Seborrheic Dermatitis: state of the art, Finacea 3 stars

Written by on February 23, 2009 in seborrheic dermatitis with 4 Comments

finacea-s This paper summarises the current state of the art for seborrheic dermatitis – research and treatment options. 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 dermatits, it is a product worth keeping in your treatment arsenal.

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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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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4 Reader Comments

  1. John says:

    Hi there,

    Do you know where it’s possible to get (or purchase) a copy of the article above by Mr Bikowski? – without having to subscribe to the J Drugs Dermatol journal.



  2. David Pascoe says:

    Hi Mark,

    I actually asked the author for a review copy and he directed me to the publisher – I presume to pay for a printed copy. You can often purchase 1 article in a journal for around $25. Another possibility is to check with anyone that you know at a university. Often universities have institutional subscriptions that allow anyone using a computer on the university network to visit the web site of journal and download articles for free.


  3. Mark says:

    Thanks – I’ll try that.


  4. Almost there says:

    Guys I don’t know if this is in the right place or if any one will even get to read it but a guy had sucess with the following and so did I…. You need raw honey or Manuka honey wet ya face then whack the honey on over night for me it’s the cure! I really hope it helps everyone who gets to read this.

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