Hair Care

  • Using a good quality shampoo.
  • Using a hair conditioner
  • Rinsing the hair to remove all traces of shampoo/conditioner/ soap.
  • Drying hair properly after a wash
  • Avoid using a hair drier very often
  • Avoid using gels, hairsprays, etc which are alcohol based as they dry the scalp.
  • Avoid use of hair-dyes
  • Clean towels, combs and hair brushes regularly

Nutrition Care

  • Avoid foods that cause allergy
  • Limit consumption of protein rich foods like seafood, animal protein, beans, etc
  • Have foods rich in Omega-3 fatty acids.
  • Avoid excess use of salts, sugar, alcohol and fats.

In infants

  • Scalp

o    Proper skin care with emollients.

o    Mild baby shampoos.

o    Warm olive oil compresses.

o    Low potency steroids in a cream or lotion form for 7-10 days.

o    Crust removal with 3-5% salicylic acid in olive oil.

  •  Armpit, Elbow and Knees (flexures)

o    0.2- 0.5% clioquinol in zinc lotion .

o    0.1 to 0.25% gentian violet application if oozy lesions and use of cotton diapers.

o    If superimposed candidiasis, then use imidazole preparations.

In adults

  • Scalp

o    Shampoo with 1-2.5% selenium sulphide or zinc pyrithione or ketoconazole.

o    Removal of crusts or scales by overnight application of steroids or salicylic acid in water soluble bases.

  • Face & trunk

o    Low potency steroids (1% hydrocortisone) early in disease course.

o    Topical antifungals esp. imidazoles.

o    Topical metronidazole 2% once or twice daily.

  • Eye lashes (Blepharitis)

o    Hot compresses.

o    Gentle cleaning with cotton tipped applicator.

o    Baby shampoo once or twice daily.

o    For stubborn cases , Sodium sulfacetamide ophthalmic ointment once or twice daily.