The question asked is a good one – how can cleansing and moisturizing the dry flaky and oily SD skin be a good thing? If you have ever wondered why this is so, read on.

It was interesting to read again how for severely sensitive skin, repairing the skin barrier function is an important step.

Another related thread, also from Dr. Sy is also worth reading: Moisturizer and sensitive skin barrier

Moisturizer Oil and Seborhheic Dermatitis

From: "M. Riley"
To: Rosacea Support
Sent: Wednesday, December 27, 2000 6:34 PM
Subject: Dr. Sy or Anyone, Pls Help: Seb Derm Questions

I recently developed these pink, dry, raised, crusty patches of skin under my eyes. By the time I was able to see the dermatologist, though, the patches cleared up.

When I described them to the dermatologist, he immediately suspected seborrheic dermatitis, as he said they typically show up around the eyes, nose and ears.

He wanted to give me cortisone for it, but having suffered from the consequences of long term cortisone use, I refuse to use the stuff. He made it seem like there was no other treatment besides cortisone.

I have read on this site that some folks here are using Nizoral or Noritate. I can’t use Noritate because it irritates my skin.

1. As for Nizoral, can it safely be used around the eyes?
2. Also, would antibiotics help at all? I’ve been trying to wean off doxycycline over the last month, and 3 weeks ago these dry patches appeared. Is there a correlation?
3. I also understand using heavy moisturizer on seb derm also makes it worse, but I’ve been using Vita Oil and it seems to help. Is this okay?
4. Would photoderm help with seb derm at all?

Thanks.

From: Linda Sy MD
Date: Thu, 28 Dec 2000 22:23:38

Hello M. Riley,

Of course, you realize that I can’t give you an accurate diagnosis but my guess is that the dry crusty patches under your eyes could be one of the following:

1. Seborrheic dermatitis;
2. Rosacea patch; or
3. Asteatotic eczema (fancy name for severe dry winter skin).

My suggestion is for you to slow down on weaning yourself from doxycycline for now. Go back to the last dose you were on 3 weeks ago, before the appearance of the patches.

Go ahead and apply the Vita-Oil 2-3 times a day on a damp face.

One helpful way of pushing the moisture into the skin is to do this: at bedtime, apply water compress (clean soft moist towel, comfortable temp) on the areas involved; leave for 5 minutes. This softens the skin and makes it more permeable. Then apply the oil immediately.

Do this for one week and see if there is improvement. If there is, I would continue until there is clearance.

Do not add any other topical med. If no improvement, you can ask your dermatologist for a prescription of Nizoral Cream (different from shampoo) and apply at bedtime over the Vita-Oil.

Is it harmful to moisturize if this is seborrheic dermatitis?

The answer is NO.

It is true that in seborrheic dermatitis, the theory is that the sebaceous glands are hyperactive, secreting an abundance of sebum that is thicker than normal. This sebum accumulates and dries on the skin leaving dry flakes akin to dry skin but with a greasy somewhat rancid smell. The typical picture shows dry flakes predisposed in areas such as the eyebrows, T zone (mid-forehead, nose & chin) and ears.

Microorganisms, particularly yeasts such as p. ovale and some bacteria conglomerate and thrive in this milieu causing inflammation – hence erythema (redness), more flaking & even crusting. The individual thinks his/her skin is very dry and avoids washing which ironically, is a must in this early stage.

So, with inadequate washing, the condition worsens, becomes eczematous (with redness, itching, bumps, small vesicles) causing the skin to become angry-looking and sore. At this point, washing will cause burning and pain. Skin is raw, permeable and easily irritated. So, the vicious cycle continues.

When this condition approaches this late stage, there are several ways to handle this:

1. Soften the thick greasy sebum/crusts etc. by wet compresses.
2. Repair the epidermal barrier by lubricating it with anhydrous moisturizer that has low preservatives (like oil, vaseline and like ointments).
3. Combat the microorganisms with antifungal creams once skin barrier is somewhat restored and can tolerate the topical med. In some cases, oral antibiotics may be needed if secondary bacteria is present.
4. In severe cases, a short course of topical cortisone ointment to calm down the inflammation speedily. Bear in mind that this last measure should be used no more than 1 week at most.

Once skin is improved, steps 1, 2 & 3 should be maintained PLUS an adequate cleansing program instituted. All these require time for skin to heal. Unless one understands the mechanism of SD, slow progress or a little set-back with appearance of more bumps (sometimes happens) becomes discouraging and one gives up.

