Treatment of Resistant Seborrheic Dermatitis

Topical Corticosteroid Options

• The American Academy of Dermatology recommends starting with mild-potency topical corticosteroids, such as 1% hydrocortisone, for the scalp to minimize side effects, and applying the topical corticosteroid directly to affected areas of the scalp once or twice daily until the flare resolves 1
• For more resistant cases, moderate-potency corticosteroids may be necessary, but should be used for shorter periods to avoid side effects, and treatment-free periods should be implemented to minimize risk of tachyphylaxis and side effects 1

Important Considerations and Pitfalls

• The American Academy of Otolaryngology-Head and Neck Surgery suggests considering underlying triggers such as stress, hormonal changes, or nutritional deficiencies that may be exacerbating the condition 2
• If seborrheic dermatitis remains unresponsive to these second-line treatments, referral to a dermatologist is warranted for consideration of other therapies, and proper application technique should be ensured, with solutions and foams reaching the scalp skin, not just remaining on the hair 1