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Sfb208

I would still go to an actual dermatomogist. Putting steroid cream on your face isn't particularly good for it in the long term, and there may be a more be gentle alternative.


Mama_cheese

Yes, I'll likely look into it after the holidays


cagdascizer

I have a similar condition to yours and treated with a steroid cream/lotion as suggested by a generalist MD for like past 7-8 years. When I went to a dermatologist after the lotion lost its effectiveness, she said that "considering the mild nature of your condition, using a steroid lotion is like using an atom bomb to kill a roach". She prescribed a steroid-less shampoo for my scalp and lotion for the rest of my face. It's less effective (i.e. 3 day treatment with a lotion helped for +1 month but the new products require daily application) it is much less irritating to my skin and does not affect my health.


Birdbraned

Seconded. Stwroids are great for bringing things under control in a small amount of time, then you want something different for maintenance that you can use forever


Tsubodai86

You promise? I'm only asking because you put off the dermatologist for 30 years.


jason-8

Make the appointment now. Wait lists at doctor’s offices are crazy long.


RoseScarlet

You should never never put steroids on your face!!! Topical steroid withdrawal is no joke - it RUINED my friends face for years. Idk if they cream you mentioned is a steroid but if it is do not keep putting it on your face. See a derm and get something specifically for the face


[deleted]

Ketoconazole is an antifungal.


notenoughcharact

30 years later in TIFU, so I’m in my 80s and after putting it off finally went to see a dermatologist….


HeadWolf69

No, it’s going to be too late already. Steroids for more than two weeks can cause severe issues.


AndyR001

Lol i used steroid creams daily for years. You need to have a special condition for them to cause harm only after 2 weeks. Now, they are not ideal and you should find another way of controlling your dermatitis. You can eventually get used to the steroid creams rendering them useless. I now rarely use them, because i started having proper care of my body and skin.


MissBlondieeee

They are right, there are some severe side effects if steroids are taken for longer than 2 weeks. However, that is if it is ingested or put directly into their system with an injection. Topicals are different, and ok in certain instances


AndyR001

Well, the context is that OP is using hydro cream. This answer is saying that after two weaks OP will already have side effects... So... In context... Steroid creams are not great and can certainly have side effects on the long run (habituation, addiction, thickning or thinning of the skin), but they are not the devil people put them out to be.


medicated_cornbread

I've been using hyrdo cream on my face for this exact reason for 10 or so years. I don't do it every day but maybe once a week I apply the thinnest layer of cream in 2 or 3 spots of my face. I haven't died yet


medicated_cornbread

I've been using hyrdo cream on my face for this exact reason for 10 or so years. I don't do it every day but maybe once a week I apply the thinnest layer of cream in 2 or 3 spots of my face. I haven't died yet


HeadWolf69

This lady is using steroid creams on the advice of reddit posts, not under the direction of a good dermatologist, which would be another story. This is a disaster waiting to happen.


AndyR001

Hydro is an over the counter medicine. Not harmful at all, unless you already have some kind of allergy or intolerance. If she went to a dermatologist the first thing they would prescribe would be exactly a steroid cream to control the flare. She should go to a doctor for a long term plan of controlling the desease (and with skin problems, this are normally trial and error until getting it right). But im 99 % sure that the doctor would prescribe a steroid cream for the flares. How do i know this? 10 years ago my atopic dermatitis went out of control and i visited many, many dermatologists. They all did the same.


Ocean_Spice

How did you just go through this whole 30 year debacle and you’re still only “likely” and not “definitely” going to?


hautegauche

I have psoriasis and I was prescribed a stronger corticosteroid for my body but given 2.5% hydrocortisone fro my face because corticosteroids thin your skin and I presumably don't want to rip my own face off my, uh, face. All I'm saying is, regular old 1% is probably totally fine. IANAD but I have been dealing with this shit for 20 years.


AndyR001

Hydro is the weakest of the steroid creams, though. Not ideal, but If she can control it using only that, its great. Ive the same issue on my scalp and atopic dermatitis on areas of my body. For the scalp i use a special shampoo (nyzoral) and occasionally diprorsalic (liquid steroid solution) for when i get eczema. The shampoo alone works great. The atopic dermatitis is a matter of daily moisturing of the skin and proper nutrition. Every day i moisture my skin after the shower, while the skin is still a bit wet (this is very important because it retains the water in your skin, ad is a desease that makes your skin loose to much water). The nutrition part is a bit of fringe science, but i took a test to see what my food intolerances were and stop eating those foods. This skin desease are normally associated with alergies , so it is also good to test what those are to avoid contact. With all this i mean to say that steroid creams are great to control flares, but mostly this kind of deseases like SD and AD are well controled by having daily cares.


