Red & Spotty Face - Seborrhoeic Dermatitis

Question 1

What is the cause of seborrhoeic dermatitis?

Answer 1

A proliferation of Malassezia furfur.

Question 2

What can cause the proliferation of malassezia furfur?

Answer 2

• Illness
• Fatigue
• Stress
• Psychological stress
• Change in season.
• Immunocompromise (HIV)
• Excess alcohol intake
• Immunological compromise (Parksinsons stroke etc.)

Question 3

How do you manage Seborrhoeic Dermatitis?

Answer 3

1. Explain about factors for flare ups.
2. Use aqeous cream as a soap substitute.
3. Ketoconazole shampoo (scalp massage for 10 minutes)
4. FLARE UPS - Topical Daktacort or Canestan-HC.
5. STUBBORN CASES: Can ask pharmacist to mix 1% suphur+1% hydrocortisone +1% Salicylic acid = all in a cream base.
6. SEVERE STUBBORN CASES:
   
   1. Itraconazole 200mg OD for 1 week (Ensure not pregnant)
   2. Eumovate + Oxytetracycline + Nystatin 100,00 units/g
      
      • BD for 7-10 days topically.
   3. 0.1% Topical Tacrolimus BD for 10-14 days.

Question 4

If a case is stubborn and severe what should you also investigate for?

Answer 4

HIV