@Dr.A.K.Srivastava. Nice and informative post.
Very nice dr,
Nice post sir .
Thanks for the informative post doc
Thanks for sharing Sir
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Friends today I am discussing about a skin problem known as Seborrheic Dermatitis. What is seborrheic dermatitis? Considered a chronic form of eczema, seborrheic dermatitis appears on the body where there are a lot of oil-producing (sebaceous) glands like the upper back, nose and scalp. The exact cause of seborrheic dermatitis is unknown, although genes and hormones play a role. Microorganisms that live on the skin naturally can also contribute to seborrheic dermatitis. People of any age can develop seborrheic dermatitis including infants (known as “cradle cap”). However, it most commonly affects adults between the ages of 30-60 and infants under 3 months. Seborrheic dermatitis on the chest that shows round, red areas and slight scaling Common triggers for seborrheic dermatitis include: Stress Hormonal changes or illness Harsh detergents, solvents, chemicals and soaps Cold, dry weather Medications such as psoralen, interferon and lithium In general, seborrheic dermatitis is slightly more common in men than in women. Patients with certain diseases that affect the immune system (such as HIV/AIDS and psoriasis) and the nervous system, such as Parkinson’s disease, are also at increased risk of developing seborrheic dermatitis. It can also affect people who have epilepsy, alcoholism, acne, rosacea and mental health issues such as depression and eating disorders. Seborrheic dermatitis is not contagious. What does seborrheic dermatitis look like? Seborrheic dermatitis often appears on the scalp, where symptoms may range from dry flakes (dandruff) to yellow, greasy scales with reddened skin. Patients can also develop seborrheic dermatitis on other oily areas of their body, such as the face, upper chest and back. Seborrheic dermatitis on the sides of nose Seborrheic dermatitis appears in oily skin areas like the side of the nose and causes redness and yellow scale Common symptoms of seborrheic dermatitis include: Redness Greasy, swollen skin White or yellowish crusty flakes Itch and burning Pink-colored patches, most prominent in people with dark skin What causes seborrheic dermatitis? The exact cause of seborrheic dermatitis is unknown, although genes and hormones play a role. Microorganisms such as yeast, that live on the skin naturally can also contribute to seborrheic dermatitis. Unlike many other forms of eczema, seborrheic dermatitis is not the result of an allergy. People of any age can develop seborrheic dermatitis including infants (known as “cradle cap”). It is slightly more common in men than women. People with certain diseases that affect the immune system, such as HIV or AIDS, and the nervous system, such as Parkinson’s disease, are believed to be at an increased risk of developing seborrheic dermatitis. How is seborrheic dermatitis diagnosed? Seborrheic dermatitis can often look like – or even appear with – other skin conditions such as atopic dermatitis and psoriasis. There is no test for diagnosing seborrheic dermatitis. Your doctor will ask about your medical history and also perform a physical examination of your skin. Sometimes, the doctor with scrape a bit of skin, mix it with a chemical and look at it under a microscope to determine if there is a fungal infection. Similarly, a skin biopsy (a procedure in which a small sample of skin is taken) may be required to rule out the other conditions that look like seborrheic dermatitis. If you are experiencing symptoms, make an appointment with your doctor to get the correct diagnosis and treatment. Seborrheic dermatitis treatment Treatment for seborrheic dermatitis focuses on loosening scale, reducing inflammation and swelling, and curbing itch. In mild cases, a topical antifungal cream or medicated shampoo (such as ketoconazole, selenium sulfide, coal tar, and zinc pyrithione) may be enough to control symptoms. Guidelines for treating seborrheic dermatitis include: For the scalp: Alternate between using your regular shampoo and a medicated dandruff shampoo. If you are African American, wash with the medicated shampoo once weekly. Taper off as your symptoms improve. For the body: Wash daily with a gently cleanser that has 2% zinc pyrithione, followed by a moisturizer. To further soften scale, use a cream containing salicylic acid and sulfur or coal tar. In more severe cases, you may receive a prescription for a mild corticosteroid medication to calm the inflammation as well. Use topical corticosteroids only as directed—that is, when the seborrheic dermatitis is actively flaring. In cases where corticosteroids are not appropriate, or when they have been used for a prolonged period, a non-corticosteroid topical medication such as tacrolimus (Protopic) or pimecrolimus (Elidel) may be prescribed. These medications are called topical calcineurin inhibitors (TCIs) and are approved for use by adults and children two years of age or older. Oral antifungal agents may be used in very severe cases. HOMOEOPATHIC REMEDIES FOR SEBORRHEIC DERMATITIS ARSENIC ALBUM 30-Arsenic album is an effective remedy for seborrheic dermatitis in weak persons.It is also suited patients with fair skin. The scalp is covered with white scales which itch intolerably.Circular patches on bare spots are seen. Along with this great anxiety and restlessness is present. KALI SULHURICUM 30- Kali sulphuricum is one of the top remedies for seborrheic dermatitis with yellow scales. There is prominent yellow flakes on the scalp. The scales are sticky in nature, with a moist scalp. Also it is attended with itching. Heat worsens the itching . THUJA OCCIDENTALIS 200-Thuja occ. is another effective medicine for seborrheic dermatitis with white flakes on the scalp. The other prescribing points are dry hair, which may be split at ends and falling of hair. The hair may be dry in such cases. CALCAREA SULPH 30-Calcarea sulph. is prescribed for seborrheic dermatitis when eruptions with yellow pus occurs. Falling of hair also occurs. GRAPHITES 30-Graphites is an effective Homeopathic medicine for seborrheic dermatitis where the scales on the scalp are accompanied by intense itching. The scales reduce after washing, but reappear. A fetid odour on the scalp may also be observed. The scalp may also remain moist and humid. Matting together of the hair or falling of hair are also seen. Apart from the scalp, the scales may also be present on the eyelid margins and behind the ears. NATRUM MURIATICUM 30- Natrum Muriaticum is prescribed for seborrheic dermatitis with a greasy, oily scalp with redness and flakiness. The scalp is covered with white scurfs. Burning sensation on the scalp may also be present. The face is oily, with redness. Acne on the face may also be present along with the above symptoms. PHOSPHORUS 30--Phosphorus is prescribed when flakiness on the scalp is attended with excessive hairfall is occurs. The hair fall in bunches. In some cases, the hair may fall off in spots. This may be accompanied by a severe burning sensation on the scalp. In a few cases, clammy sweat on the scalp may also be present. SANICULA AQUA 200- Sanicula is another effective remedy for seborrheic dermatitis. Scales are covering the scalp. Scales are also seen on the eyebrows, eye lashes etc. Profuse sweat is present on the head. PSORINUM 200-Psorinum is suited to humid seborrheic dermatitis on the scalp which smells badly. Intolerable itching is present. SULPHUR 200- Sulphur is prescribed when well selected remedies fail. Intolerable itching and scratching of scalp. Scratching causes severe burning.Dr. Rajesh Gupta15 Likes26 Answers
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Panchakarma- Five Teatments -1 Pancha Karma is the cornerstone to Ayurvedic management of disease. Pancha Karma is the process which gets to the root cause of the problem and corrects the essential balance of 'Tridosha' in body. Pancha Karma is not only good for alleviating disease but is also a useful tool in maintaining excellent health. Ayurveda advises undergoing Pancha Karma at the seasonal changes to clean the body, improve the digestion and to improve the metabolic processes. Panchakarma is a Sanskrit word that means "five actions" or "five treatments ". This age-old science of purifying the body is an ancient branch of Ayurveda, The Treatment in Ayurveda consists of two main types. One is Shaman Chikitsa, used to subdue the vitiated Doshas, due to which any ailments may be produced. It is administered by using various medicinal herbo-mineral preparations. However, if the Doshas are vitiated beyond a particular level, they give rise to various endotoxins, which have a tendency to be accumulated in the minute channels. These are beyond the level of pacification and hence need to be eliminated or removed from the body. In such cases, the second type of treatment, which is Shodhan Chikitsa or cleansing therapy, is indicated. Since it consists of the five types of main therapies, it is known as the Panchakarma Chikitsa. Panchakarma has been given a special place in all the ancient Ayurvedic texts. Aacharya Charak, the author of the most important ancient text on internal medicine, has described a wide use of Panchakarma therapy for almost all the major diseases. Two separate sections, Kalpa Sthanam, and Siddhi Sthanam in Charak Samhita describe the details of special decoctions and other preparations used for Panchakarma therapy. Panchakarma includes three parts namely: Poorva Karma (Preparatory Methods)which includes : Paachan (Digestion) Snehan (Internal and external oleation) Swedan (Fomentation) Pradhan Karma (Main methods)which includes : Vaman (Induced vomiting) Virechan (Induced purgation) Basti (Medicated enema) Nasya (Nasal medicine) Rakta Mokshan (Artificial bloodletting) Pashchat Karma (Post-Therapeutic Measures)which includes: Sansarjan Krama (Specific dietetics), DhumaPana (smoking of medicinal cigars) and some rules to follow specific activities. Purvakarma : Pre-purification Measures Before the actual operation of purification begins, there is a need to prepare the body in prescribed methods to encourage the body to let go of the toxins. The two procedures are 'snehan' and 'swedan'. Snehan is the oil massage. Oil is applied to the entire body with a particular type of massage which helps the toxins to move towards the gastro-intestinal tract. Oil massage also makes the superficial and deep tissues soft and supple. Snehan is given daily for three to seven days, as indicated. Swedan is sudation or sweating and is given every day immediately following the snehan. An herbal concoction may be added to the steam to further loosen the toxins from the individual. Swedan liquefies the toxins and increases the movement of toxins into the gastro-intestinal tract. After three to seven days of snehan and swedan, the doshas become well "ripened". A particular panchakarma method is then given according to the individual's constitution and disorder, prakruti and vikruti, respectively. Panchakarma - Five Basic Shodhans: Cleansing Methods 1) Vaman : therapeutic vomiting or emesis 2) Virechan : purgation 3) Basti : enema 4) Nasya : elimination of toxins through the nose 5) Rakta moksha : detoxification of the blood Vaman: Emesis Therapy When there is congestion in the lungs causing repeated attacks of bronchitis, colds, cough or asthma, the Ayurvedic treatment is therapeutic vomiting, vaman, to eliminate the kapha causing the excess mucus. First, after the snehan and swedan, three to four glasses of licorice or salt water is administered, then vomiting is stimulated by rubbing the tongue which triggers the vomiting center through the gag reflex. One may alternatively take two to three glasses of salt water which will also aggravate kapha and then rub the tongue to induce vomiting. Once the mucus is released the patient will feel instantly relieved. It is likely that congestion, wheezing and breathlessness will disappear and that the sinuses will become clear. Therapeutic vomiting is also indicated in chronic asthma, diabetes, chronic cold, lymphatic congestion, chronic indigestion and edema. Emetic Substances: madan-emetic nut, madhuka-yastimadhu-licorice, neem-bitter leaf, bimbi, kutaj-kurchi- conessi bark, murva-clematis, triloba-devdaru-deodar, Cedrus deodara, Salt, NaCl, ela-cardamom, nux vomica. Indications for Vaman : used for all kapha type disorders good for pitta headache, dizziness, and nausea will help to release blocked emotions respiratory congestion bronchitis chronic cold sinus congestion kaphagenic asthma Contra-Indications for Vaman : below the age of 12 or over age 65 menstruation pre-menstrual period (one week prior) pregnancy emaciation delicate or sensitive person with too much fear, grief or anxiety hypoglycemia vata prakruti vata diseases heart diseases during vata season acute fever diarrhea obesity Virechan : Purgation Therapy When excess bile, pitta, is secreted and accumulated in the gall bladder, liver and small intestine, it tends to result in rashes, skin inflammation, acne, chronic attacks of fever, biliary vomiting, nausea and jaundice. Ayurvedic literature suggests in these conditions the administration of therapeutic purgation or a therapeutic laxative. Virechan is facilitated with senna leaves, flax seeds, psyllium husks or triphala in a combination that is appropriate for the individual person. Virechan Substances: Senna, prune, bran, flaxseed husk, dandelion root, psyllium seed, cow's milk, salt, castor oil, raisins, mango juice, triphala. Indications for Virechan: allergic rash skin inflammation acne, dermatitis, eczema chronic fever ascites biliary vomiting jaundice urinary disorder enlargement of the spleen internal worms burning sensation in the eyes inflammation of the eyes conjunctivitis gout Contra-Indications for Virechan: low agni acute fever diarrhea severe constipation bleeding from rectum or lung cavities foreign body in the stomach after enema emaciation or weakness prolapsed rectum alcoholism dehydration childhood old age ulcerative colitisAyurveda-Panchakarma Basti & Nasya -2 Basti: Enema Therapy Vata's predominant site is the colon. Ayurvedic basti involves the introduction into the rectum of herbal concoctions of sesame oil, and certain herbal preparations in a liquid medium. Basti, is the most effective treatment of vata disorders, although many enemas over a prescribed period of time are usually required. It