Persistent dandruff or greasy flaking on the scalp, eyebrows or around the nose is often seborrheic dermatitis. Share photos and the shampoos and creams you have tried with a licensed clinician to discuss a control plan. Insurance or $50 self-pay.
Rapidly spreading rash, hair loss with scarring, eye involvement or a rash in an infant that is not improving needs in-person review.
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Seborrheic dermatitis causes greasy or flaky scaling with redness on the scalp, eyebrows, sides of the nose, behind the ears and on the chest. Dandruff is its mildest form. It is linked to skin yeast and tends to flare with stress, cold weather and illness; it is long-lasting but controllable. Treatment usually combines antifungal shampoos or creams, such as ketoconazole, with short courses of a mild anti-inflammatory product for flares. Similar-looking conditions include psoriasis, rosacea and contact dermatitis, so a clinician reviews where the rash appears and how it has responded to past treatment.