Diagnosed with Seb Derm-Main problem redness face
Joined: 15 Jun 2007
| Posted: Wed Feb 20, 2008 6:00 am Post subject: Diagnosed with Seb Derm-Main problem redness face | |
| Hello there,
Well after awhile I figured I had seb derm and this was confirmed by a dermatologist. I asked them if it was possible that I also had rosacea but they said I did not (btw I am 18 and this started to occur around 16/17). My biggest problem is redness. It occurs in the 'malar rash' fashion of the face. Flaking is really mild and I do not appear to have head dandruff. I have mild but persistant redness. I have been perscribed ketoconazole and have been using it for almost 2 weeks. My skin seems a bit smoother in the areas but the redness has not 'yet' gone down noticibly. I am going to look to switch to the gel the cream is too thick for me. What have you used to treat this redness/inflammation? |
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Joined: 30 Jan 2008
| Posted: Wed Feb 20, 2008 2:16 pm Post subject: | |
| Hi historybook,
Glad the ketoconazole has helped you a bit. I'm just curious as to why your dermatologist is so sure you haven't got rosacea as well, given that you say you only have mild flaking (lots of rosaceans have problems with dry, flaking skin without necessarily having seb.derm.) and given the pattern of your redness. S/he wasn't just assuming you couldn't have rosacea because of your age, was s/he? - as I believe there are people on this forum who have been affected since their teens. Obviously I'm not a dermatologist, but from what I gather it can be very hard to tell the difference, especially as they often co-exist. I would have thought that if the ketoconazole was working you, and killing off the yeast that causes the seb.derm., then your inflammation and redness would also be reduced - maybe you need to give it more time? I can only speak from personal experience, but on the bits of my face that are only affected by seb. derm., the redness does go down when the other symptoms of a flare-up do. On the other hand, where I have both seb.derm. and rosacea, the redness remains. Sorry, not very helpful, I'm afraid. There are of course other topicals for seb.derm., and I know some people on the forum find zinc ointments very effective. Best wishes, Kristina |
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Forum Moderator
Joined: 24 Apr 2006
Location: Dorset, UK
| Posted: Wed Feb 20, 2008 8:31 pm Post subject: | |
| I would recommend having a quick look at this thread. Artist has been having great success with the facial wash called Born to be Mild for the reasons discussed in the thread. | |
Joined: 15 Jun 2007
| Posted: Thu Feb 21, 2008 7:15 am Post subject: | |
| Well I think with the onset of the disease right after puberty must have been a factor. My heritage is not usually typically associated with the disease either ( I come from a Greek background), although this does not have strong standing.
I found this about the cause: Malassezia organisms are probably not the cause but are a cofactor linked to a T-cell depression, increased sebum levels, and an activation of the alternative complement pathway. Persons prone to this dermatitis also may have a skin-barrier dysfunction. Because seborrheic dermatitis is uncommon in preadolescent children, and tinea capitis is uncommon after adolescence, dandruff in a child is more likely to represent a fungal infection. A fungal culture should be completed for confirmation. Various medications may flare or induce seborrheic dermatitis. These medications include auranofin, aurothioglucose, buspirone, chlorpromazine, cimetidine, ethionamide, gold, griseofulvin, haloperidol, interferon alfa, lithium, methoxsalen, methyldopa, phenothiazines, psoralens, stanozolol, thiothixene, and trioxsalen. Has anyone tried or heard of products that help or heal the skin, mostly for skin barrier? |
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