relieves constipation, distention, chronic fever, cold, sexual disorders, kidney stones, heart pain, backache, sciatica and other pains in the joints. Many other vata disorders such as arthritis, rheumatism, gout, muscle spasms and headaches may also be treated with basti. Vata is a very active principle in pathogenesis. If we can control vata through the use of basti, we have gone a long way in going to the root cause of the vast majority of diseases. Vata is the main etiological factor in the manifestation of diseases. It is the motive force behind the elimination and retention of feces, urine, bile and other excreta. There are eight main types of basti, according to traditional texts, each with their own indications and contra-indications as listed below. 1. Anuvasana (oil enema) is used in pure vata disorders and when a person is having excess hunger or dryness related to vata imbalances. 2. Niruha-Asthapana (decoction enema) is used, among other conditions, for evacuation of vata, nervous diseases, gastro-intestinal vata conditions, gout, certain fever conditions, unconsciousness, certain urinary conditions, appetite, pain, hyperacidity and heart diseases. 3. Uttara Basti (through the urethra with men or vagina with women) is used for selected semen and ovulation disorders and for some problems involving painful urination or bladder infections. This is not to be used for someone with diabetes. 4. Matra Basti (daily oil enema) is used by someone emaciated by overwork or too much exercise, too much heavy lifting, walking too long of a distance, too much sexual activity or someone with chronic vata disorders. It does not need to be accompanied by any strict dietary restriction or daily routine and can be administered, in the appropriate cases, in all seasons. It gives strength, promotes weight and helps elimination of waste products. 5. Karma Basti (schedule of 30 bastis), 6. Kala Basti (schedule of 15 bastis; 10 oil + 5 decoction) 7. Yoga Basti (schedule of 8 bastis; 5 oil + 3 decoction). 8. Bruhana Basti (nutritional enema) is used for providing deep nutrition in select conditions. Traditionally, highly nutritive substances have been used, such as warm milk, meat broth, bone marrow soup and herbs like shatavari or ashwagandha. General Indications for Basti: constipation low back ache gout rheumatism sciatica arthritis nervous disorders vata headache emaciation muscular atrophy General Contra-Indications for Basti (include but are not limited to the following): Enema therapy should not be used if the patient is suffering from diarrhea, bleeding of the rectum, chronic indigestion, breathlessness, diabetes, fever, emaciation, severe anemia, pulmonary tuberculosis, old age or for children below the age of seven years. for oil enemas: diabetes, obesity, indigestion, low agni, enlarged liver or spleen, unconsciousness, tuberculosis and cough. for decoction enemas: debility, hiccough, hemorrhoids, inflammation of anus, piles, diarrhea, pregnancy, ascites, diabetes and some conditions involving painful or difficult breathing. for nutritional enemas: diabetes, obesity, lymphatic obstruction, ascites. for urethra or vaginal enemas: diabetes Nasya: Nasal Administration The nose is the doorway to the brain and it is also the doorway to consciousness. The nasal administration of medication is called nasya. An excess of bodily humors accumulated in the sinus, throat, nose or head areas is eliminated by means of the nearest possible opening, the nose. Prana, life force as nerve energy, enters the body through the breath taken in through the nose. Prana is in the brain and maintains sensory and motor functions. Prana also governs mental activities, memory, concentration and intellectual activities. Deranged prana creates defective functioning of all these activities and produces headaches, convulsions, loss of memory and reduced sensory perception. Thus nasal administration, nasya is indicated for prana disorders, sinus congestion, migraine headaches, convulsions and certain eye and ear problems. There are six main types of nasya, as listed below. 1. Pradhamana (virechan) Nasya (cleansing nasya) uses dry powders (rather than oils) that are blown into the nose with a tube. Pradhamana nasya is mainly used for kapha types of diseases involving headaches, heaviness in the head, cold, nasal congestion, sticky eyes, hoarseness of voice due to sticky kapha, sinusitis, cervical lymph adenitis, tumors, worms, some skin diseases, epilepsy, drowsiness, Parkinsonism, inflammation of the nasal mucosa, attachment, greed and lust. Traditionally, powders such as brahmi are used. 2. Bruhana Nasya (nutrition nasya) uses ghee, oils, salt, shatavari ghee, ashwagandha ghee and medicated milk and is used mainly for vata disorders. It is said to benefit conditions resulting from vata imbalances such as vata-type headaches, migraine headache, dryness of voice, dry nose, nervousness, anxiety, fear, dizziness, emptiness, negativity, heaviness of eyelids, bursitis, stiffness in the neck, dry sinuses and loss of sense of smell. 