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This table summarizes the key steps for managing seborrhoeic dermatitis of the scalp and beard, including general advice, treatment, and addressing severe itching-these are based on CKS recommendations
| Step | Instructions | 
|---|---|
| General Advice | - Explain it's a chronic condition, that may require ongoing treatment.  - Avoid regular soap and shaving cream if they cause irritation. - Stress can worsen it. - Provide patient info from trusted sources.  | 
| Treating Scalp and Beard | - Use Ketoconazole 2% shampoo: Twice a week for 4 weeks initially, then once every 1-2 weeks for maintenance.  - Remove scales before shampooing with oil or keratolytic prep. - Leave shampoo on for 5 minutes before rinsing. - Use other medicated shampoos if Ketoconazole isn't suitable.  | 
| Dealing with Severe  Itching (Scalp Only)  | - Consider short course of topical corticosteroid scalp application (e.g., betamethasone valerate 0.1% or mometasone furoate 0.1%) for severe itching (max 4 weeks).  - Avoid using strong corticosteroids on the beard area. - Don't use topical corticosteroids long-term.  | 
Face and body
| Step | Instructions | 
|---|---|
| General Advice | - Explain it's a chronic condition, that may require ongoing treatment. - Avoid regular soap if it causes irritation; use non-greasy emollients or emollient soap substitutes. - Stress can worsen it.  | 
| Treatment... | 
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