I have dry red patches of facial skin on my cheeks on each side of my nose. They have come and gone for about a year. Recently some new spots above my eyebrows and above the corners of my mouth have appeared. These areas are also quite tender to the touch. Any kind of moisturizer seems to exacerbate the problem including Cetaphil, Shea oil , and others. I have a picture I just took with my camera. Not sure how I could send that here.
Person's Gender: Male
Person's Age: 66
Moisterizer, which has been a bad idea. Thinking of trying cortizone cream tonight.
These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.
This sounds like seborrheic dermatitis from your description. A photograph will help, if you are able to send one...click on the paper clip icon to upload.
Sorry, I'm trying to figure out how to get you the picture.
Well, that did not work. Are yhou using Safari or Google Chrome ( or a PDA?)?
Can I send it to you directly from my phone?
Sorry, the system does not work with this. Either use a different internet browser or try using photobucket or picasa and send the link here.
You can also send a picture to XXXXXXX@XXXXXXXXXX.XXX and request that the picture be sent to my attention. This always works but it is slower.
The Just Answer people do not like pictures to be sent directly to me.
I do find photos invaluable so I hope you can send the photo here. Thank you.
I just sent a forward to XXXXX@XXXXXX.XXX referencing you. It's the path of least resistance at this point.
OK. I should get the picture tomorrow.
Just uploaded and sent you the link again with picassa
It appears this worked?
Did not work. Sorry.
Fine. Got it . Thank you.
This is indeed quite classic for seborrheic dermatitis. The scalp involvement is even more confirming. It is felt that a yeast like organism plays a role in most people. I would recommend Head and Shoulders shampoo, both as a shampoo but put some on the affectd area of the face for 10 minutes. Be sure to rinse off well. I would also apply Lotrimin cream to the affected area of your face at bed time and Maximjm Strength Cortaid Ointment twice a day to the affected area of the face.
There are other prescription treatments but there is a very good chance that this will clear up your problem.
As far as prescription options:1) a stronger steroid ointment than what is available over the counter; 2) Promiseb 3) Protopic ointment.
Sunlight generally helps too.
I have been using dandruff shampoo on my head to no avail. Will try you recommendation though on my face as well. If I need a prescription can you write that or do I have to go to a local doc?
We are not allowed to write prescriptions, but most cases will clear up with the above recommendations. Your case is a bit more severe than I usually see, but there still is a very good chance it will clear too. Also, you do not necessarily need to see a dermatologist, but any medical doctor will do. I would try to alternate shampoos between a salicylic acid shampoo, a tar shampoo, and a yeast killing shampoo ( like Nizoral shampoo). I would also recommend Neutragena Extra Strength T Gel shampoo.
And Lotrimin is some kind of anti fungicidal cream?
Yes, it kills fungi and yeast.
A=More effective than Lamisil cream for yeast.'
Great. thank you
30 years practice in general and cosmetic dermatology