Best treatment of facial sebopsoriasis

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Author: AJ Sykes, medical registrar, Auckland. Sebopsoriasis is an overlap between two separate conditions: seborrhoeic dermatitis and psoriasis , in which features of both conditions co-exist. Sebopsoriasis can be thought of as a transitional condition between seborrhoeic dermatitis and psoriasis, and has features of both conditions. The term is commonly used to describe a psoriasiform rash in a seborrhoeic distribution when the clinical features do not allow a precise diagnosis. Often it becomes clearer which condition the patient has with time and response to treatment. The overall incidence is not known, as clear case definition is difficult.
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Psoriasis on the Face

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Optimizing Treatment Approaches in Seborrheic Dermatitis

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Sebopsoriasis

This 9-year-old girl has extensive psoriasis and is currently receiving narrowband UVB phototherapy for her body plaques. Her mother has insisted on covering her daughter's face during treatment and on having the girl use sunscreen on her face whenever she is outdoors to prevent premature aging. This patient's plaque-type facial psoriasis was treated with topical tacrolimus. Facial psoriasis presents a unique challenge because it has a significant impact on a child's self-esteem and because the.
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Seborrheic dermatitis is a chronic, recurring, cutaneous condition that causes erythema and flaking, sometimes appearing as macules or plaques with dry white or moist oily scales. In adults, it commonly occurs in areas with high concentrations of sebaceous glands. The face and scalp are the most frequently affected areas, and involvement of multiple sites is common. Dandruff is regarded as a mild noninflammatory form of seborrheic dermatitis. The cause of seborrheic dermatitis is not well understood, but appears to be related to the composition of the sebaceous gland secretions, the proliferation of Malessezia yeasts, and the host immune response.
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