasts months as you don’t need to use much.
good luck

Thankyou both will have a look.

I have had this but it's peri-oral dermatitis and it needs antibiotics to get rid of it - Doxycycline. Alcohol and cold weather make mine really annoying

Thankyou so much.

I think any thick moisturiser helps, including night time cetraben ointment, which I use. It gets worse in the winter if you tend to hide half in the duvet, as that makes moisture, which helps the fungus to thrive. Summer it gets better. I managed to pretty much sort mine by using the cetraben at night, other moisturiser in the day, and a short bout of steroid. Plus never pulling the duvet above my neck!

Mine flares up on my eyebrows and scalp when I eat nuts or seeds. It’s worth looking for dietary triggers. The gut-skin axis is a fascinating area of current research.

I have tried an oil I saw advertised on Facebook called Seb, and it's honestly the best thing I've tried so far (having been on steroid ointment for 20+ years, then tried everything else I can get my hands on). No, I don't work for them!