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Therapeutic Approach

Seborrheic dermatitis is a common, chronic inflammatory skin disease characterized by erythematous, scaly patches on sebaceous gland-rich sites. Patients can suffer from various symptoms such as itching and burning, and also cosmetic problems leading to psychosocial distress. Treatment is based on symptomatic control due to chronic and recurrent relapsing disease course. For mild or limited disease, topical agents are considered as primary treatment while severe or extensive disease may require systemic treatment. Systemic treatment may be also tried in refractory cases to topical agents. Intermittent application of pimecrolimus or tacrolimus when symptoms are recurrent may be considered for maintenance. Long-term use of topical steroids for maintenance is not recommended for fear of adverse effects. See Table 5-1.

Table 5-1Seborrheic Dermatitis Treatment Table

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