What is the efficacy of medical treatment for seborrheic dermatitis?

Updated: Nov 13, 2020
  • Author: Marc Zachary Handler, MD; Chief Editor: William D James, MD  more...
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Answer

Systemic low-dose isotretinoin taken by mouth has been reported to benefit severe seborrheic dermatitis. [36] Metronidazole 1% gel has been evaluated, with inconclusive results for the treatment of seborrheic dermatitis of the face. [37, 38] Some suggest using a nonsteroidal cream such as pimecrolimus; patients have reported improvement of up to 80%. [32, 39] Bikowski recommends azelaic acid. [40] Seborrheic blepharitis may respond to gentle cleaning of eyelashes with baby shampoo and cotton applicators. The use of ketoconazole cream in this anatomical region is controversial.


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