Thursday, January 20, 2011


Dandruff, or seborrheic dermatitis, is a common condition which is seen in about one out of every 30 people. Flakes can be seen in many different areas, most commonly on the scalp, eyebrows, sides of the nose, and underarms. It is caused by a yeast called Pityrosporum ovale. The easiest form of treatment is with shampoos containing selenium sulfide or pyrithione zinc such as Selsun Blue and Head and Shoulders. The key to treatment is to leave the shampoo on for several minutes. If rinsed off immediately, there is not enough time for the medication to work. An easy thing to do is apply the shampoo immediately after wetting the area(s) as the first part of a shower routine. While waiting for it you can wash your body, brush your teeth, shave, etc.

Friday, January 7, 2011

Rosacea Part 2

The cause of rosacea is not clear, but numerous treatments are used. Use of sunscreen, sun avoidance, and cosmetic coverage can be used. Topical medications include metronidazole (most common), sulfur, azelaic acid, benzoyl peroxide, antibiotics, tacrolimus, and tretinoin. Oral medications include various antibiotics and isotretinoin (Accutane). Laser treatments can be used to improve redness and rhinophyma, a large red appearance of the nose. Impressive improvement can also be seen with circular massage for several minutes per day.

Tuesday, January 4, 2011

Rosacea Part 1

Rosacea (also known as acne rosacea) is a common condition causing redness usually in the central face. It occurs most commonly in people aged 30 to 50 and in those with fair skin and affects women more than men. The most common areas affected are the cheeks and nose, then brow and chin. The areas around the eyes are generally spared. Symptoms include generalized redness, appearance of tiny vessels called telangiectasias, and red pustules. Rosacea can be stimulated or exacerbated by emotional stress, hot  beverages, spicy food, exercise, alcohol, heat, or cold.