3. Shaman Nasya (sedative nasya) is used according to which dosha is aggravated but mainly for pitta-type disorders such as thinning of hair, conjunctivitis and ringing in the ears. Generally certain herbal medicated decoctions, teas and medicated oils are used. 4. Navana Nasya (decoction nasya) is used in vata-pitta or kapha-pitta disorders and is made from decoctions and oils together. 5. Marshya Nasya (ghee or oil nasya) 6. Prati Marshya (daily oil nasya) This helps to open deep tissues and can be done every day and at any time to release stress. Substances Used in Nasya: brahmi, ginger, ghee oils, decoctions, onion, garlic, Piper longum, black pepper, curry pepper, rose, jasmine, mogra flowers and henna. Indications for Nasya: stress emotional imbalances stiffness in the neck & shoulders dryness of the nose sinus congestion hoarseness migraine headache convulsions Contra-Indications for Nasya: sinus infections pregnancy menstruation after sex, bathing, eating or drinking of alcohol should not be used below 7 years or over 80 years of age Click here to read more about 'Nasyakarma' Raktamoksha : Traditional Ayurvedic Method for Purification and Cleansing of the Blood Toxins present in the gastro-intestinal tract are absorbed into the blood and circulated throughout the body. This condition is called toxemia, which is the basic cause of repeated infections, hypertension and certain other circulatory conditions. This includes repeated attacks of skin disorders such as urticaria, rashes, herpes, eczema, acne, leukoderma, chronic itching or hives. In such conditions, along with internal medication, elimination of the toxins and purification of the blood is necessary. Raktamoksha is also indicated for cases of enlarged liver, spleen and gout. Extracting a small amount of blood from a vein relieves the tension created by the pittagenic toxins in the blood. Bloodletting also stimulates the spleen to produce antitoxic substances which helps to stimulate the immune system. Toxins are neutralized enabling radical cures in many blood born disorders. Bloodletting is contraindicated in cases of anemia, edema, extreme weakness, diabetes and in children and elderly persons. Indications for Raktamoksha: urticaria rash acne eczema scabies leukoderma chronic itching hives enlarged liver or spleen gout Contra-Indications for Raktamoksha: anemia edema weakness young children old age during pregnancy during menstruation Read more about Various Diseases and Indicated Panchakarma procedures for them > @Dr. Tapan Kumar Sau16 Likes23 Answers
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MALE, 45 YEARS AGE. OCCUPATION- CARPENTER UNILATERAL (LEFT) PALM. DRYNESS, ITCHING. 15 MONTHS DURATION. SUGGEST DIAGNOSIS AND TREATMENT.Dr. M V Subramanyam4 Likes27 Answers
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Friends today again I am discussing about a skin. Problem known as Seborrhoeic dermatitis. What is seborrhoeic dermatitis? Seborrhoeic dermatitis is a common, chronic or relapsing form of eczema/dermatitis that mainly affects the sebaceous, gland-rich regions of the scalp, face, and trunk . There are infantile and adult forms of seborrhoeic dermatitis. It is sometimes associated with psoriasis (sebopsoriasis). Seborrhoeic dermatitis is also known as seborrhoeic eczema. Dandruff (also called ‘pityriasis capitis’) is an uninflamed form of seborrhoeic dermatitis. Dandruff presents as bran-like scaly patches scattered within hair-bearing areas of the scalp. What causes seborrhoeic dermatitis? The cause of seborrhoeic dermatitis is not completely understood. It is associated with proliferation of various species of the skin commensal Malassezia, in its yeast (non-pathogenic) form. Its metabolites (such as the fatty acids oleic acid, malssezin, and indole-3-carbaldehyde) may cause an inflammatory reaction. Differences in skin barrier lipid content and function may account for individual presentations. Who gets seborrhoeic dermatitis? Infantile seborrhoeic dermatitis affects babies under the age of 3 months and usually resolves by 6–12 months of age. Adult seborrhoeic dermatitis tends to begin in late adolescence. Prevalence is greatest in young adults and in the elderly. It is more common in males than in females. The following factors are sometimes associated with severe adult seborrhoeic dermatitis: Oily skin (seborrhoea) Familial tendency to seborrhoeic dermatitis or a family history of psoriasis Immunosuppression: organ transplant recipient, human immunodeficiency virus (HIV) infection and patients with lymphoma Neurological and psychiatric diseases: Parkinson disease, tardive