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Doctor Help – I have this red scaling on my face . . . what is it?

Doctor Help – I have this red scaling on my face . . . what is it?

Posted on 29. Sep, 2009 by in Acne, Chemical Peel, Esthetics, Rashes, Skin Cancer, Skin Care, Skin Conditions

Patients suffering from red skin and scaling in the area around the eyebrows, on or around the nose, or on the scalp may be suffering from a common inflammatory skin disorder known as Seborrhoeic dermatitis. If you’re suffering from these symptoms, see your dermatologist so the doctor can correctly diagnose the problem and help you find a treatment regime.

The red flaking disorder is harmless and non-contagious, but it may cause discomfort and embarrassment for patients. This skin condition is very common affecting 15% to 20% of the population although the cause remains unknown. 

Adolescents, young adults and adults older than 50 years old are most commonly affected. The condition is more likely to occur in males. And while the face and scalp are the more common outbreak areas, it may also be found on the chest and back or in the area of the ears in both males and females.

Seborrhoeic dermatitis usually occurs where the sebaceous glands are most prominent, : the scalp (where the condition is also known as dandruff), folds around the nose, ears, eyebrows, and chest. The scales range from mild to thick dense scales that adhere to the skin.

Research suggests the condition may be related to yeast, but we’re not completely sure of the cause. While yeast is a normal flora on our skin, people with Seborrhoeic dermatitis have an over growth of yeast. Factors that contribute to this overgrowth may include genetics, environmental conditions, hormonal factors, immune-system factors, and stress.

A broad range of prescription and non-prescription medications used to treat a variety of unrelated conditions can also contribute to or induce Seborrhoeic dermatitis. Be sure to give your dermatologist a list of all medications you are taking even if it seems unlikely to you the medication may be promoting the condition.

Some of the medications that can cause or promote Seborrhoeic dermatitis include prescription anti-anxiety medications such as Buspirone Hydrochloride, and prescription psychiatric medications including Clorpromazine, Haloperidol, Lithium, and Thiothixene. Other prescription medications with side effects that may lead to the condition are Interferon Alfa used for treating cancer and viral infections, Methyldopa used to regulate high blood pressure, and Psoralen and Griseofulvin for the treatment of dermatological conditions. It doesn’t end there, Cimeidine for the treatment of ulcers, and medications containing Gold for the treatment of arthritis can also be a factor.

The treatment your dermatologist will design for Seborrhoeic dermatitis is not a one-medication one-time quick fix. The condition is a long-term chronic problem, but continuous treatment usually consisting of different prescription dermatologic creams offer relief for the patient.

Specific treatment agents include mild corticosteroid creams, antifungal agents, immunomodulators which modulate your immune system to reduce inflammation, and medicated shampoos.  In our practice we commonly use a combination of topical immunomodulator creams coupled with topical antifungal creams and have had great success.

So if you are suffering from red scaling on your face, you can be helped! Start by seeing your dermatologist for an evaluation.

4 Responses to “Doctor Help – I have this red scaling on my face . . . what is it?”

  1. Paula

    12. Jul, 2011

    I was scared to death I might have cancer from being in the sun too much but I will eventually see a doctor about it. This article is fabulous. I say to the person who did this, you should be a medical journalist if you are not, it should be your job and you should be paid well. Thanks for the information, because stress can make your body do strange things, and I have alot right now. I am surrounded by so many flakes they are flaking my nose. Haha

  2. ZDRAVKO SONDIC

    14. Nov, 2011

    I have white scaling on my face ,eyebrows,around nose and forehead.

  3. kat

    10. Jun, 2012

    I got this ! Finally an answer! I was relieved when it finally vanished but just a few weeks ago it reappeared and Im disappointed. But at least now I can figure out what to do about it without having to go to the dr. Thanks YALL

  4. dinesh

    21. Aug, 2014

    I have red rashes all over my back on my face and on chest I was scared that it may be cancer but now I know what this is and I will seek medical help.

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