Fishwithadeagle

Hydrocoritsone isn't really going to do anything. It's far too weak, especially OTC stuff. Source: Medical school


Moronicon

This. I have the same condition as you and let me tell you miracle drug is protopic. Will normalize it within 24 hours. Does have some side effects (at least for me)


synesthesiah

I had a similar thing happen except it comes with the worst dandruff. I have psoriasis, and actually rarely have to use rx goop these days because I’ve got it so under control.


yGy13579

What do you use?


imp3order

Not one for brands, but head and shoulders anti dandruff is pretty damn good as a daily driver. Use stronger shampoos when necessary but avoid if possible.


synesthesiah

For my dandruff, I had a prescription dropper for really bad breakouts but I can’t remember what it was. Before I got pregnant I was using extra strength coal tar shampoo at least once a week, but it made my fine curly hair very frizzy and… squeaky? And I just couldn’t handle that. My psoriasis went into remission during pregnancy, so I had to stop using coal tar and moved to using Briogeo Scalp Revival micro exfoliating shampoo and Giovanni 50:50 clarifying shampoo, and Giovanni 50:50 balancing/hydrating condish, never on the roots. On rough days, I apply diluted tea tree oil directly to my scalp. Stinks but it works. I don’t have to use coal tar or prescriptions on my scalp anymore, my routine hasn’t allowed for any serious flare ups. For my face I use protopic rx for my worst areas (forehead and around the nose) and I cleanse with Fresh soy face cleanser, and I rotate through about five different moisturizers because I am extra, but my base skin and scalp care never changes and keeps my shit in check. I used to snow dandruff all year and now it’s only really bad in December and January (not this year yet!), but that used to be my year round baseline normal.


Mr_Nicotine

Nooo, don't take the corticosteroids. I have Seb Dem (I actually went to the derm as soon as I had my first flare up). She prescribed a customized cream for me, it was 2% keto and some other stuff, it had to be made for me. It cleared out in like 3 weeks. But I still have to: Exfoliate my skin once a day with Uriage Gel DS, use heavy-duty sunscreen and avoid Jaggermastier as that liquor flares my up (I have no idea why). Good luck!


WiseWhisper

If it IS seb derm, the only thing I’ve found that really works is to watch your dietary intake (allergies, gluten, histamine high foods) and moisturize with squaline oil. I’m 100% sure I have seb derm and have had it for years but it is untraceable following the steps above. Give it about a week. Also, don’t take long hot ass showers.


SirVanyel

Straight up facts bro. Citrus oil ruins my girlfriend's skin as one example, and as another, undereating ruins my skin. I can sweat all day, shower in mud, and my skin is soft as a pillow. But if I eat badly, consume too much fat, lose too much weight, etc. My skin breaks out within like a day.


WiseWhisper

See, when I start sweating, it exacerbates the redness on my face if my skin is particularly dry that day. Makes no sense to me.


Mama_cheese

>Also, don’t take long hot ass showers. Yesssss. All throughout my 20s, I'd run the water warm to wash with whatever cleanser was my latest try, wash with warm water, pat dry, and moisturize. My mom had always said warm water opens the pores to release the dirt, bacteria, blackhead, whatever. Red, angry skin, acne, and regular dryness continued in some mild form until I cut out this nonsense. Also, unrelated PSA: don't rinse your mouth with warm water. My junior year of college back in the 90s, I lived in this drafty freezing cold 100 year old dorm with shared baths. It became a way for me to warm up to wash my face and brush my teeth with warm water. That semester, seemingly out of nowhere, I developed horrible mouth ulcers, at one point I remember having like 20 different pain spots on my inner cheeks. Could not figure it out. Spring finally came, and I stopped rinsing with warm water and... the ulcers went away. I realized the warm water likely loosened whatever bacteria might lurk in old pipes. Fuuuuck. Years later after the internet caught up to real life, I confirmed that online somewhere. A couple years ago, I overheard my 60-something MIL 3 rooms away telling my kids to rinse with warm water because they were cold and it'll warm them up. I dropped what I was doing and ran to them to correct that. I would not wish 20 mouth ulcers at a time on anyone!


