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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dry And Cracked Skin On Nose?

i have a dry rash on my face. it started near my nose and wash a dime sized dry dull patch. it now has spread to my entire nose. after i wash and dry my face the skin on my nose is cracked and dry. i try scrubbing the dry skin off my nose but it not only comes back the next day.
Thu, 11 Dec 2014
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Dermatologist 's  Response
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
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What Causes Dry And Cracked Skin On Nose?

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