dyskinesia, depression, epilepsy, facial nerve palsy, spinal cord injury and congenital disorders such as Down syndrome Treatment for psoriasis with psoralen and ultraviolet A (PUVA) therapy Lack of sleep, and stressful events. What are the clinical features of seborrhoeic dermatitis? Infantile seborrhoeic dermatitis Infantile seborrhoeic dermatitis causes cradle cap (diffuse, greasy scaling on scalp). The rash may spread to affect armpit and groin folds (a type of napkin dermatitis). There are salmon-pink patches that may flake or peel. It is not especially itchy, so the baby often appears undisturbed by the rash, even when generalised. Infantile seborrhoeic dermatitis Adult seborrhoeic dermatitis Seborrhoeic dermatitis affects scalp, face (creases around the nose, behind ears, within eyebrows) and upper trunk. Typical features include: Winter flares, improving in summer following sun exposure Minimal itch most of the time Combination oily and dry mid-facial skin Ill-defined localised scaly patches or diffuse scale in the scalp Blepharitis: scaly red eyelid margins Salmon-pink, thin, scaly, and ill-defined plaques in skin folds on both sides of the face Petal or ring-shaped flaky patches on hair-line and on anterior chest Rash in armpits, under the breasts, in the groin folds and genital creases Superficial folliculitis (inflamed hair follicles) on cheeks and upper trunk Extensive seborrhoeic dermatitis affecting scalp, neck and trunk is sometimes called pityriasiform seborrhoeide. How is seborrhoeic dermatitis diagnosed? Seborrhoeic dermatitis is diagnosed by its clinical appearance and behaviour. As malassezia are a normal component of skin flora, their presence on microscopy of skin scrapings is not diagnostic. Skin biopsy may be helpful but is rarely indicated. Histological findings specific to seborrhoeic dermatitis are superficial perivascular and perifollicular inflammatory infiltrates, psoriasiform hyperplasia, and parakeratosis around follicular openings. What is the treatment for seborrhoeic dermatitis? Treatment of seborrhoeic dermatitis often involves several of the following options. Keratolytics can be used to remove scale when necessary, eg salicylic acid, lactic acid, urea, propylene glycol Topical antifungal agents are applied to reduce malassezia eg ketoconazole, or ciclopirox shampoo or and/or cream. Note, some strains of malassezia are resistant to azole antifungals. Try zinc pyrithione or selenium sulphide Mild topical corticosteroids are prescribed for 1–3 weeks to reduce the inflammation of an acute flare Topical calcineurin inhibitors (pimecrolimus cream, tacrolimus ointment) are indicated if topical corticosteroids are often needed, as they have fewer adverse effects on facial skin. In resistant cases in adults, oral itraconazole, tetracycline antibiotics or phototherapy may be recommended. Low dose oral isotretinoin has also been shown to be effective for severe or moderate seborrhoeic dermatitis. Scalp treatment Medicated shampoos containing ketoconazole, ciclopirox, selenium sulfide, zinc pyrithione, coal tar, and salicylic acid, used twice weekly for at least a month and if necessary, indefinitely. Steroid scalp applications reduce itching, and should be applied daily for a few days every so often. Calcineurin inhibitors such as tacrolimus can be used as steroid alternatives. Coal tar cream can be applied to scaling areas and removed several hours later by shampooing. Combination therapy is often advisable. Face, ears, chest and back Cleanse the affected skin thoroughly once or twice each day using a non-soap cleanser. Apply ketoconazole or ciclopirox cream once daily for 2 to 4 weeks, repeated as necessary. Hydrocortisone cream can also be used, applied up to twice daily for 1 or 2 weeks. Occasionally a more potent topical steroid may be prescribed. Topical calcineurin inhibitors such as pimecrolimus cream or tacrolimus ointment may be used instead of topical steroids. A variety of herbal remedies are commonly used, but their efficacy is uncertain. Management in infants Regular washing of the scalp with baby shampoo or aqueous cream is followed by gentle brushing to clear the scales. GRAPHITES 30-Graphites is an effective Homeopathic medicine for seborrheic dermatitis where the scales on the scalp are accompanied by intense itching. ... NATRUM MURIATICUM 30- Natrum Muriaticum is prescribed for seborrheic dermatitis with a greasy, oily scalp with redness and flakiness. Other homoeopathic medicines can also be given on the basis of totality of symptoms.Dr. Rajesh Gupta10 Likes19 Answers
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2yrs Male Child Presented with skin eruptions from 1years, severe itching,scratches till bleeding.Delay milestone. Plz Diagnose the case and Prescribe the Medicine.Dr. Prashant Ku Chhanchan8 Likes46 Answers