Will photoderm help Seborrheic dermatitis?

My suspicion is that it probably does inhibit sebum activity.

Linda Sy M.D.

Related Articles

• Also from Linda Sy: Moisturizer and sensitive skin barrier
• Cetaphil Moisturizing Cream helps Rosacea Dry Skin
• What is the best moisturizer for rosacea ?
• Sebclair for seborrheic dermatitis
• Seborrheic Dermatitis ketoconazole nizoral shampoo
• Promiseb Topical Cream for Seborrheic Dermatitis

In all of your internet searching for treatments, have you ever come across a FDA approved, prescription-only treatment that claims to have no active ingredients ? Would you stop and think What is that all about? Well I did.

The supporting web site for Promiseb Topical Cream  (online at http://promiseb.com/) contains a very interesting insight into the Promiseb product itself ;

What is the active ingredient in Promiseb Cream?

Promiseb Cream is a prescription-only, nonsteroidal FDA-cleared medical device and has no active ingredient. However, Promiseb Cream has demonstrated both anti-inflammatory and antifungal properties.

The makers of Promiseb, Promius Pharma, do say that those who are allergic to shea butter or shea nut oil should not use their product though.

Promiseb Ingredients

Purified Water, Isohexadecane, Butyrospermum parkii, Pentylene glycol, Ethylhexyl palmitate, Cera alba, PEG-30 Dipolyhydroxystearate, Bisabolol, Polyglyceryl-6 polyricinoleate, Tocopheryl acetate, Hydrogenated castor oil, Acifructol complex, Butylene glycol, Magnesium sulfate, Piroctone olamine, Allantoin, Magnesium stearate, Disodium EDTA, Vitis vinifera, Ascorbyl tetraisopalmitate, Glycyrrhetinic acid, Propyl gallate, and Telmesteine.

What Does This All Mean?

It does seem to be an unusual situation; a prescription only medicine that claims to have no active ingredients.

We do know that the vehicle used in prescription products can be helpful on their own, and the whole spectre of The Placebo Effect is one that can’t be ignored, but in this case I suspect one of the designated inactive ingredients is actually beneficial.

An unusual finding, don’t you think?

Related Articles

• Promiseb Topical Cream for Seborrheic Dermatitis
• Rosacea Support Community: My experience with Promiseb

The patient experienced relief from both rosacea and seborrheic dermatitis, two conditions that together sometimes prove tricky to treat.

Bear in mind, though, that this paper is a case study of just one patient.

Rational management of papulopustular rosacea with concomitant facial seborrheic dermatitis: a case report

J Clin Aesthet Dermatol. 2011 Jan;4(1):40-2., McFalda WL, Roebuck HL., Clarkston Dermatology, Clarkston, Michigan.

Objective: To report a case of papulopustular rosacea with concomitant seborrheic dermatitis and discuss how signs and symptoms were ameliorated using a rational therapeutic approach.

Design: Patient case report. Setting: Clinical practice.

Participant: One male patient with rosacea, seborrheic dermatitis, and actinic keratoses.

Measurements: Change in signs and symptoms over time.

Results: Improved skin care practices and treatment with azelaic acid 15% gel twice daily in combination with low-dosage oral isotretinoin resulted in improvement in symptoms of both rosacea and seborrheic dermatitis.

Conclusion: In patients with multiple skin disorders, use of medications with benefits for more than one of the skin conditions may, in some cases, reduce the overall number of medications needed, thus simplifying treatment.

We know from some recent research that Finacea, as well as being a recognised treatment for the papules and pustules of rosacea, has anti-fungal and anti-inflammatory properties that can help in the treatment of seborrheic dermatitis. Here from Rosacea News in Feb 2009;

Seborrheic Dermatitis: state of the art, Finacea 3 stars

The author mentions recent research that links seborrheic dermatitis with a spore known as Malassezia Globosa. He makes the point that azelaic acid, as found in Finacea contains agents that give it anti-inflammatory, antikeratinizing and antifungal properties; 3 properties felt to be important in battling seborrheic dermatitis. As finacea also helps the papules and pustules of rosacea, and some rosacea sufferers have rosacea combined with seborrheic dermatitis, it is a product worth keeping in your treatment arsenal.

Hey all you Finacea Users

If  you have used Finacea and suffer from SD, did you notice any improvement?

