A 47-year-old female asked:

How to differ seborrheic dermatitis and perioral dermatitis?dermatologist said i have seborrheic, but every treatment makes it worse,especially steroidal creams. it's worst on chin,it itches,red, velvety,inflamed skin,also on forehead.nothing works.

1 doctor answer1 doctor weighed in
Dr. Silviu Pasniciuc
Internal Medicine 29 years experience
Difficult: Based on epidemiology would still favor seborrheic that appears clearly refractory. Systemic or oral therapy may be needed in the form of anti fungal or anti androgen meds. A review of your diet with elimination or significant reduction of alcohol and caffeine based drinks will be needed. Many times concurrent medical conditions may take place. Your dermatologist remains best to further coordinate
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Last updated Mar 19, 2020


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