What can be prescribed?
Ketoconazole 2% cream or shampoo is the antifungal foundation, used daily or twice daily until clear and then less often for maintenance. A thin layer of hydrocortisone 2.5% or desonide may be added for only one to two weeks when inflammation needs it.
Why are stronger steroids not used on the face?
Longer or stronger facial-steroid use can thin the skin, change skin color, worsen rosacea or perioral dermatitis, and affect the eyes. This lane uses only low-potency treatment for a short course.
What if the photos look more like rosacea, ringworm, or psoriasis?
The seborrheic treatment is not prescribed. A ring-shaped lesion, thick sharply outlined plaques, acne-like central-face pustules, infection signs, or diagnostic uncertainty is sent to the appropriate existing lane or an in-person examination.
What if the problem is only scalp dandruff?
Use the dedicated dandruff lane for a scalp-only flaking pattern; it has shampoo-specific treatment and screening.
What if I have central-face flushing or pustules?
Those features may fit rosacea rather than seborrheic dermatitis. The rosacea lane uses its own eye-symptom and treatment screens.
What if the bumps cluster around my mouth or nostrils?
Small red bumps or peeling around the mouth or nostrils, especially after steroid use, may fit perioral dermatitis and should use that dedicated pathway.