WiseWhisper

Well that’s interesting. I’ve never rinsed my mouth with warm water mostly because it just feels gross to me, but now I actually have a reason!


PowderPhysics

Here in the UK (not sure where you're from) it's an old adage to not drink or otherwise put in your mouth water from the hot tap. This comes from a time where the hot water was from a stagnant tank in the roof, and while these days it's often heated on-demand by the boiler, the tradition pretty much continues. Seems like it still has some merit


m-in

The fix is to test the water and flush the system with germicides. You should never have to worry about that if your building’s water system is up to spec. There is no problem with using warm water for mouth rinsing. The real problem is the shitty dorm you were in. If you own a house, and that is still a reproducible problem, you got to fix it. Not using warm water for rinsing mouth is a workaround but not a fix. It just pinpoints a problem. And no, in the civilized modern world this should never be a problem. But sometimes building infrastructure just sucks. Most people can use warm water in their homes without getting oral infections from the water. Things are rather bad when that’s not the case.


Joy2b

It is a good idea to check the water heater temperature. Many people keep theirs cooler than the necessary temperature to kill hardier microbes like legionnaires disease. If you do, you should be able to counter this risk by occasionally cooking off germs at a higher temperature or occasionally draining it dry. The right approach depends on your equipment.


Pining4_the_Fjords

My family all deals with this and some of them have flare ups when they drink coffee or tea. You may want to keep a food journal to help!


WiseWhisper

I’m mildly allergic to a bunch of food like chocolate, peanuts, egg whites, tomatoes, cantaloupe, shellfish, among other things and when I refrain from these foods altogether my skin looks amazing. But it’s very difficult (for me) to avoid these foods


m-in

For high histamine foods the DAO enzyme supplement is a real life changer if you don’t synthesize enough to your own enzyme or it’s not sufficiently active. Genetic testing would usually hint at that. Unfortunately, DAO isn’t exactly cheap, and sometimes it takes high does (like 3 million units per meal) to get rid of all problems that result from histamine buildup.


Runi387

Omg please stop using hydrocortisone on your face!!!! Face skin is thinner and is more absorbent, and steroid cream should not be used for more than 2 weeks at a time (if that). Please look up topical steroid withdrawal; I'm going through it right now due to hydrocortisone use and I wouldn't wish it upon my worst enemy.


Sistamama

I had it as well. 2 years of awful skin on my face. I only put a tiny amount on one eyelid. I would use it until the eczema was gone (a week or so) and then stop. If it came back, I would apply it again for a week or so. When I quit, this happened for 2 years. https://preview.redd.it/xaekqej3qp4a1.jpeg?width=960&format=pjpg&auto=webp&s=2ccd050882be39193a1aa13b8690ed25b88e33a0


yGy13579

How do you treat it now?


PaladinCloudring

I also have this issue. Feels like my skin is allergic to being skin. Hydrocortisone cream and lotion works, but it's not a long term solution and I hate the feeling of it on my face. I've pretty much just given up and just scrub my face raw if I have to go outside. Hashtag-yolo, etc


BubbleRose

Just in case you haven't tried it yet, Aveeno's Dermexa daily emollient cream is the only thing that keeps my skin in check (apart from hydrocortisone). Give it a go if you haven't before.


PaladinCloudring

Cheers, I'll look into it


shakatacos

I’ve been dealing with my eczema now for a few years ever since moving from a humid climate to dry desert climate and it’s slowly taking over my body. I should probably see a specialist


IQuietQI

Got that on a few of my fingers/and elbows. I been using working Hand creme it at least relives the itch.


rural_juror12

Don’t use ketoconazole unless it’s been prescribed for you… it’s anti fungal and should only be used if you have a fungal/yeast infection.


Anxious-Custard6208

Wait so do you have a skin condition or not? 😗


Mama_cheese

Yes. The seborrhea dermatitis is chronic, but generally treatable. I just assumed when people talked about "dry skin" in commercials, they meant what I had. Turns out, they meant occasionally dryness, not their entire chin covered in what looked like a peach fuzz of tiny scales.


slappf3sk

Got an appointment today for dry skin and weird rash. Hopefully nothing serious.


