How to treat chronic infection on nose that peels and dry skin?
Patient: My daughter has a rare metabolic syndrome in which she can not absorb animal proteins, and fats.  She is also very sensitive to phyto estrogens. She takes Creon 5 (pancreatic enzyme).  Her skin is dry and has tiny bumps. She also has a chronic infection type rash on her nose that constantly peels, heals and reacts. She is afraid of using cortizones, and your average otc creams etc are not sufficient; any suggestions? We are from northern NJ NY metro area. Doctor: The condition sounds like seborrheic dermatitis, which is treated by proper skin hygiene (washing face twice daily) and with shampoo/soap containing one or more of these ingredients: Salicylic acid, Selenium sulfide, Coal tar, Ketoconazole, and Zinc pyrithione. Other treatments include: Antifungal products, Corticosteroid lotions, Prescription-strength medicated shampoos, and Sulfur products. Make sure your daughter is not allergic to any of these ingredients by testing a small patch of skin on her arms (not face). She should be evaluated by a dermatologist, who can prescribe a stronger cream with an antibiotic to treat in case of infection and for proper diagnosis. In the meantime, there are also natural essential oils and emollients you can use like Neem oil, which is naturally anti-microbial and soothing.