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Suggest Treatment For Cradle Cap In A 5 Month Old

Posted on Fri, 7 Aug 2015

Question: My son is 5 months. ND HAS cradle cap, and eczema. But I've tried everything the pediatrician gave me and also otc solutions. And it hasn't gone away. It's behind his ears

Answered by Dr. Charu Bansal (11 minutes later)

Brief Answer:
kindly upload photos

Detailed Answer:
Hello. Welcome to Healthcaremagic.com.
I have read your query.
I understand your concern.
Cradle cap is actually due to excess sebaceous glands activity and secretions leading to flakes deposition over scalp.
Superadded oil application aggravates and worsens the condition.
I will like to know following details -
1 ) Do you put oil in baby's scalp?
2) what all medications have been used and for how long for cradle cap?
3) Where is the eczema present and what medications have you applied for eczema?
Kindly give details and upload images of affected areas so that I can visualize the lesions and advice you accordingly.
Thanks.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Charu Bansal (11 hours later)

I have used hydrocortisone, Aveno, eucerin and psoriasis cream. It's only on the front side of his body. I will submit pictures

Answered by Dr. Charu Bansal (15 hours later)

Brief Answer:
ketoconazole shampoo and fluticasone lotion

Detailed Answer:
Hello. Welcome back.
I have seen the attached photographs.
It looks like seborrhoeic capitis and seborrhoeic dermatitis.
In such cases, I prefer to advise antifungals shampoo like ketoconazole or cetrimide containing preparations.
The solution should be applied over tge scalp and the affected body parts while bathing. It should stay there for 4-5 minutes before you wash it off.
If hydrocortisone is not working, you may apply fluticasone containing lotion over the scalp and body for 7-10 days.
Avoid hair oil application.
Discuss this with your doctor.
I am sure that he would agree with this.
I hope it helps.
Take care.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Charu Bansal (17 hours later)

I've used mustela and selsum blue for hair and also the mustela lotion. Where can I find the lotion with that type of stuff in it. It's gotten so bad the creases at his ears are splitting and it looks so painful. And the pediatrician says it's eczema. But why is it only front of his body

Answered by Dr. Charu Bansal (4 hours later)

Brief Answer:
seborrhoeic dermatitis involves body folds

Detailed Answer:
Hello. Welcome back.
As I told you in my previous replies, it is Seborrhoeic dermatitis. Seborrhoeic dermatitis is a type of eczema characterised by red colored itchy scaly rash over scalp, body folds like back of ear, nose sides, flexures of body like front of elbow and back of knee, front of chest.
Mustela that you have applied is a moisturising lotion. It wont help much in this.
You can get the fluticasone containing lotion from medical store. But it should be applied under doctor's supervision.
I advice you to share my opinion with your doctor.
I am sure that he would agree with this.
Thanks

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Shanthi.E