Related Articles

• Seborrheic Dermatitis: state of the art, Finacea 3 stars
• Metrogel also works for Seborrheic Dermatitis
• Sebclair for seborrheic dermatitis
• Treating Rosacea with Low-Dose Accutane

A formulation of Ketoconazole 2% for treating seborrheic dermatitis called Extina is currently being promoted by Stiefel Laboratories.

Stiefel, which is a part of GSK, is promoting Extina as the “first and only ketoconazole foam for scalp, body, and face” and being “proven for hair, there and everywhere”.

This foam-based formulation is potentially interesting because it is being promoted as approved for use on facial skin.

The formulation is described as a thermoliable hydroethanolic foam (also known as VersaFoam-HF). The prescribing information advises against dispensing the foam in your hands as it will begin to `melt’ immediately. Instead, users are told to dispense the foam into the cap or another cold surface and use fingertips to gently massage into the affected area.

Officially, the reason that ketoconazole works when treating seborrheic dermatitis is unknown.

Active ingredients: ketoconazole

Inactive Ingredients: cetyl alcohol, citric acid, ethanol (denatured with tert-butyl alcohol and brucine sulfate) 58%, polysorbate 60, potassium citrate, propylene glycol, purified water, and stearyl alcohol pressurized with a hydrocarbon (propane/butane) pro

See the Extina web site for the prescribing information and safety warnings.

Related Articles

• Clarifoam EF good for Rosacea, Acne and Seborrheic Dermatitis
• Sebclair launches as Promiseb Cream
• topical 2% ketoconazole warnings for long term usage
• Sebclair for seborrheic dermatitis
• seborrheic dermatitis: state of the art, finacea 3 stars
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This just published paper details a `new’ product that comprises a slight twist on an old formula. It seems that much of modern research and development involves tweaking existing treatments to see how their efficacy and product lifecycle can be extended.

This new product is known as CLARIFOAM EF Emollient Foam, and is indicated for the topical control of acne vulgaris, acne rosacea and seborrheic dermatitis. The company web site boldly claims that Clarifoam EF effectively treats all 3 conditions.

In combination with sulfacetamide, sulfur has been reported to inhibit the growth of Propionibacterium acnes thereby reducing the inflammation associated with acne.

The active ingredients of Clarifoam EF are a combination of 10% sodium sulfacetamide and 5% sulfur.

The Clarifoam Prescribing Information mentions two forms of application: The Wash-Off application and the Leave-On application. The Wash-Off application suggests a 10 minute application 1-3 times a day to clean dry skin and rinsing thoroughly with water. The Leave-On application suggests the same 1-3 times a day, but wiping off any excess and otherwise leaving the foam application untouched.

The product comes in an aluminium can which needs to be primed before its first use and shaken vigorously before each use. A Clarifoam Rebate Coupon of up to $30 is available until the end of December 2010.

Here is the abstract of the study suggesting that Clarifoam is useful in treat the 3 conditions at once.

Dr. Draelos is well known to rosacea sufferers being on the expert panel that recently published the Standard Rosacea Management Options, the Cetaphil Cleansing Bar and Cetaphil Gentle Skin Cleanser, Clarisonic as well as cleansing and the management of rosacea.

The multifunctionality of 10% sodium sulfacetamide, 5% sulfur emollient foam in the treatment of inflammatory facial dermatoses. J Drugs Dermatol. 2010 Mar;9(3):234-6., Draelos ZD.

Prior to 1962, some of the most versatile drugs in dermatology were approved by the U.S. Food and Drug Administration (FDA) solely on the basis of safety.

One of these is the combination 10% sodium sulfacetamide and 5% sulfur. Sodium sulfacetamide possesses anti-inflammatory and antibacterial properties while sulfur is a nonspecific antibacterial and antifungal. A new emollient foam formulation of 10% sodium sulfacetamide and 5% sulfur allows a thinner application film and leaves behind no residue on hair bearing or non-hair bearing skin. The sulfur smell is also more quickly dissipated with reduced irritation.

This uncontrolled, observational, prospective, open-label, single site, eight-week study enrolled 24 subjects (eight with rosacea, eight with seborrheic dermatitis, eight with acne vulgaris) to evaluate the safety and efficacy of this novel foam formulation.

At eight weeks, statistically significant improvement was seen in inflammatory rosacea lesion counts and the signs of seborrheic dermatitis. A 50% reduction was noted in the total acne lesion counts. These findings confirm the versatility of an emollient 10% sodium sulfacetamide and 5% sulfur foam.

