Dr. Rockoff received his undergraduate degree from Yeshiva College with the distinction of Summa Cum Laude. He received his medical degree from the Albert Einstein College of Medicine. His internship and two years of Pediatric residency were at the Bronx Municipal Hospital Center, followed by training in Dermatology at the combined residency program at Tufts and Boston Universities. Dr. Rockoff is certified by both the American Board of Dermatology and the American Board of Pediatrics.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Treatment of seborrhea (dandruff) is directed at fighting the skin inflammation. This is done either directly, by using cortisone-based creams and lotions (which reduce inflammation), or by reducing the yeast that builds up on scaly areas and adds to the problem. Note, though, that seborrhea is not a yeast infection.
What doesn't help dandruff?
Moisturizing: Moisturizing lotions don't do much more
than smooth out scales and make patches look redder.
Switching brands of shampoo: Shampoo doesn't cause dandruff. However, medicated shampoos (see below) can help.
Changing hair-care routines: There is no "right" shampoo or conditioner, nor is there a "correct" number of times to shampoo per week; seborrhea and dandruff are not caused by excessive shampooing "drying out the scalp." Hair dyes and conditioners do not cause or aggravate dandruff.
Switching antiperspirants: When underarms are red from seborrhea,
almost anything will make them redder, including antiperspirants, even though
they are only aggravating the seborrhea and not causing it.
What over-the-counter products can help
dandruff?
1. Shampoos: Here are some ingredients in medicated
shampoos that you can look for to help control dandruff of
the scalp. All are available over the counter.
You can use any of these either all of the time or just
once or twice a week, depending on how severe your symptoms
are. If the problem quiets down or disappears, stop and
use nonmedicated shampoos. If one kind of shampoo works
for a while and "runs out of gas," switch to another. For
resistant cases, you can even alternate two different types.
2. Creams: Two additional types of medication that help seborrhea are cortisone creams and antifungal creams.
Cortisone creams reduce inflammation. You can buy them
over the counter in either 0.5% or 1% concentrations. They are safe to use on
the face and will often help in just a couple of days when applied twice
daily. These products also are available as scalp lotions that are applied
once a day, preferably on damp hair after shampooing. You can use scalp
cortisone creams together with medicated shampoos.
Antifungal creams are often effective, apparently because they reduce the number of yeast organisms living on the skin. Over-the-counter creams include 1% clotrimazole cream and miconazole cream 2%. Antifungal creams also are applied once or twice a day.
As with shampoos, creams should be applied until the
seborrhea subsides. When the seborrhea comes back (and it
will, sooner or later), the creams should be used again.
Eczema, also known as dermatitis, is a general term for many types of skin inflammation. The most common form of eczema is atopic dermatitis. The other forms of eczema include: contact eczema, seborrheic eczema, Nummular eczema, Neurodermatitis, stasis dermatitis, and dyshidrotic eczema. Symptoms, diagnosis, and treatment of eczema may vary from person to person and may depend on the type of eczema.
A sty (sometimes spelled stye) is a tender, painful red bump located at the base of an eyelash or on, inside, or under the eyelid, which is the result of an acute infection of the oil glands of the eyelid. Complications of a sty can be blepharitis and chalazion.
Head lice infection is called pediculosis. Lice are parasites that feed on blood and can be found on the scalp and hair of infected people. Signs and symptoms of head lice infestation include a tickling sensation, itching, and sores on the head. Head lice may be eliminated with various over-the-counter shampoos and washing all clothing and bed linens in the hot water cycle. Combs and brushes should be disinfected, and the floor and furniture should be vacuumed.