Hello. Thanks for writing to us at healthcaremagic
I will keep a possibility of facial seborrheic
dermatitis.
Facial seborrheic dermatitis classically presents with scaly patches on face. The patches are usually dull red in color.
Washing and scrubbing is not going to make it better. It may rather worsen the condition further.
Seborrheic dermatitis is a steroid responsive
dermatosis. I usually treat my patients of facial seborrheic dermatitis with a moderately potent
topical steroid e.g
fluticasone propionate 0.05% cream, twice daily.
This usually brings about remarkable improvement in my patients in about 2 weeks.
However, since seborrheic dermatitis is a recurrent condition and because steroids can be used for ever on face therefore once significant improvement has been achieved topical steroids may be discontinued.
Subsequent treatment with a topical immunomodulator like
pimecrolimus is sufficient to maintain the improvement.
The cream that you have been using contains pimecrolimus and it would be more useful as a maintenance cream rather than for treating a flare up of seborrheic dermatitis.
Regards