Clarifoam EF is made by Onset Therapeutics which is a subsidary of Collegium Pharmaceutical.

Other products that also feature a combination of Sodium Sulfacetamide and Sulfur include: Clenia, Rosaderm, Plexion, Ovace, Klaron, Rosanil, Rosac and Rosula. Yes indeed there is a lot of products you can choose should you wish to try out a formulation of these two actives.

User Reviews

1. Nora in the thread Clarifoam at the Rosacea Support Community;… However, he gave me a sample of Clarifoam and I used it for about 4 days. It made my skin so dry and chapped it was painful. I tried rinsing it off after application as the website says, but that didn’t help. I stopped using it and had to use Aquaphor for a few days to lubricate my skin. So, I guess this is not for me!!
2. harrysinghnyc in the thread Clarifoam at the Rosacea Form;I have tried pro-topic, metrogel and locoid lipocream and none could remedy my seb derm but today is the 2nd day I have applied clarifoam and i notice that the outbreak is 90% gone! I have never had this type of turnaround this fast! One day after using it, i am prescribed this foam lotion 2x daily, so this is awesome!
3. rf11 in the thread My rosacea is gone!! at the Rosacea Forum;Anyway, to update, I have been using clarifoam and Cerave soap for almost a month now, and my skin looks better than it has in years.
4. J-Mill in the thread clarifoam ef at the Rosacea Forum;I have tried this stuff recently and really like it. … In short, both medications attack some key Rosacea/Seb Derm aggravators. What I like about Clarifoam is I find the base really non-irritating, unlike most topicals I have tried. Everyone is different though and as always you should test patch topicals, especially one with sulfacetamide as some peopl are very allergic to it.
5. fyd in the the thread Clarifoam EF is the greatest! at the acne.org message board;… on Christmas eve my derm prescribed me with this stuff. He said that they were making my face look much more worse than it was and he was absolutely right. This product just came out about a month ago, so it’s brand new. I started using it on Christmas and in about a week and a half to 2 weeks, i saw a big difference. They were fading away, I couldnt believe it! To be honest, i couldnt stop smiling at what my face looked like. Now, they are very much still there, but very faint and they are starting to blend in very nicely. They are more of a light brown then red now. Ziana and Clarifoam are working great together.
6. [new] Barley says I was recently diagnosed with rosacea and my primary care doctor perscribed metrogel for me. I tried it, but it didn’t work well-plus it dried out my skin. So I then decided to see a regular dermatologist. The dermatologist recommended Clarifoam EF topically and Oracea orally. Clarifoam EFis a sulfur based topical treatment that I (thought) would be harmless. They had some free samples of the Clarifoam so I thought I’d try that before getting a perscription filled.Big mistake! Only after two days, I reacted horribly to it- My face broke out with blotchy pimples, is very red, texture is bloated and it’s very itchy! It was worse than the rosacea I was being treated for! I am now going to buy some cortizone cream to calm it down…but boy, am I glad I didn’t get that perscription filled! Also, I haven’t as yet started the Oracea pills yet. I wanted to wait till my face calmed down a bit.

Related Articles

• Product Page: Clarifoam EF
• RSRP: Sulfur / Sodium Sulfacetamide Topicals

Promiseb Topical Cream has been found to be as effective as desonide cream 0.05% when treating facial dermatitis. This is an exciting finding, especially if the results can be replicated at large in the rosacea / seborrheic dermatitis community.

Rosacea sufferers are well advised to be careful with any form of steroids because it has been shown that even over the counter steroids can cause steroid induced rosacea.

Those using the Promiseb Cream, who experienced cleared symptoms after 14 days, were more likely to stay clear for another 14 days after ceasing, compared to the Desonide Cream. This result is encouraging as it suggests that the benefit from Promiseb is more sustainable compared to even low strength topical steroids. Thus it seems from this study that Promiseb is indeed a better treatment than Desonide for mild to moderate seborrheic dermatitis.

Promiseb Topical Cream (Sebclair) is a non-steroidal, prescription only cream for the treatment of seborrheic dermatitis. It has demonstrated anti-inflammatory and anti-fungal properties. Sebclair is approved for use in the European Union to treat seborrheic dermatitis. One of Sebclair’s (and now Promiseb’s) claims to fame is that it contains no corticosteroids or immunomodulating agents.

The ingredients of Sebclair are listed here: Sebclair for seborrheic dermatitis. See also the Promiseb Prescribing Information.