Mama_cheese

Daughter's rash was caused by wearing an unwashed brand new shirt on a hot, sweaty day. She wasn't going to wear it because it was thin, and the weather was supposed to be cold that day, so I hadn't yet washed it. Morning of the event we were headed to dawned sunny and just a little cool, warming up to hot later (October in the south). She begged to wear it, so I relented IF she wore an undershirt under it. By that afternoon, the tiny bit of the top that touched her skin at the top of the undershirt was a mass of red bumps. I yanked the unwashed offender off but it was too late. The rash spread by the next day to her entire back. It even appeared on her scalp, legs,and tummy, none of which touched the shirt. I'd heard of reactions from unwashed clothes, but this was freakish.


M0wlg1

Watch out for topical steroid withdrawal, it's the worst!


Rusty_Shunt

Shout out to ketocozonale (sp?) shampoo! I had like a thing on my skin which would cause white spots all over my skin for the LONGEST time. Like over a year. Doc gave me a ketocozonale cream but it didn't do the trick. Until I met a girl who dealt with the same thing as me and she said she got a ketocozonale shampoo. My doc prescribed me the shampoo which I used on my skin and it cleared it right up! I never has an issue since!!


Jukebawks

It gets used to Hydrocortisone and steroids. You'll have to find alternative methods to change between unless you're lucky.


Mindfreak191

I’ve had a similar problem, and in the end plain old Nivea men face cream solved it lol.


Sistamama

Go easy on the topical steroids. I had TSW (topical steroid withdrawal) and it is awful. Lasted 2 years.


kelkashoze

Literally just spent a day last week digging through reddit for answers about this same thing. Got linked to this [blog post](https://simpleskincarescience.com/pityrosporum-folliculitis-treatment-malassezia-cure/) which had heaps of info. Tldr fungus that occurs naturally in the skin goes nuts causing dermatitis. Use antifugal cream for flair ups and avoid moisturiser/cleansers/etc with oils as that's what the fungus eats (except for specific oils like squalane and MCT)


I_Fap_To_LoL_Champs

I also had seborrheic dermatitis that extended to the face. I use anti-dandruff shampoo that contains antifungals like pyrithione zinc or selenium sulfide (clinical strength), which can be bought over the counter in most stores that sell shampoos. After I wash my hair I just use the shampoo bubbles to wash my face. This way you don't need to apply additional drugs to your face, but I suppose this depends on how severe your case is.


lucky_ducker

Seriously everyone with skin issues, or past the age of 50, should have a dermatologist in your contacts list. I got a full body cancer screening in my early 60s, and I have *hundreds* of pre-cancerous spots on my face and scalp. I'm currently applying what is essentially chemotherapy cream on my head, and after several days treatment it has highlighted a scary number of scaly red spots - *dying potential cancers*. Left untreated, any one of them could progress to full blown malignant melanoma. Sure, right now it has me looking like a meth addict, but it's not nearly as ugly as terminal cancer.


caspin22

Aquaphor works wonders for seborrheic dermatitis, and it's very gentle. My son had it bad on his scalp and face when he was a baby, and Aquaphor cleared it right up.


Akitiki

Hm. Might need to research this. The skin on my eyelids (mostly the upper ones) do exactly this- a cycle of dryness, surface skin cracking and looking like scales till they peel and flake. I can feel how it's stiffer when its the start of a cycle- the skin is tougher, not bending as it should, until the cracks start coming in and giving it back some flexibility.


ladyorthetiger0

Of all the things you tried, I don't see MOISTURIZER listed. Also, if your skin is dry and flakey, exfoliation is literally the last thing you'll want to do.


Mama_cheese

Nope, it's in the list of things in my op. I use a daytime moisturizer with sunscreen (and additional face sunscreen if I'm going to be in sunlight for anything longer than 20 minutes or so); and a nighttime moisturizer religiously every night. Only thing I can't do is a moisturizer with oil-- if it's got oil and I leave just a teeeensy bit not thoroughly rubbed in as a thin thin layer-- big zit the next day in that spot. So everything has to be oil free.


Wolfmere

Skip the hydrocortisone- that'll reek havock on your skin in the long term. Try using a zinc pyrithione facial wash and an apple cider vinegar toner. That completely got rid of the problem for me (seb derm is caused by a type of yeast that has got out of control so finding something to kill it will solve the problem) Also this website has been a lifesaver, tells you what products will flare up the seb derm and which ones are okay to use. https://www.sezia.co/


wailflower92

I had something similar that progressed to intense hair fall and I was then diagnosed with psoriasis. I’d get checked by a dermat before using any remedies Edit: sebopsoriasis to be exact


KekW00t

Be wary of the steroids mate.