Rash like areas around the sides of nose and upper lip that itch and flake. Need medication ?
Patient: Hey. Im a 28 year old male and my condition is on the face. It started about 4 years ago. What happens is that i will get these rash like areas around the sides of my nose and upper lip that will itch and flake once i wash the areas. It will go away for a bit but it comes right back in the exact same areas and looks virtually identical as the previous affected areas befor. Doctor: hello I would be pleased to answer your question . Seborrheic Dematitis: These grains sound like small crusts and your condition sounds like seborrheic dermatitis. This is a condition where the body loses tolerance for a yeast called Malassezia (which is present normally on all our skins) and starts attacking it leading to symptoms. This condition responds fastest to a steroid and antiyeast lotion applied on the area twice a day. This requires a prescription and your doctor can write one for you. If you cannot see your doctor for any reason then here is what I would recommend trying:  Nizoral- cream: to apply alternate day (e.g Mon-Wed-Fri). Use regularly for 4-6 weeks then start decreasing the frequency of application gradually till you reach once a week and maintain.  Also use over the counter cortaid cream ( steroid creams)   Avoid picking the area .  Please feel free to ask if you have any queries.Thanks and Take care