An investigator-blind, randomized, 4-week, parallel-group, multicenter pilot study to compare the safety and efficacy of a nonsteroidal cream (Promiseb Topical Cream) and desonide cream 0.05% in the twice-daily treatment of mild to moderate seborrheic dermatitis of the face.

Clin Dermatol. 2009 Nov-Dec;27(6 Suppl):S48-53., Elewski B.

The treatment of seborrheic dermatitis includes topical antifungal agents to eradicate Malassezia spp, corticosteroids, which treat the inflammatory component of the disease and keratolytics which remove scale and crust.

This study compared the efficacy of a nonsteroidal topical cream and a low-potency topical corticosteroid for the treatment of mild to moderate seborrheic dermatitis of the face in 77 volunteers randomized to twice-daily treatment with nonsteroidal cream or corticosteroid cream for up to 28 days. If the individual was rated clear by day 14, the study drug was collected and the participant was told not to use any topical products on the previously treated areas until after the 28-day follow-up visit.

Both treatments were similarly effective in reducing disease severity, with approximately 90% of participants clearing or almost clear during the study. Both treatments demonstrated significant reductions in erythema, scaling, and pruritus (P < .0001). Safety in both groups was rated as excellent in more than 90%.

Those using the nonsteroidal cream who cleared after 14 days of treatment were more likely to remain clear than were participants using the corticosteroid cream (P = .0173). [my emphasis]

Investigator global assessments of improvement found both study agents were essentially the same, and participants in both groups achieved clinically important improvement.

Related Articles

• Sebclair for seborrheic dermatitis
• Sebclair launches as Promiseb Cream
• Rosacea Support Community • My experience with Promiseb
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• over the counter steroids can cause steroid induced rosacea
• treating steroid induced rosacea

I was alerted to the launch of a product called Promiseb by a comment left on the Sebclair for Seborrheic Dermatitis post. Since then the news web sites are also covering the press release. Promiseb (probably pronounced Promi-seb) is launching in the U.S. via Promius Pharma, after being licensed from Sinclair Pharma in 2007.

Promiseb Topical Cream (Sebclair) is a non-steroidal, prescription only cream for the treatment of seborrheic dermatitis. It has demonstrated anti-inflammatory and anti-fungal properties. Sebclair is approved for use in the European Union to treat seborrheic dermatitis. One of Sebclair’s (and now Promiseb’s) claims to fame is that it contains no corticosteroids or immunomodulating agents.

Promiseb is claimed to “Significantly reduced Malassezia yeasts, the organisms that may cause seborrheic dermatitis, by 94%”. These claims are more interesting when you consider the ongoing discussions like Malassezia Globosa causes seborrhea, Pyrithione Zinc is effective, Could M. Globosa Cause Rosacea? and Real cause of seborrhea discovered!.

For a description of the ingredients and suggested method of action see Sebclair for seborrheic dermatitis.

From the press release: Sebclair launched in the US by Dr Reddy’s Laboratories’  subsidiary Promius Pharma, LLC

Jeff Wasserstein, President of Promius Pharma, said “We are very excited about Promiseb Cream because it has the potential to replace both anti-inflammatoryand antifungal treatments in patients with seborrheic dermatitis. In a clinicalstudy Promiseb was shown to have efficacy comparable to desonide cream 0.05% atdays 14 and 28 with fewer relapses.

“Promiseb Cream also has an excellent safety profile with no restrictions onage, duration of use or application on the face.” He continued, “We are very enthusiastic about this product because our clinical research shows thatPromiseb Cream may be used as a first-line treatment for seborrheic flares andfor long-term maintenance”

No Active Ingredients?

A supporting web site for Promiseb is online at http://promiseb.com/ contains a very interesting insight into the Promiseb product itself ;

What is the active ingredient in Promiseb Cream?

Promiseb Cream is a prescription-only, nonsteroidal FDA-cleared medical device and has no active ingredient. However, Promiseb Cream has demonstrated both anti-inflammatory and antifungal properties.

The makers of Promiseb do say that those who are allergic to shea butter or shea nut oil should not use their product though.

It does seem to be an unusual situation; a prescription only medicine that claims to have no active ingredients.

Promiseb Ingredients

Here is the full list of ingredients as detailed in the Promiseb Prescribing Information.

Purified Water, Isohexadecane, Butyrospermum parkii, Pentylene glycol, Ethylhexyl palmitate, Cera alba, PEG-30 Dipolyhydroxystearate, Bisabolol, Polyglyceryl-6 polyricinoleate, Tocopheryl acetate, Hydrogenated castor oil, Acifructol complex, Butylene glycol, Magnesium sulfate, Piroctone olamine, Allantoin, Magnesium stearate, Disodium EDTA, Vitis vinifera, Ascorbyl tetraisopalmitate, Glycyrrhetinic acid, Propyl gallate, and Telmesteine.

User Reviews

Auburn-NH has posted an early review of Promiseb, from using a doctor supplied sample.

Savings Coupon

Promiseb is offering a 50% discount off your co-pay or $40, whichever is less. For more information see Promiseb Savings Coupon.

Featured Product

Related Articles

• Promiseb Prescribing Information
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Residents of Australia may not know that Finacea is available Over The Counter. See also the ongoing comment thread on the Rosacea News item: focus on finacea.

Facial seborrheic dermatitis: a report on current status and therapeutic horizons, J Drugs Dermatol. 2009 Feb;8(2):125-33, Bikowski J

Seborrheic dermatitis, characterized by erythema and/or flaking or scaling in areas of high sebaceous activity, affects up to 5% of the US population and often appears in conjunction with other common skin disorders, such as rosacea and acne. Despite ongoing research, its etiology is puzzling. Increased sebaceous and hormonal (androgenic) activity is thought to play a part. Recent evidence suggests an important role for individual susceptibility to irritant metabolites of the skin commensal Malassezia, most probably M globosa. Current approaches thus include agents with antifungal as well as antikeratinizing, and anti-inflammatory activity. Azelaic acid, which has all 3 properties, may be a useful addition to first-line management, which now comprises of topical steroids, the immunosuppressant agents tacrolimus and pimecrolimus, azoles and other antifungals, and keratolytic agents. A recent exploratory study supports the efficacy and safety of azelaic acid 15% gel in seborrheic dermatitis. Azelaic acid may be especially valuable in this application because of its efficacy in treating concomitant rosacea and acne.

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• Finacea Fact Sheet
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• Malassezia Globosa causes seborrhea, Pyrithione Zinc is effective
• Xolegel for treating seborrheic dermatitis (seb derm)
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It appears to be called Atopiclair and is available from
http://www.atopiclair.com.au/ It is listed as Atopiclair Cream 40ml and is $49 including postage to anywhere in Australia.

The web site claims a “new, non-steroidal cream that is designed to relieve the symptoms and signs of eczema (atopic dermatitis) and allergic dermatitis (contact dermatitis).”

Going by the papers they cite on that page and the paper above both quoting MAS063DP (Atopiclair[TM]), and the fact that Otco Global is listed as the Australian distributor – I’d say that this is Sebclair.

Sebclair (MAS064D) is approved for use in the European Union to treat seborrheic dermatitis. One of Sebclair’s claim to fame is that it contains no corticosteroids or immunomodulating agents. The paper’s authors admit that it is difficult to know which compound is responsible for Sebclair’s success as a treatment.

The authors state “We believe that the major activity is probably due to the synergistic effect of both piroctone olamine, for its antimycotic action, and glycyrrhetinic acid, for its anti-inflammatory action.”

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Although the two disorders are unrelated, a recent clinical study found that 26 percent of patients with rosacea also had facial seborrheic dermatitis and 28 percent had seborrheic dermatitis of the scalp. Additionally, a survey by the National Rosacea Society of 1,100 rosacea patients found that 25 percent had also been diagnosed with this condition.

…

When seborrheic dermatitis appears with rosacea, a safe and effective antifungal alone may often be prescribed because the long-term use of topical steroids is associated with rosacea-like symptoms. This condition is known as steroid-induced rosacea. Treatment of seborrheic dermatitis of the scalp may include medicated anti-dandruff shampoos.

Rosacea patients who suspect they may have this disorder are urged to see a dermatologist for diagnosis and appropriate treatment.

Nothing too ground breaking, but it is good to see the NRS writing about SD as it is so common for rosacea sufferers.

Related Articles

• Sebclair for seborrheic dermatitis
• Malassezia Globosa causes seborrhea, Pyrithione Zinc is effective
• Xolegel for treating seborrheic dermatitis (seb derm)
• cleansing your SD skin with a sonic brush (Clarisonic)
• seb derm, elidel and protopic : a warning
• sebazole (topical ketoconazole gel 2%) low systemic absorption for short treatment periods